ARCHETYPE Medication instruction for New Zealand (openEHR-EHR-INSTRUCTION.medication_nz.v1)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.medication_nz.v1
ConceptMedication instruction for New Zealand
DescriptionDetails of a medicine, vaccine or other therapeutic good with instructions for use.
UseFor recording instructions to dispense, administer or use a medicine, vaccine or other therapeutic good. This medication instruction can be used in many circumstances including: a record in a progress note; an item in a medication list, prescription or drug chart (to be dispensed and/or administered); or in a summary document such as discharge summary or a referral for care. The instruction may be complex and involve more than one activity, such as in the case of a reducing dose of Predisolone, or multiple medications as components of the same order. This would include a written order by a physician, dentist, nurse practitioner, or other designated health professional for a medication to be dispensed and administered to a patient. This instruction will generally apply to things that can be prescribed or are available 'over the counter'. Use for orders for vaccinations or other therapeutic goods. These may be presented differently in different applications but require the same structure. Use for the consistent representation of an item in a medication list comprising the medicines that a clinicians collectively expect the individual to be taking. The information recorded may separate dose, route and timing to achieve a computable and sharable specification but also allows for narrative instructions for orders like 'Frusemide 40mg two tablets in the morning and one at lunch' to ensure compatibility with existing systems. To achieve a structure statement for such compound orders, two items are required: 'Frusemide 40mg two tablets in the morning' and 'Frusemide 40mg one tablet at lunch'. The instruction will usually include information about the timing and dose (which may be structured) and in some settings will include the route of administration. The amount of the medicines will usually be given in terms of a number and a dose unit but may be a textural statement to ensure compatibility with existing systems and also coverage of all scenarios. Use to represent a prescription item for a medicine, vaccine or other therapeutic good within a document such as an electronic prescription (see COMPOSITION.prescription) or a medication chart. The content is potentially complex. Where the content is re-usable in other contexts, especially the paired ACTION.medication archetype (for recording dispensing, administration etc) the content has been specified in re-useable CLUSTER archetypes. For example: CLUSTER.amount and CLUSTER.amount-range contain the detail about Medication dose; CLUSTER.timing contains detail about structured dose timing; CLUSTER.medication_administration contains structure around administration for both the order and the action; and CLUSTER.chemical_description described the specific ingredients within a medicine. All of these archetypes together are required to make up the total maximal dataset for a re-useable medication instruction.
MisuseNot to be used to record administration, use or dispensing. (For those use ACTION.medication) Not to be used to record ordering of blood products, implants or major devices such as pacemakers and defibrillators, etc.
PurposeRecording intent to use or to continue to use a medicine, vaccine or other therapeutic good including instructions on use, dispensing and administration, where neccessary.
ReferencesopenEHR Foundation Medication archetypes http://www.openehr.org/knowledge
NEHTA's Therapeutic Good Use Data Group from the NEHTA Website http://www.nehta.gov.au
Intermountain Healthcare Medication order model, Personal Communication to Sam Heard by Dr Stan Huff.
Royal Australian College of General Practitioners. Fact Sheet: Medicines List. 2010.
