TEMPLATE leitliniengerechte Antibiotikatherapie (Gr1) (leitliniengerechte Antibiotikatherapie (Gr1))

TEMPLATE IDleitliniengerechte Antibiotikatherapie (Gr1)
Conceptleitliniengerechte Antibiotikatherapie (Gr1)
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2022-09-13
Other Details Languagedate: 2022-09-13
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=6AFE570A2D850AB1D7AA794A541ECC42, original_language=ISO_639-1::de, MD5-CAM-1.0.1=17d31f33fdeab06d3ad98c2b5bf43119, sem_ver=2.0.0}
Language useden
Citeable Identifier1246.169.2599
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  •  Text
  •  Identifier
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  • Ja 
  • Nein 
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Unter der Bezeichnung Antibiotikaresistenz werden Eigenschaften von Mikroorganismen wie Bakterien oder Pilze zusammengefasst, welche ihnen ermöglichen, die Wirkung von antibiotisch aktiven Substanzen abzuschwächen oder ganz zu neutralisieren., comment=Das Resistenz ergebnis kann zum Biepiel wie folgt dargestellt werden: S (sensibel), R (resistent), I (Intermediär), NEG (negativ)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/context/other_context[at0003]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Präfix der minimalen Hemmkonzentration, description=Päfix der minimalen Hemmkonzentration., comment=Zum Beispiel: <=, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/context/other_context[at0003]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Hemmkonzentration, description=Die minimale Hemmkonzentration, kurz MHK, ist die kleinste Wirkstoffkonzentration einer antimikrobiellen Substanz (z.B. eines Antibiotikums), welche die Erregervermehrung in der Kultur noch verhindert., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/context/other_context[at0003]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Antibiotikum Einnahmezeit, description=*Den Zeitpunkt an dem der Patient das Antibotikum bekommt, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.person_data_gr1.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Personendaten, description=Demografische Daten zu einer Person wie Geburtsdatum und Telefonnummer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.person_data_gr1.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.person_data_gr1.v0]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Art der Person, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Mitarbeiter 
    • Patient 
    • sonstiges 
  •  Text
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AOK Niedersachsen, Techniker Krankenkasse etc., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.versicherungsinformationen.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Versicherungstyp, description=Versicherungstyp des Patienten (selbst; gesetzliche Krankenversicherung; private Krankenversicherung; Berufsgenossenschaft; unentgeltliche truppenärztliche Versorgung), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.versicherungsinformationen.v0]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Institutionskennzeichen der Krankenkasse, description=z.B. Techniker Krankenkasse 106577501, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=UMG_Aufenthaltsdaten, description=Zur Erfassung der administrativen Aufenthaltsdaten eines Patienten., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Krankenhausaufenthalt, description=Hatte der Patient einen Krankenhausaufenthalt (bzw. mehrere Krankenhausaufenthalte, wenn diese gesammelt dargestellt werden sollen)? Dieser Wert wird als "Wahr" angenommen, wenn der Patient einen oder mehrere Krankenhausaufenthalte hatte und als "Falsch", wenn der Patient keinen Krankenhausaufenthalte hatte., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0]/data[at0001]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Art des Aufenthaltes, description=Art des Aufenthaltes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Coded Text
    • stationär 
    • ambulant 
    • vorstationär 
    • nachstationär 
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Tage einer Abwesenheit aufgrund geplanter Beurlaubung anzugeben., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0]/data[at0001]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Belegungstage in einem anderen Entgeltbereich, description=Bei einem Wechsel zwischen den Entgeltbereichen in Folge einer internen oder externen Verlegung mit anschließender Wiederaufnahme bzw. Rückverlegung in den ursprünglichen Entgeltbereich sind die Belegungstage in dem anderen Entgeltbereich (BPflV oder KHEntgG oder Besondere Einrichtung) anzugeben., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-ADMIN_ENTRY.umg_aufenthaltsdaten.v0]/data[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Kommentar, description=Zusätzliche Kommentare., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3], code=at0000, itemType=INSTRUCTION, level=1, text=Medication order, description=An order for a medication, vaccine, nutritional product or other therapeutic item for an identified individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001], code=at0001, itemType=ACTIVITY, level=2, text=Order, description=Details of the requested order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Medication item, description=Name of the medication, vaccine or other therapeutic/prescribable item being ordered., comment=Depending on the prescribing context this field could be used for either generic- or product-based prescribing. This data field can be used to record tightly bound orders of different medications when they are prescribed as a single pack. It is strongly recommended that the 'Medication item' be coded with a terminology capable of triggering decision support, where possible. The extent of coding may vary from the simple name of the medication item through to structured details about the actual medication pack to be used. