ARCHETYPE Medication action for New Zealand (openEHR-EHR-ACTION.medication_nz.v1)

ARCHETYPE ID	openEHR-EHR-ACTION.medication_nz.v1
Concept	Medication action for New Zealand
Description	Details of use, administration, dispensing or other care step relating to a medicine, vaccine or other therapeutic good which may arise from an instruction from a clinician.
Use	For recording the planning, issuing of a prescription, dispensing, administration, cessation, suspension, completion of a medicine, vaccine or other therapeutic good . This will usually be in response to a medication order but may be administered immediately without an order at times, thus requiring recording of the administration alone (e.g. in an emergency situation). Such a record may be made to indicate the administration of a dose, dispensing of a certain quantity or as a record of ceasing a medication. The state of the medication instruction is altered by the action taken as indicated in the Pathway definition. There is a date and time at which this ACTION took place (as there is for all ACTIONs) and use of this archetype indicates that some action has actually occurred.
Misuse	Use when recording an instruction or order (use INSTRUCTION.medication).
Purpose	The recording of activities undertaken with regard to a medicine, vaccine or other therapeutic good and linking to the instruction if appropriate.
References	NEHTA Therapeutic Good Use Datagroup http://nehta.gov.au/data-group-library/data-specifications/dgl-therapeutic-good-action openEHR Medication Action archetype http://openehr.org/knowledge
Copyright	© openEHR Foundation
Authors	Author name: Sam Heard Organisation: NEHTA Email: sam.heard@oceaninformatics.com Date originally authored: 9/11/2010
Other Details Language	Author name: Sam Heard Organisation: NEHTA Email: sam.heard@oceaninformatics.com Date originally authored: 9/11/2010
Other Details (Language Independent)	References: NEHTA Therapeutic Good Use Datagroup http://nehta.gov.au/data-group-library/data-specifications/dgl-therapeutic-good-action openEHR Medication Action archetype http://openehr.org/knowledge MD5-CAM-1.0.1: 9ECAFFA1798815C7E07FEB8CD0E7CD9D
Keywords	medication, prescibe, dispense, administration, cessation, therapeutic good, supply
Lifecycle	CommitteeDraft
Language used	en
Citeable Identifier	1013.1.1535
ism_transition
Plan medication	Plan medication: The medication is planned but no execution has taken place. Current state: initial
Suspend medication plan	Suspend medication plan: The plan to order medication has been suspended. Current state: postponed
Cancel medication plan	Cancel medication plan: The planned administration has been cancelled prior to any administration. Current state: cancelled
Set medication start date	Set medication start date: The time to start this medication has been set. Current state: scheduled
Issue prescription for medication	Issue prescription for medication: The instruction has issued as an item on a prescription. Current state: active, initial
Dispense medication	Dispense medication: The medication has been dispensed. Current state: active, initial
Commence medication	Commence medication: The medication has been taken by the patient for the first time. Current state: active
Review medication	Review medication: The medication has been reviewed. Current state: active
Administer medication	Administer medication: A single administration of the medication has taken place. Current state: active
Re-issue prescription for medication	Re-issue prescription for medication: The medication has been re-prescribed for an existing instruction. Current state: active
Withhold medication	Withhold medication: The administration of a medication has been withheld and not given. Current state: active
Medication declined	Medication declined: An administration of the medication was refused by the subject of care (patient). Current state: active
Return medication	Return medication: A dispensed medication is returned or not collected without use. Current state: active, initial
Delay medication supply	Delay medication supply: The medication has not been dispensed as supply is not yet available. Current state: suspended
Suspend administration	Suspend administration: The administration of the medication has been suspended. Current state: suspended
Suspend re-issue of prescription	Suspend re-issue of prescription: Reissuing of this prescription is not available without some intervention. Current state: suspended
Cease administration	Cease administration: The administration of this medication has been ceased before anticipated completion. Current state: aborted
Reverse prescription for medication	Reverse prescription for medication: The prescription has been cancelled but administration or dispensing may have occurred. Current state: aborted
Change dose or timing	Change dose or timing: A new instruction with changed dose or timing has been created that replaces this one. Current state: aborted
Complete medication	Complete medication: The medication has been completed as instructed. Current state: completed
protocol
BatchID	BatchID: Assigned by the manufacturer to identify the manufacturing batch of the item.
Expiry date	Expiry date: The expiry date of the medicine administered as documented by the manufacturer.
Dispensed to	Dispensed to: The name of the person to whom this was dispensed, if not the subject of care.
Number of times dispensed	Number of times dispensed: The number of times this order has been dispensed. The sum of this number minus one and the remaining repeats provides the number of repeats on the original order.
Remaining repeats	Remaining repeats: The number of times the medicine, vaccine or other therapeutic good may still be dispensed without re-issue of a prescription or order. Note: This is the information required by the subject of care and prescriber. min: >=0
Claim category	Claim category: The category of reimbursement or subsidy sought for the item.
description
Medicine	Medicine: The medicine, vaccine or other therapeutic good which was the focus of the action. Choice of: Coded Text Constraint: New Zealand Medicines Terminology (NZMT) [Bound to New Zealand Medicines Terminology which includes medicine name and SCTID – specifying an MP, TP, MPUU or TPUU] Text
Instructions	Instructions: Any instructions given to the subject of care or carer at the time of the action.
Ingredients and form	Ingredients and form: Detailed information about the ingredient(s) including form and strength. Include: openEHR-EHR-CLUSTER.chemical_description.v1 and specialisations
Reason	Reason: The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration or for ceasing the medication.
Quantity	Quantity: The quantity of medicine, vaccine or other therapeutic good. Include: openEHR-EHR-CLUSTER.amount.v1
Comment	Comment: A comment on the action taken.
Sequence number	Sequence number: The sequence number specific to the action being recorded.
Administration	Administration: Details about the administration of the medicine, vaccine or other therapeutic good. Include: openEHR-EHR-CLUSTER.medication_admin.v1 and specialisations
Brand substituted	Brand substituted: A different brand of the same medicine, vaccine or other therapeutic good was substituted for the one nominated in the order.
Other contributors	Stephen Chu, NEHTA, Australia (Editor) Jacquie Garton-Smith, Royal Perth Hospital and DoHWA, Australia Sam Heard, Ocean Informatics, Australia (Editor) Robert L'egan, NEHTA, Australia Heather Leslie, Ocean Informatics, Australia (Editor) Jude Michel, Queensland Health, Australia Chris Mitchell, RACGP, Australia Jodie Pycroft, Adelaide Northern Division of General Practice Ltd, Australia Gordon Tomes, Australian Institute of Health and Welfare, Australia Richard Townley-O'Neill, NEHTA, Australia (Editor) Kylie Young, The Royal Australian College of General Practitioners, Australia
Translators