TEMPLATE CAEHR_B_Medikation (CAEHR_B_Medikation)

TEMPLATE IDCAEHR_B_Medikation
ConceptCAEHR_B_Medikation
DescriptionZur Repräsentation der letzten stationären Medikation eines Patienten zur Speicherung im Rahmen des CAEHR-Projektes.
UseZur Darstellung der Medikation eines Patienten.
MisuseNicht zur Abbildung einer gerade aktiven Medikamentenverabreichung.
PurposeZur Repräsentation der letzten stationären Medikation eines Patienten zur Speicherung im Rahmen des CAEHR-Projektes.
References
Authorsdate: 2023-03-06; name: Nina Schewe; organisation: Medizinische Hochschule Hannover; email: Schewe.Nina@mh-hannover.de
Other Details Languagedate: 2023-03-06; name: Nina Schewe; organisation: Medizinische Hochschule Hannover; email: Schewe.Nina@mh-hannover.de
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=005501C1FA493A4838F5F1121F2870EC, original_language=ISO_639-1::de, MD5-CAM-1.0.1=1e8b712521a772f99b500bd67935d801, sem_ver=15.0.0}
KeywordsMedikament; Therapie; Medikamentenplan; Arzneimittel
Language useden
Citeable Identifier1246.169.2986
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1], code=at0000, itemType=COMPOSITION, level=0, text=CAEHR_B_Medikation, description=Document to communicate information to others, commonly in response to a request from another party., 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.report.v1]/context/other_context[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Report ID, description=Identification information about the report., 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.report.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Status, description=The status of the entire report. Note: This is not the status of any of the report components., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1], code=at0000, itemType=ACTION, level=1, text=Medication management, description=Any activity related to the planning, scheduling, prescription management, dispensing, administration, cessation and other use of a medication, vaccine, nutritional product or other therapeutic item., comment=This is not limited to activities performed based on medication orders from clinicians, but could also include for example taking over the counter medication., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017], code=at0017, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2], code=at0000, itemType=CLUSTER, level=3, text=Medication details, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0132], code=at0132, itemType=ELEMENT, level=4, text=Medikament, 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=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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0071], code=at0071, itemType=ELEMENT, level=4, text=Form, description=The formulation or presentation of the medication or medication component., comment=For example: 'tablet', 'capsule', 'cream', 'infusion fluid' or 'inhalation powder'. Coding of the form with a terminology is preferred, where possible. Medicines catalogues may differentiate between administrable form 'solution for injection' and product form 'powder for solution for injection'. The recorded form will depend on the exact context of use but administrable form is likely to be used in most instances., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: https://simplifier.net/BasisprofilDE/s-bmp-darreichungsform
