TEMPLATE Medikation Therapie LEOSS (Medikation Therapie LEOSS)

TEMPLATE IDMedikation Therapie LEOSS
ConceptMedikation Therapie LEOSS
DescriptionZur Repräsentation der Medikationen und Therapien aus den LEOSS-Datensätze.
UseZur Repräsentation der Medikationen und Therapien aus der LEOSS-Tabelle.
MisuseNicht zur Repräsentation anderer Datensätze gedacht.
PurposeZur Repräsentation der Medikationen und Therapien aus den LEOSS-Datensätze.
References
AuthorsName: Sarah Ballout; Organisation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
Other Details LanguageName: Sarah Ballout; Organisation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
KeywordsMedikamente; Medikation; Therapie; Immunsuppressiva
Language useden
Citeable Identifier1246.169.3498
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
ReportReport: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Report IDReport ID: Identification information about the report.
StatusStatus: The status of the entire report. Note: This is not the status of any of the report components.
Medikation\ TherapieMedikation\ Therapie: A generic section header which should be renamed in a template to suit a specific clinical context.
Antivirale TherapieAntivirale Therapie: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Atazanavir
  • Darunavir
  • Chloroquine phosphate
  • Hydroxychloroquine
  • Lopinavir/ritonavir
  • Ganciclovir
  • Oseltamivir
  • Remdesivir
  • Ribavirin
  • Camostat
  • Favipiravir
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
Antibakterielle ProphylaxeAntibakterielle Prophylaxe: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Betalactams
  • Azithromycin
  • Other macrolide
  • Fluorochinolones
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
AntimykotikaAntimykotika: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Itraconazole
  • Posaconazole
  • Other systemically active antifungals
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
ImmunsuppressivaImmunsuppressiva: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Steroids: > 0.5 mg/kg prednisone equivalents
  • Steroids: <= 0.5 mg/kg prednisone equivalents
  • CNI or mTor inhibitors
  • Anti-TNF-alpha inhibitors
  • IL-1 Receptor antagonists
  • Ruxolitinib
  • Tocilizumab
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
Herz-Kreislauf-MedikamenteHerz-Kreislauf-Medikamente: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • ACE inhibitors
  • Betablockers
  • AT-1 antagonists
  • Ca-channel blockers
  • Other antihypertensives
  • Statines
  • Antiarrhythmics
  • Adrenaline, sympathomimetics
  • Vasopressin
  • Colchicine
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
ImmuntherapieImmuntherapie: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Interferone (any)
  • 25-Hydroxyvitamin D
  • Zinc
  • Apheresis therapy
  • Immunoglobulines
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
Antikoagulation, Hemmung der ThrombozytenaggregationAntikoagulation, Hemmung der Thrombozytenaggregation: Summary or persistent information about the use of a single medication or group of medications, especially where the pattern of use or cumulative dosage needs to be monitored.
Data
Medication nameMedication name: Name of medication or group of medications.
The medication name can be represented as a generic substance, trade name or a group or class of medications. Coding of 'Medication name' with a terminology capable of triggering decision support is strongly recommended where possible. Free text entry should only be used if there is no appropriate terminology available. For example: 'Adriamycin'; 'doxorubicin' or 'anthracyclines'; 'Fosamax', 'alendronate' or 'bisphosphanates'.
  • UFH prophylactic
  • UFH therapeutic
  • NMH prophylactic
  • NMH therapeutic
  • DOAKs
  • Warfarin/marcumar
  • None
  • Unknown
  • Other
Clinical indicationClinical indication: The overall clinical indication for the use of the medication.
Coding with an external terminology is preferred, where possible. For example: 'Osteoporosis'.
Reason for cessationReason for cessation: The reason why all use of the medication was stopped.
Coding with an external terminology is preferred, where possible. For example: sub-optimal control of diabetes; adverse reaction; or high cost.
Cumulative durationCumulative duration: The sum of the duration of all episodes.
May be manually calculated or derived via the EHR from multiple sources.
