TEMPLATE ELISE_Medikationseintrag (ELISE_Medikationseintrag)

TEMPLATE IDELISE_Medikationseintrag
ConceptELISE_Medikationseintrag
DescriptionZur Repräsentation der Medikation, die für eine Person verordnet oder durch die Person angewendet wird. Das Template stellt Medikamente dar, die der Patient zurzeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.
UseZur Repräsentation der Anwendung von Medikamenten, die für eine Person verordnet oder durch die Person angewendet werden. Es kann sich dabei um eine aktuelle, frühere oder geplante Anwendung handeln. Das Template hat eher den Charakter eines Medikationsplans. Es ist nicht klar, ob der Patient diese Arzneimittel tatsächlich eingenommen hat oder diese verabreicht wurden. Wenn ein Fallbezug oder eine Verbindung zu anderen Compositions (z.B. Prozeduren, Diagnose-Templates) hergestellt werden soll, bitte die LINK class aus dem Referenzmodell nutzen.
MisuseNicht zur Repräsentation spezifischer Medikamententherapie oder Medikamentenklassen, die weitere Angaben erfordern (z. B. Protokoll bei Chemotherapie). Dafür bitte eigene Templates anlegen. Nicht für die Darstellung der eigentlichen Medikamentenverabreichung, die auf vollständige Verabreichungsinformationen basieren, geeignet. Dafür wird das Template Medikamentenverabreichungen verwendet.
PurposeZur Repräsentation der Medikation, die für eine Person verordnet oder durch die Person angewendet wird. Das Template stellt Medikamente dar, die der Patient zurzeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.
References
Authorsdate: 2020-01-16
Other Details Languagedate: 2020-01-16
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, PARENT:MD5-CAM-1.0.1=006E9F209FD9F3691A5B9EFF0BAC3B5B, original_language=ISO_639-1::de, MD5-CAM-1.0.1=188f42196d7e03e817dc16773159afe4, sem_ver=11.0.0, build_uid=97da31db-7472-411b-adb2-47157e91df91}
KeywordsMedikation; Medikamentöse Behandlung; Arzneiliste; Medikamentenverordnung; Arzneiverordnung; Medikamentenanwendung; Arzneimittel; Medikamentenanamnese; Medikationsliste; Medikamentenliste; Arzneimittelverordnung; Medikationseintrag, Medikamentenplan, Medikationseintrag, Kerndatensatz, Medication Statement
Language useden
Citeable Identifier1246.169.2904
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.medication_list.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1], code=at0000, itemType=COMPOSITION, level=0, text=ELISE_Medikation, description=A persistent and versioned list of medicines for an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, 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.medication_list.v1]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=2, text=Case identification, description=To record case identification details for public health purposes., 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.medication_list.v1]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Case identifier, description=The identifier of this case., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0], code=at0000, itemType=OBSERVATION, level=1, text=Medication statement, description=A snapshot view about the use of a specified medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1], code=at0000, itemType=CLUSTER, level=5, text=Medication, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0132], code=at0132, itemType=ELEMENT, level=6, text=Arzneimittel-Name, description=The name of the medication or medication component., comment=For example: 'Zinacef 750 mg powder' or 'cefuroxim'. This item should be coded if possible, using for example, RxNorm, DM+D, Australian Medicines Terminology or FEST. Usage of this element will vary according to context of use. This element may be omitted where the name of the medication is recorded in the parent INSTRUCTION or ACTION archetype, and this archetype is only used to record that the form must be or was 'liquid'., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0142], code=at0142, itemType=ELEMENT, level=6, text=Category, description=The category of the medication or medication component, with regard to manufacturing or preparation, and the number of ingredients., comment=For example: 'Paracetamol/codeine' is a Multi-ingredient product, while 'Morphine 60 mg + Haloperidol 2 mg + Midazolam 5 mg' is an Ad-hoc mixture, whose composition is fully specified within the order., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Ad-hoc mixture 
    • Ingredient 
    • Multi-ingredient product 
    • Single-ingredient product 