  • Öl 
  • Amp 
  • Amp 
  • Salbe 
  • Salbe 
  • Tropf 
  • AuTropf 
  • AuBad 
  • AuCreme 
  • AuGel 
  • AuSalbe 
  • Bad 
  • Balsam 
  • Bandage 
  • Beutel 
  • Binden 
  • Bonbons 
  • Platte 
  • Brei 
  • BrTabl 
  • Creme 
  • Flasche 
  • Dilut 
  • DIS 
  • Dragees 
  • Spray 
  • Dragees 
  • Dragees 
  • Schaum 
  • Spray 
  • Pipette 
  • Einreib 
  • Elektr 
  • Elixier 
  • Emul 
  • Essenz 
  • Supp 
  • Extrakt 
  • Beutel 
  • Einreib 
  • Drag 
  • Spritze 
  • Salbe 
  • Flasche 
  • Flüss 
  • Flüss 
  • Tabl 
  • Folie 
  • FRB 
  • Seife 
  • Tabl 
  • Gran 
  • Gel 
  • GLI 
  • Globuli 
  • Gran 
  • Platte 
  • Gran 
  • Saft 
  • Lösung 
  • Handsch 
  • Kaps 
  • Kaps 
  • InhKaps 
  • Kaps 
  • Amp 
  • Beutel 
  • InfDisp 
  • Spritze 
  • Flasche 
  • Lösung 
  • Flasche 
  • Set 
  • InhAmp 
  • InhPulver 
  • Lösung 
  • Lösung 
  • Lösung 
  • InhKaps 
  • Lösung 
  • Impl 
  • Lösung 
  • Inhalat 
  • Flasche 
  • InhLös 
  • Tee 
  • Instill 
  • Susp 
  • Spirale 
  • Kanüle 
  • Kaps 
  • KAT 
  • KauDrag 
  • Kegel 
  • Kerne 
  • Kaug 
  • Konz 
  • Konz 
  • Supp 
  • Klist 
  • KlisTbl 
  • Kaps 
  • Kaps 
  • Kondom 
  • Kompr 
  • Konz 
  • KombiPg 
  • KRI 
  • Supp 
  • Supp 
  • KauTabl 
  • Lanz 
  • Lösung 
  • Flüss 
  • Lösung 
  • Lotion 
  • LOV 
  • Lösung 
  • Tabl 
  • LUP 
  • LuTabl 
  • Milch 
  • Misch 
  • Mixtur 
  • RetGran 
  • Pellets 
  • Tabl 
  • MUW 
  • NasGel 
  • NasÖl 
  • NasSpr 
  • NAW 
  • NasSpr 
  • NSalbe 
  • NTropf 
  • OCU 
  • Öl 
  • OTropf 
  • Ovula 
  • Pastill 
  • Pellets 
  • Pen 
  • Perlen 
  • Pflast 
  • Pflast 
  • Pulver 
  • Pulver 
  • Pulver 
  • Lösung 
  • Pulver 
  • Pulver 
  • Pulver 
  • Pulver 
  • PIV 
  • Pulver 
  • Pulver 
  • PLF 
  • PLG 
  • PLH 
  • PLI 
  • PLK 
  • Pulver 
  • PLV 
  • Lösung 
  • PRS 
  • Saft 
  • Paste 
  • Puder 
  • Pulver 
  • RetDrag 
  • RetTabl 
  • RetTabl 
  • RetGran 
  • RekKaps 
  • Depot 
  • Schaum 
  • RekSusp 
  • RetTabl 
  • Saft 
  • Salbe 
  • Salbe 
  • Schaum 
  • Seife 
  • Shampoo 
  • Sirup 
  • SMF 
  • SMT 
  • Supp 
  • Amp 
  • Flasche 
  • Lösung 
  • Spray 
  • Spray 
  • Spritze 
  • Supp 
  • Amp 
  • Stäbch 
  • Stifte 
  • Streif 
  • Subst 
  • Susp 
  • SubSpr 
  • Supp 
  • Susp 
  • SubTabl 
  • Susp 
  • Schwamm 
  • Tabl 
  • Tafel 
  • Amp 
  • Tee 
  • Tropfen 
  • Test 
  • Tinktur 
  • Tabl 
  • LösTabl 
  • Tabl 
  • Tonikum 
  • Tampon 
  • Tamp 
  • TrAmp 
  • TRI 
  • Tropfen 
  • TRS 
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  • TSD 
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  • TSS 
  • Test 
  • TSY 
  • Test 
  • Tube 
  • Tücher 
  • Tupfer 
  • RetTabl 
  • Tabl 
  • VagLös 
  • VagRing 
  • VagCrem 
  • Verband 
  • VagGel 
  • VagKaps 
  • Vlies 
  • VagOvul 
  • VagStäb 
  • VagSupp 
  • VagTabl 
  • Watte 
  • Gaze 
  • Kaps 
  • Kaps 
  • Würfel 
  • Gel 
  • Spray 
  • Festig. 
  • Maske 
  • Spül. 
  • Creme 
  • Pflege 
  • Creme 
  • Amp 
  • Bürste 
  • Zahncr. 