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: NEHTA
Email: sam.heard@oceaninformatics.com
Date originally authored: 8/11/2010
Other Details LanguageAuthor name: Sam Heard
Organisation: NEHTA
Email: sam.heard@oceaninformatics.com
Date originally authored: 8/11/2010
OtherDetails Language Independent{references=openEHR Foundation Medication archetypes http://www.openehr.org/knowledge NEHTA's Therapeutic Good Use Data Group from the NEHTA Website http://www.nehta.gov.au Intermountain Healthcare Medication order model, Personal Communication to Sam Heard by Dr Stan Huff. Royal Australian College of General Practitioners. Fact Sheet: Medicines List. 2010., MD5-CAM-1.0.1=8259DF290B98C105093945C5702D6A0C}
Keywordsmedication, order, prescribe, therapy, substance, drug, therapeutic, otc, therapeutic good
LifecycleCommitteeDraft
Language useden
Citeable Identifier1013.1.1534
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Details of a medicine, vaccine or other therapeutic good with instructions for use., archetypeConceptComment=This should normally be specialised from NEHTA archetype but Cardinality of structured dose breaks compatibility., otherContributors=John Bennett, NEHTA, Australia
Sharmila Biswas, Australia
Stephen Chu, NEHTA, Australia (Editor)
Matthew Cordell, NEHTA, Australia
Gail Easterbrook, Flinders Medical Centre, Australia
David Evans, Queensland Health, Australia
Sarah Gaunt, NEHTA, Australia
Trina Gregory, cpc, Australia
Sam Heard, Ocean Informatics, Australia (Editor)
Mary Kelaher, NEHTA, Australia
Robert L'egan, NEHTA, Australia
Heather Leslie, Ocean Informatics, Australia (Editor)
Susan McIndoe, Royal District Nursing Service, Australia
David McKillop, NEHTA, Australia
Chris Mitchell, RACGP, Australia
Stewart Morrison, NEHTA, Australia
Chris Pearce, Melbourne East GP Network, Australia
Camilla Preeston, Royal Australian College of General Practitioners, Australia
Margaret Prichard, NEHTA, Australia
Cathy Richardson, NEHTA, Australia
Robyn Richards, NEHTA - Clinical Terminology, Australia
John Taylor, NEHTA, Australia
Richard Townley-O'Neill, NEHTA, Australia (Editor)
Kylie Young, The Royal Australian College of General Practitioners, Australia
Koray Atalag, University of Auckland, New Zealand, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[ResourceSimplifiedHierarchyItem [path=/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Order, description=The instructions for a particular medicine, vaccine or other therapeutic good including dose and timing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Medicine, description=The medicine, vaccine or other therapeutic good being ordered, administered to or used by the subject of care. This item should be coded if possible., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
  •  Coded Text
    Constraint:
    NZMT
    Bound to New Zealand Medicines Terminology which includes medicine name and SCTID – specifying an MP, TP, MPUU or TPUU
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Type, description=Whether these are prescribed or other such as OTC, alternative, complementary or Rongoa , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Normal [usual prescribed medicines]
  • OTC [Over-the-counter medicines]
  • Alternative [Alternative medicine]
  • Complementary [Complementary medicine]
  • Rongoa medicine [Māori medicines that are produced from native plants]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Directions, description=A complete narrative description of how much, when and how to use the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0069], code=at0069, itemType=ELEMENT, level=2, text=Used outside approved purpose, description=used to indicate of a medicine is deliberately used outside its approved use, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0004], code=at0004, itemType=SLOT, level=2, text=Ingredients and form, description=Detailed information about the ingredient(s) including form and strength., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.chemical_description.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Dose description, description=The amount and units of the medicine, vaccine or other therapeutic good to be used or administered at one time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0006], code=at0006, itemType=SLOT, level=2, text=Structured dose, description=Structured information on dose with dose unit. If 'Structured dose' is used with 'Dose description' then these must be semantically equivalent., comment=This breaks the compatibility - NZ requires to depict both quantities (measured and counted) at the same time., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.amount.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0053], code=at0053, itemType=ELEMENT, level=2, text=Unusual quantity, description=Indicates if an unusual quantity has been prescribed deliberately., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010], code=at0010, itemType=CLUSTER, level=2, text=Timing, description=Details of the timing of the use or administration of the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Timing description, description=The timing of the doses, which may include frequency and details such as relationship to food., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0037], code=at0037, itemType=SLOT, level=3, text=Structured timing, description=Structured details of the timing of the use or administration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.timing.