>=PT0S
Weitere MedikamenteWeitere Medikamente: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Ibuprofen
  • Complementary and/or integrative medicine (CIM)
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
Behandlung auf der IntensivstationBehandlung auf der Intensivstation: Questionnaire information about the administration or consumption of any medication, a specified medication or type/class of medication at or during an event such as a specific point in time or duration of time.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Specific medication classSpecific medication class: Details about the use of a specific class of medication.
Medication class nameMedication class name: Name of class or type of medication.
For example: opioid; or analgesic.
  • Oxygen supplementation
  • Non-invasive ventilation
  • Invasive ventilation
  • Vital signs and respiratory parameters after intubation
  • ECMO
  • Dialysis
  • Cardiac assist device
  • Ventilation prone position
  • Re-intubation
  • Other extracorporeal oxygenation/decarboxylation
Verwendet?Verwendet?: Is the individual using the medication, class or type of medication at or during the identified event?
  • In use 
  • Not in use 
  • Unknown 
CommentComment: Additional narrative about the medication use during an identified event, not captured in other fields.
Künstliche BeatmungKünstliche Beatmung: Series of questions and associated answers used to screen for clinical management including, but not limited to treatments, therapies and hospitalisation.
The answers may be self-reported.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Any management?Any management?: Is there a history of management or treatment activities relevant for the screening purpose?
The management or treatment may have been completed or could be ongoing. In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
DescriptionDescription: Narrative description about the history of any management or treatment activities relevant for the screening purpose.
PEEPPEEP: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
Worst during phase of diseaseWorst during phase of disease: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • Not used
  • 5-7 mbar
  • 8-10 mbar
  • 11-13 mbar
  • 14-17 mbar
  • >17 mbar
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
PEEP weiteresPEEP weiteres: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
First after intubationFirst after intubation: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
PmaxPmax: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
Worst during phase of diseaseWorst during phase of disease: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • 10-15 mbar
  • 16-20 mbar
  • 21-25 mbar
  • 26-30 mbar
  • >30 mbar
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
Pmax weiteresPmax weiteres: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
First after intubationFirst after intubation: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • 10-15 mbar
  • 16-20 mbar
  • 21-25 mbar
  • 26-30 mbar
  • >30 mbar
  • not ventilated
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
FrequencyFrequency: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
Worst during phase of diseaseWorst during phase of disease: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • 10-15 /min
  • 16-20 /min
  • 21-25 /min
  • 26-30 /min
  • > 30 /min
  • not ventilated
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
Frequency weiteresFrequency weiteres: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
First after intubationFirst after intubation: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • 10-15 /min
  • 16-20 /min
  • 21-25 /min
  • 26-30 /min
  • > 30 /min
  • not ventilated
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
FiO2FiO2: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
Worst during phase of diseaseWorst during phase of disease: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • < 60%
  • 60-69%
  • 70-79%
  • 80-89%
  • 90-100%
  • not ventilated
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
FiO2 weiteresFiO2 weiteres: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
First after intubationFirst after intubation: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • < 60%
  • 60-69%
  • 70-79%
  • 80-89%
  • 90-100%
  • not ventilated
  • Unknown
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
PaO2/FiO2 (Horowitz) PaO2/FiO2 (Horowitz) : Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
Management nameManagement name: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
Specific management?Specific management?: Is there a history of the specific management or treatment activity?
In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
StartStart: When the managment or treatment started.
The 'Start' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment started. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment started. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual has been under treatment. Interval of Duration for the approximate age of the individual at the time of onset.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
CommentComment: Additional narrative about a specific management or treatment question, not captured in other fields.
PaO2/FiO2 (Horowitz) weiteresPaO2/FiO2 (Horowitz) weiteres: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose.
First after intubationFirst after intubation: Name of a specific management or treatment activity or grouping of management or treatment activities.
For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible.
  • Unknown
  • Undetermined
  • Physilogical
  • Mild ARDS
  • Moderate ARDS
  • Severe ARDS
StoppedStopped: When the managment or treatment ceased.
The 'Stopped' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management or treatment ceased. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date when the treatment stopped. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual was under treatment. Interval of Duration for the approximate age of the individual at when the management stopped.
  •  Date/Time
  •  Interval of Date/Time
  •  Text
  •  Duration
  •  Interval of Duration