| ARCHETYPE ID | openEHR-EHR-INSTRUCTION.medication_order_uk.v1 |
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| Concept | Medication order |
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| Description | Record of a single medication item, either to record the current medication order, or for summary purposes in clinical communications, including information on past issues, authorisations, dispensing and administration. |
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| Use | Used with appropriately filled slots to record details of the medication item and specific medication events such as issues, repeat authorisations, dispensing or administration events. |
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| Misuse | Not to be used to record the original individual medication records in a native application or shared medication database, or where a full, faithful 'event-based' extract is required for transfer to another system e.g. a GP2GP type transfer. |
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| Purpose | To record details of a medication order, or as a summary of the use of a medication over time, including details of issues, repeat authorisations, dispensing and administration where appropriate. This is most often used when a summary extract is required, such as an unscheduled care summary or for referral and discharge documentation. |
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| References | NHS England Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/11
NHS Scotland SCI-XML (SCI-Gateway, ECS, ePharmacy) http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm
NHS Wales Informatics Service, Integrated Health Record http://www.wales.nhs.uk/nwis/page/52553
DM+D drug dictionary: http://www.dmd.nhs.uk/
Royal College of Physicians, Core Clinical Headings, http://www.rcplondon.ac.uk/projects/standards-core-clinical-information |
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| Copyright | © openEHR Foundation |
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| Authors | Author name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-12-12
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| Other Details Language | Author name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-12-12
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| Other Details (Language Independent) | - References: NHS England Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/11
NHS Scotland SCI-XML (SCI-Gateway, ECS, ePharmacy) http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm
NHS Wales Informatics Service, Integrated Health Record http://www.wales.nhs.uk/nwis/page/52553
DM+D drug dictionary: http://www.dmd.nhs.uk/
Royal College of Physicians, Core Clinical Headings, http://www.rcplondon.ac.uk/projects/standards-core-clinical-information
- MD5-CAM-1.0.1: 29DF2668BA45A28D0FB18654239ABE87
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| Keywords | medication, supply, recommendation, prescription, order |
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| Lifecycle | AuthorDraft |
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| Language used | en |
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| Citeable Identifier | 1013.1.1578 |
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| activities | |
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| Medication order activity | Medication order activity: Medication order details. |
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| Medication item | Medication item: Core details of the medication item.
Include:
openEHR-EHR-CLUSTER.medication_item.v1 and specialisations |
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| Course directions | Course directions: Directions relating to the whole course of medication. |
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| Indication | Indication: The clinical indication or reason for ordering the medication. |
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| Link to Indication record | Link to Indication record: A link to the record which contains the Indication for this medication order. |
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| Start date | Start date: The date at which the course of medication should be started. |
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| Overall duration | Overall duration: The overall duration for which this medication should be continued.
Choice of:
 Text
 Coded Text
- at0042::Continue indefinitely [The medication should be continued indefinitely.]
- at0043::Do not discontinue [It is critical that the medication should be continued indefinitely.]
 Duration
>=0 seconds
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| End date | End date: The date after which the medication course should be stopped. |
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| Overall recommendations | Overall recommendations: Any other directions about the medication e.g. monitoring requirements or alignment with other medication. |
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| protocol | |
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| Medication status | Medication status: The current status of the medication order.
Include:
All not explicitly excluded archetypes |
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| Record provenance | Record provenance: Details of the provenance of the record e.g. source, name and role of author, care setting.
Include:
openEHR-EHR-CLUSTER.record_provenance.v1 and specialisations |
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| Other contributors | Dr John Williams, GP2GP project, UK
Dr Leo Fogarty, GP2GP project, UK
RCP Health Informatics Unit, UK |
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| Translators | |
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