    • Combination product 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0], code=at0000, itemType=CLUSTER, level=6, text=Arzneimittelgruppe, description=Zur Einordnung eines Arzneimittels in eine Gruppe, Klasse oder Kategorie., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Arzneimittel-Code, description=Name der Arzneimittelgruppe., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004], code=at0004, itemType=CLUSTER, level=7, text=Katalog, description=Hier können Arzneimittelverzeichnisse, sowie intern verwendete Kataloge angegeben werden., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Katalogname, description=Name des verwendeten Katalogs oder Verzeichnisses., comment=Bekannte Arzneimittelverzeichnisse in Deutschland sind u.a. die Rote Liste, die Gelbe Liste oder die Lauer-Taxe., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • RxNorm
  • SNOMED CT
  • IDMP
  • PZN
  • ATC
  • [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=Startzeitpunkt Einnahme, description=The valid start date/time for the Status., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0019]/null_flavour, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=6, text=null_flavour, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Endzeitpunkt Einnahme, description=The valid end date/time for the Status., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v2], code=at0000, itemType=CLUSTER, level=5, text=Dosage, description=The combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management., comment=For example: '2 tablets at 6pm' or '20 mg three times per day'. Please note: this cluster allows multiple occurrences to enable representation of a complete set of dose patterns for a single dose direction., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[at0144], code=at0144, itemType=ELEMENT, level=6, text=Dose, description=The amount of medication administered at one time., comment=For example: 1 mg, 1.5 ml, 0.125 g; or 1-2 ml, 12.5-20.5 mg., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Quantity
  •  Interval
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[at0134], code=at0134, itemType=ELEMENT, level=6, text=Administration rate, description=The rate at which the medication, such as an infusion, is to be administered., comment=For example: '200 ml/h'. Use the text data type to record non- or semi-quantifiable instructions., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Quantity>=0; >=0; >=0; >=0
    Units:
    • l/h
    • ml/min
    • ml/s
    • ml/h
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0030], code=at0030, itemType=ELEMENT, level=5, text=Route, description=The route by of administration of the medication into the 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 if the medication is planned or scheduled; only one is relevant if the medication has been administered., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://standardterms.edqm.eu
  • Auricular use 
  • Buccal use 
  • Cutaneous use 
  • Dental use 
  • Endocervical use 
  • Endosinusial use 
  • Endotracheopulmonary use 
  • Epidural use 
  • Epilesional use 
  • Extraamniotic use 
  • Extracorporeal use 
  • Gastric use 
  • Gastroenteral use 
  • Gingival use 
  • Haemodialysis 
  • Implantation 
  • Infiltration 
  • Inhalation use 
  • Intestinal use 
  • Intraamniotic use 
  • Intraarterial use 
  • Intraarticular use 
  • Intrabursal use 
  • Intracameral use 
  • Intracardiac use 
  • Intracartilaginous use 
  • Intracavernous use 
  • Intracerebral use 
  • Intracerebroventricular use 
  • Intracervical use 
  • Intracholangiopancreatic use 
  • Intracisternal use 
  • Intracoronary use 
  • Intradermal use 
  • Intradiscal use 
  • Intraepidermal use 
  • Intraglandular use 
  • Intralesional use 
  • Intralymphatic use 
  • Intramuscular use 
  • Intraocular use 
  • Intraosseous use 
  • Intrapericardial use 
  • Intraperitoneal use 
  • Intrapleural use 
  • Intraportal use 
  • Intraprostatic use 
  • Intrasternal use 
  • Intrathecal use 
  • Intratumoral use 
  • Intrauterine use 
  • Intravenous use 
  • Intravesical use 
  • Intravitreal use 
  • Iontophoresis 
  • Laryngopharyngeal use 
  • Nasal use 
  • Ocular use 
  • Oral use 
  • Oromucosal use 
  • Oropharyngeal use 
  • Periarticular use 
  • Perineural use 
  • Periodontal use 
  • Periosseous use 
  • Peritumoral use 
  • Posterior juxtascleral use 
  • Rectal use 
  • Retrobulbar use 
  • Route of administration not applicable 
  • Skin scarification 
  • Subconjunctival use 
  • Subcutaneous use 
  • Sublingual use 
  • Submucosal use 
  • Subretinal use 
  • Transdermal use 
  • Urethral use 
  • Vaginal use 
, extendedValues=null]], templateType=normal]