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=4, text=Route, description=The route by which the ordered item is to be administered into the subject's body., comment=For example: 'oral', 'intravenous', or 'topical'. Coding of the route with a terminology is preferred, where possible. Multiple potential routes may be specified., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0092], code=at0092, itemType=ELEMENT, level=4, text=Body site, description=Name of the site of administration of the ordered item., comment=For example: 'left upper arm', 'intravenous catheter right hand'. Coding of the body site with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0094], code=at0094, itemType=ELEMENT, level=4, text=Administration method, description=The technique or device by which the ordered item is to be administered., comment=For example: ' via Z-track injection'; 'via nebuliser'. Coding of the method with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Overall directions description, description=Complete narrative description about how the ordered item is to be used., comment=This narrative should normally subsume data captured in 'Dose amount', 'Dose timing' and any additional instructions for use. Where the medication dose directions are fully carried by the structured, computable dose directions, this element should carry the narrative equivalent, generally auto-generated. If it is not possible to represent the intended 'Dose direction' fully in computable form, partial representation is not recommended, and the directions should be only recorded in narrative form using this data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=Parsable directions, description=A parsable, computable text representation of the directions., comment=Generally this is only used when passing information between legacy systems. For example: '10mg bd; 20mg n' as used by the NHS Dose syntax (in development)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism
  • text/html
  • text/plain
  • text/xml
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0173], code=at0173, itemType=ELEMENT, level=4, text=Specific directions description, description=A narrative description of a specific part of overall directions., comment=In some settings, it is common to split overall narrative directions into more specific segments of narrative. For example in hospital settings, it can be common to split the overall directions into 'Dose amount' and 'Dose timing', both as narrative text. These terms can be applied at template or run-time., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0174], code=at0174, itemType=ELEMENT, level=4, text=Dosage justification, description=A description of the justification used to calculate a dose amount or administration rate where this is dependent on some other factor., comment=For example: 'Adjusted for amputation'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Clinical indication, description=The clinical reason for use of the ordered item., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. It is not intended to carry an indication for administrative authorisation purposes., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=4, text=Therapeutic intent, description=The overall therapeutic intent of the ordered item., comment=For example: 'pain relief'; 'palliative care'; 'low-dose prophylaxis'; 'rehydration'; 'nutritional infusion'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0179], code=at0179, itemType=ELEMENT, level=4, text=Clinician guidance, description=Advice to future prescribers/dispensers about the ongoing, long term order., comment=For example: 'don't allow brand substitution' or advice regarding using a specific brand to avoid fillers that cause reactions., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113], code=at0113, itemType=CLUSTER, level=4, text=Order details, description=Details about the whole medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Order start date/time, description=The date and optional time to commence use of the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=Order stop date/time, description=The date and optional time when it is planned to cease use of the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Order start criterion, description=A condition which, when met, requires the commencement of administration or use., comment=For example: 'Start if symptoms recur'. This is intended for a general pre-condition which should trigger the whole medication course to be started, and not for 'as required' administrations of an ongoing order., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Order stop criterion, description=A condition which, when met, requires the cessation of administration or use., comment=For example: 'Stop after symptoms disappear''., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0060], code=at0060, itemType=ELEMENT, level=5, text=Administrations completed, description=The number of administrations of the ordered item that have been completed, as part of the intended whole order but prior to the issuance of this order., comment=For example: To record that the patient has taken the two first antibiotic tablets of a three day course, prior to discharge from the hospital to a nursing home., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0050], code=at0050, itemType=ELEMENT, level=5, text=Duration of order completed, description=The time period during which the individual/patient has already been using the ordered item as a part of the intended whole order but prior to the issuance of this order., comment=For example: To record that the patient had been taking antibiotics 3 days prior to hospital admission, in the context of a 7 day course., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0H
Units:
  • Week
  • Day
  • Hour