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Start criterion, description=A condition which, when met, requires the start of administration or use., comment=null, 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=/activities[at0001]/description[at0002]/items[at0010]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Start date, description=The date and optional time to begin using the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=Stop criterion, description=A condition which, when met, requires the cessation of administration or use., comment=null, 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=/activities[at0001]/description[at0002]/items[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Stop date, description=The date and optional time to stop using the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Duration of treatment, description=The length of time for which the medicine, vaccine or other therapeutic good should be used or administered (from the initial dose to the final dose)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Number of administrations, description=The total number of doses of the medicine, vaccine or other therapeutic good that are to be used or administered (from the initial dose to the final dose)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=PRN, description=The timing is dependent within limits on the subject of care's condition or symptoms (e.g. 4hrly p.r.n. means the medicine can be taken as frequently as every four hours if necessary). "Pro re nata" in latin means as circumstances arise., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0054], code=at0054, itemType=ELEMENT, level=3, text=Regular, description=Depicts regular medicines of patient, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0055], code=at0055, itemType=ELEMENT, level=3, text=Once only, description=Once only medicines, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0010]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Long-term, description=It is anticipated that the medicine, vaccine or therapeutic good will be re-prescribed or re-dispensed over a period of time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0044], code=at0044, itemType=ELEMENT, level=2, text=Additional instruction, description=An additional statement on how to use the medicine, vaccine or other therapeutic good., comment=null, 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=/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Clinical Indication, description=A reason for ordering the medicine, vaccine or other therapeutic good., comment=null, 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=/activities[at0001]/description[at0002]/items[at0043], code=at0043, itemType=SLOT, level=2, text=Administration details, description=Details of the administration of the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.medication_admin.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056], code=at0056, itemType=CLUSTER, level=2, text=Reconciliation, description=Capture detailed reconciliation information, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0057], code=at0057, itemType=ELEMENT, level=3, text=Patient accounts, description=Patient accounts of medication-related events e.g. missed doses or adverse events;, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0058], code=at0058, itemType=ELEMENT, level=3, text=Discrepancy and resolution, description=Discrepancies found and actions taken to amend, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0059], code=at0059, itemType=ELEMENT, level=3, text=Own medication, description=Medicine brought by patient, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0060], code=at0060, itemType=ELEMENT, level=3, text=Comment, description=Comments about reconciliation, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0061], code=at0061, itemType=ELEMENT, level=3, text=Information source, description=details of the sources of information used eg, the given and family name(s) of the person contacted and contact telephone number, email and/or address, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0062], code=at0062, itemType=SLOT, level=3, text=Providers, description=details of the healthcare practitioners involved in the medicine reconciliation process, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.provider.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0063], code=at0063, itemType=ELEMENT, level=3, text=Reason for last change, description=reasons for any medicine change eg, form, dose, frequency, stops, starts, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=State, description=All collected lists should account for any changes to medicines found within a minimum six-week period (start, stop, continue or change), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Started [*]
  • Stopped [*]
  • Continued [*]
  • Changed [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023], code=at0023, itemType=CLUSTER, level=2, text=Dispensing, description=Information for the dispenser., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0070], code=at0070, itemType=ELEMENT, level=3, text=Deferred supply, description=True if the supply of the medication has been deferred, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0071], code=at0071, itemType=ELEMENT, level=3, text=Deferred supply reason, description=Information relating to the reason for deferred supply, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0045], code=at0045, itemType=SLOT, level=3, text=Quantity, description=The amount of medicine, vaccine or other therapeutic good to be dispensed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.amount.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0025], code=at0025, itemType=ELEMENT, level=3, text=Number of repeats, description=The number of times the expressed quantity of medicine, vaccine or other therapeutic good may be refilled or redispensed without a new prescription., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0046], code=at0046, itemType=ELEMENT, level=3, text=Minimum interval between repeats, description=The minimum time between repeat dispensing of the medicine, vaccine or therapeutic good. Note: This is specified by the ordering clinician for a specific reason such as safety or best practice., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0026], code=at0026, itemType=ELEMENT, level=3, text=Brand substitution permitted, description=Indicates whether or not the substitution of a prescribed medicine with a different brand name of the same medicine, vaccine or other therapeutic good, which has been determined as bioequivalent, is allowed when the medication is dispensed/supplied., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0023]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Dispensing