  • Zahngel 
  • ZerbKps 
  • Zahnp. 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0152], code=at0152, itemType=CLUSTER, level=4, text=Wirkstoffmenge, description=The strength of the medication or medication component, expressed as a ratio., comment=In some cases, as for liquid or semisolid medications, the denominator of the strength ratio is a physical quantity, for example 2 mg/5 ml. In some of these cases the denominator also reflects the actual volume of the component: 5 ml in the previous example. In this case the 'Strength (concentration)' would be 0.4 mg/ml. In other cases, where the strength involves a denominator which is not a physical quantity, for example 4 mg/tablet, the denominator is expressed as a unitary value '1' with a unit of 'tablet'. This arrangement was chosen to align with the approach adopted by the ISO IDMP standard for medication catalogues. If the 'Strength (concentration)' element is used, this cluster becomes redundant., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0152]/items[at0153], code=at0153, itemType=ELEMENT, level=5, text=Wirkstoffmenge (Zähler), description=The numerator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength numerator is '300 µg'. For a presentation strength of '100 mg/tablet', the strength numerator value is '100 mg'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0152]/items[at0157], code=at0157, itemType=ELEMENT, level=5, text=Wirkstoffmenge (Nenner), description=The denominator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength denominator value is '0.3 ml'. For a presentation strength of '100 mg/tablet', the strength denominator value is '1 tablet'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0115], code=at0115, itemType=ELEMENT, level=4, text=Wirkstoffstärke, description=The strength of the medication or medication component, as a concentration., comment=This element is used for liquid or semisolid medications, or medications intended to be diluted in a liquid before administration. For example: '10 mg/ml', '20 mg/g', '5 %', '10,000 SQ-U/ml'. If the 'Strength (presentation)' cluster is used, this element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0139], code=at0139, itemType=ELEMENT, level=4, text=Amount, description=The amount of medication or medication component., comment=For example: '1 ml', '1.5 mg', '1000 ml'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0133], code=at0133, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the medication or medication component where it is not possible to describe this fully using structured elements., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2], code=at0000, itemType=CLUSTER, level=4, 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[at0144], code=at0144, itemType=ELEMENT, level=5, 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 of Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1], code=at0000, itemType=CLUSTER, level=5, text=Timing - daily, description=Structured information about the intended timing of a therapeutic or diagnostic activity within any 24 hour period., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Frequency, description=The frequency as number of times per time period that the activity is to take place., comment=For example: "4 times per day" or "3 to 4 times per hour"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Quantity>=1; >=1; >=1; >=1
    Units:
    • 1/d
    • 1/min
    • 1/s
    • 1/h
  •  Interval of QuantityLower constraint: >=1; >=1; >=1; >=1
    Units:
    • 1/d
    • 1/min
    • 1/s
    • 1/h

    Upper constraint: >=1; >=1; >=1; >=1
    Units:
    • 1/d
    • 1/min
    • 1/s
    • 1/h
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0039], code=at0039, itemType=CLUSTER, level=6, text=Specific event, description=A specific, named time event that the activity should occur in relation to., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0039]/items[at0026], code=at0026, itemType=ELEMENT, level=7, text=Ereignis, description=The name of the event that triggers the activity to take place., comment=For example: "Before each meal", "at bedtime", "in the morning". It is understood that these event names may not equate to the same exact times in different cultures. Coding with a terminology, for example HL7 FHIR Named events, is recommended where appropriate., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • morgens
  • mittags
  • abends
  • zur Nacht
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Original scheduled date/time, description=The datetime at which the medication action was scheduled to occur., comment=Used to compare variance from actual action time where this is not readily calculable from the original instruction., 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.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Patient guidance, description=Any guidance, instructions or advice given to the subject of care or personal carer at the time of the pathway step., comment=For example: 'Avoid grapefruit' , 'Take at least 2 hours before bedtime', 'Take with food'. May be coded with a terminology when clinically appropriate., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]