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/activities[at0001]/description[at0002]/items[at0167], code=at0167, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the medication order not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/protocol[at0005], code=at0005, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=The amount and units of the medication, vaccine or other therapeutic good to be used or administered at one time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-INSTRUCTION.medication_order_gr1.v3]/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Order identifier, description=Unique identifier for the medication order., comment=This data element allows for multiple occurrences to be defined more explicitly at run-time, if required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0], code=at0000, itemType=EVALUATION, level=1, text=Adverse reaction risk, description=Risk of harmful or undesirable physiological response which is unique to an individual and associated with exposure to a substance., comment=Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings., uncommonOntologyItems={source=openEHR,FHIR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Substance, description=Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event., comment=Both an individual substance and a substance class are valid entries in 'Substance'. A substance may be a compound of simpler substances, for example a medicinal product. If the value in 'Substance' is an individual substance, it may be duplicated in 'Specific substance'. It is strongly recommended that both 'Substance' and 'Specific substance' be coded with a terminology capable of triggering decision support, where possible. For example: Snomed CT, DM+D, RxNorm, NDFRT, ATC, New Zealand Universal List of Medicines and Australian Medicines Terminology. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems={source=openEHR,FHIR,DAM}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=3, text=Status, description=Assertion about the certainty of the propensity, or potential future risk, of the identified 'Substance' to cause a reaction., comment=Decision support would typically raise alerts for 'Suspected', 'Likely', 'Confirmed', and ignore a 'Refuted' reaction. Clinical systems may choose not to display Adverse reaction entries with a 'Refuted' status in the Adverse Reaction List. However, 'Refuted' may be useful for reconciliation of the adverse reaction list or when communicating between systems . Some implementations may choose to make this field mandatory. 'Resolved' may be used variably across systems, depending on clinical use and context - there appears to be differing opinion whether this should still be used to raise potential alerts or to display in an Adverse Reaction List. The free text data type will allow for local variation by enabling other value sets to be applied to this data element in a template - in this situation it is recommended that values should be coded using a terminology., uncommonOntologyItems={source=FHIR, DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Suspected 
    • Likely 
    • Confirmed 
    • Resolved 
    • Refuted 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001]/items[at0101], code=at0101, itemType=ELEMENT, level=3, text=Criticality, description=An indication of the potential for critical system organ damage or life threatening consequence., comment=This can be regarded as a predictive judgement of a 'worst case scenario'. In most contexts 'Low' would be regarded as the default value., uncommonOntologyItems={source=DAM, openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Low 
  • High 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001]/items[at0120], code=at0120, itemType=ELEMENT, level=3, text=Category, description=Category of the identified 'Substance'., comment=This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the Substance where coding systems are used, and is effectively redundant in that situation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Food 
    • Medication 
    • Other 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the propensity for the adverse reaction, not captured in other fields., comment=For example: including reason for flagging a 'Criticality' of 'High risk'; and instructions related to future exposure or administration of the Substance, such as administration within an Intensive Care Unit or under corticosteroid cover., uncommonOntologyItems={source=openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042], code=at0042, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0062], code=at0062, itemType=ELEMENT, level=3, text=Last updated, description=Date when the propensity or the reaction event was updated., comment=Note: maps to recordedDate in FHIR., uncommonOntologyItems={source=openEHR, FHIR, DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0047], code=at0047, itemType=ELEMENT, level=3, text=Supporting clinical record information, description=Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports., comment=For example, presenting symptoms, examination findings, diagnosis etc. [Note: FHIR,DAM: Maps to Sensitivity Test.], uncommonOntologyItems={source=FHIR, openEHR, DAM}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Reaction reported?, description=Has the adverse reaction ever been reported to a regulatory body?, comment=null, uncommonOntologyItems={source=openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0099], code=at0099, itemType=CLUSTER, level=3, text=Report summary, description=Structured details about reports that have been forwarded to regulatory bodies., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0099]/items[at0125], code=at0125, itemType=ELEMENT, level=4, text=Date of report, description=Date that the report was sent to the regulatory authority., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.person.v0]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk_gr1.v0]/protocol[at0042]/items[at0099]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Report comment, description=Narrative about the adverse reaction report or reporting process., comment=For example, the reason for non-reporting., uncommonOntologyItems={source=openEHR}, occurencesFormal=null, occurencesText=null, 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