instructions, description=Additional instructions to the person dispensing the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0035], code=at0035, itemType=ELEMENT, level=2, text=Comment, description=Any additional information that may be needed to ensure the continuity of supply, rationale for current dose and timing, or safe and appropriate use., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], credentials=[], state=[], capabilities=[], items=[], events=[], provider=[], content=[], target=[], contacts=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0038], code=at0038, itemType=ELEMENT, level=2, text=Indication for authorised use, description=The specific indication for use that is required by an authorising agency to achieve subsidy for or access to the medicine, vaccine or other therapeutic good. This could be a national medication scheme, insurance company or other funding agency., comment=null, 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=/protocol[at0031]/items[at0032], code=at0032, itemType=ELEMENT, level=2, text=Medication Instruction Id, description=An identifier used in an external system and associated with this medication instruction., comment=null, 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=/protocol[at0031]/items[at0042], code=at0042, itemType=ELEMENT, level=2, text=Concession benefit, description=Indicates the category of subsidy appropriate to the item being prescribed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0072], code=at0072, itemType=ELEMENT, level=2, text=Restrictions, description=e.g. Section 29 medicines - not all included in NZMT, comment=null, 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=/protocol[at0031]/items[at0073], code=at0073, itemType=CLUSTER, level=2, text=Endorsements, description=Any special endorsements by providers for subsidy, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0075], code=at0075, itemType=ELEMENT, level=3, text=ID, description=Identifier for endorsement, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0076], code=at0076, itemType=ELEMENT, level=3, text=Type, description=Type of endorsement, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Special authority [*]
  • Specialist endorsement [*]
  • Other endorsement [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0074], code=at0074, itemType=ELEMENT, level=3, text=Expiry date, description=the date endorsement expires, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080], code=at0080, itemType=CLUSTER, level=2, text=Privacy, description=Patient privacy related info, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0081], code=at0081, itemType=ELEMENT, level=3, text=Private, description=True if patient wants the item to be kept confidential, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0082], code=at0082, itemType=ELEMENT, level=3, text=Patient view consent, description=True if patient is consenting that their information be visible through a repository., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0083], code=at0083, itemType=ELEMENT, level=3, text=Comment, description=Comments about privacy related issues, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[], context=[], details=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0031], code=at0031, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], activities=ResourceSimplifiedHierarchyItem [path=ROOT_/activities[at0001], code=at0001, itemType=ACTIVITY, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0038], code=at0038, itemType=ELEMENT, level=2, text=Indication for authorised use, description=The specific indication for use that is required by an authorising agency to achieve subsidy for or access to the medicine, vaccine or other therapeutic good. This could be a national medication scheme, insurance company or other funding agency., comment=null, 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=/protocol[at0031]/items[at0032], code=at0032, itemType=ELEMENT, level=2, text=Medication Instruction Id, description=An identifier used in an external system and associated with this medication instruction., comment=null, 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=/protocol[at0031]/items[at0042], code=at0042, itemType=ELEMENT, level=2, text=Concession benefit, description=Indicates the category of subsidy appropriate to the item being prescribed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0072], code=at0072, itemType=ELEMENT, level=2, text=Restrictions, description=e.g. Section 29 medicines - not all included in NZMT, comment=null, 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=/protocol[at0031]/items[at0073], code=at0073, itemType=CLUSTER, level=2, text=Endorsements, description=Any special endorsements by providers for subsidy, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0075], code=at0075, itemType=ELEMENT, level=3, text=ID, description=Identifier for endorsement, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0076], code=at0076, itemType=ELEMENT, level=3, text=Type, description=Type of endorsement, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Special authority [*]
  • Specialist endorsement [*]
  • Other endorsement [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0073]/items[at0074], code=at0074, itemType=ELEMENT, level=3, text=Expiry date, description=the date endorsement expires, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080], code=at0080, itemType=CLUSTER, level=2, text=Privacy, description=Patient privacy related info, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0081], code=at0081, itemType=ELEMENT, level=3, text=Private, description=True if patient wants the item to be kept confidential, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0082], code=at0082, itemType=ELEMENT, level=3, text=Patient view consent, description=True if patient is consenting that their information be visible through a repository., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0031]/items[at0080]/items[at0083], code=at0083, itemType=ELEMENT, level=3, text=Comment, description=Comments about privacy related issues, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]