| ARCHETYPE ID | openEHR-EHR-ACTION.medication-vaccination_sl.v1 |
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| Concept | Vaccination |
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| Description | Details of use, administration, dispensing or other care step relating to a vaccination. |
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| Use | To record planning, prescribing, dispensing, administration, cessation, suspension, completion of a medication order. |
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| Misuse | Use the INSTRUCTION.medication archetype to record orders. |
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| Purpose | This ACTION enables the recording of actions taken with regard to vaccination. This will usually be in response to a medication order but may be administered immediately without an order at times requiring recording of the administration alone (e.g. a vaccination). There is a date time at which this ACTION took place and use of this archetype indicates that some action has actually occurred. |
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| References | NEHTA Therapeutic Good in Use Datagroup http://nehta.gov.au
openEHR Medication Action archetype http://openehr.org/knowledge
Originally derived from NEHTA ACTION.medication.v1 archetype http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.876_6 |
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| Copyright | © openEHR Foundation |
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| Authors | Author name: Sam Heard
Organisation: NEHTA
Email: sam.heard@oceaninformatics.com
Date originally authored: 2010-11-09
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| Other Details Language | Author name: Sam Heard
Organisation: NEHTA
Email: sam.heard@oceaninformatics.com
Date originally authored: 2010-11-09
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| Other Details (Language Independent) | - References: NEHTA Therapeutic Good in Use Datagroup http://nehta.gov.au
openEHR Medication Action archetype http://openehr.org/knowledge
Originally derived from NEHTA ACTION.medication.v1 archetype http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.876_6
- MD5-CAM-1.0.1: 6675BB73BF8B3CB49FCA92B49A88C626
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| Keywords | medication, prescibe, dispense, administration, cessation |
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| Lifecycle | AuthorDraft |
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| Language used | en |
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| Citeable Identifier | 1013.1.1588 |
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| ism_transition | |
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| Plan medication | Plan medication: The medication is planned but no execution has taken place.
Current state: initial |
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| Suspend medication plan | Suspend medication plan: The plan to order medication has been suspended.
Current state: postponed |
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| Cancel medication plan | Cancel medication plan: The planned administration has been cancelled prior to any administration.
Current state: cancelled |
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| Set medication start date | Set medication start date: The time to start this medication has been set.
Current state: scheduled |
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| Issue prescription for medication | Issue prescription for medication: The instruction has issued as an item on a prescription.
Current state: active, initial |
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| Dispense medication | Dispense medication: The medication has been dispensed.
Current state: active, initial |
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| Commence medication | Commence medication: The medication has been taken by the patient for the first time.
Current state: active |
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| Review medication | Review medication: The medication has been reviewed.
Current state: active |
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| Medication order modified | Medication order modified: The medication order has been changed in a manner which does not require a new instruction/order to be issued, according to local clinical rules.
Current state: active |
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| Administer medication | Administer medication: A single administration of the medication has taken place.
Current state: active |
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| Re-issue prescription for medication | Re-issue prescription for medication: The medication has been re-prescribed for an existing instruction.
Current state: active |
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| Withhold medication | Withhold medication: The administration of a medication has been withheld and not given.
Current state: active |
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| Medication declined | Medication declined: An administration of the medication was refused by the subject of care (patient).
Current state: active |
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| Return medication | Return medication: A dispensed medication is returned or not collected without use.
Current state: active, initial |
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| Delay medication supply | Delay medication supply: The medication has not been dispensed as supply is not yet available.
Current state: suspended |
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| Suspend administration | Suspend administration: The administration of the medication has been suspended.
Current state: suspended |
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| Suspend re-issue of prescription | Suspend re-issue of prescription: Reissuing of this prescription is not available without some intervention.
Current state: suspended |
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| Cease administration | Cease administration: The administration of this medication has been ceased before anticipated completion.
Current state: aborted |
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| Reverse prescription for medication | Reverse prescription for medication: The prescription has been cancelled but administration or dispensing may have occurred.
Current state: aborted |
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| Complete medication | Complete medication: The medication has been completed as instructed.
Current state: completed |
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| protocol | |
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| BatchID | BatchID: Assigned by the manufacturer to identify the manufacturing batch of the item. |
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| Expiry date | Expiry date: The expiry date of the medicine administered as documented by the manufacturer. |
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| Dispensed to | Dispensed to: The name of the person to whom this was dispensed, if not the subject of care. |
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| 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. |
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| 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
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| Claim category | Claim category: The category of reimbursement or subsidy sought for the item. |
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| Duration of temporary suspension | Duration of temporary suspension: The duration of a temporary suspension of vaccination.
Allowed values: years, months, weeks, days, hours
>=0 years
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| Date of Suspension Authorisation | Date of Suspension Authorisation: Date of the official authorisation to suspend vaccination. |
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| Suspension Authorisation | Suspension Authorisation: The identifier of the formal authority to suspend this vaccination.
Issuer: gov.si
Type: VaccineSuspensionAuthorisation
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| Suspension Type | Suspension Type: The type of suspension.
- at0.64::Permanent suspension [Permanently suspension.]
- at0.65::Temporary suspension [Temporary suspension.]
- at0.66::Non suspension [Non suspension.]
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| Target | Target: Details of the target for this vaccination. |
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| Target disease | Target disease: The disease against which the vaccine is targeted as an ICD-10 code, or disease for which vaccination is declined.
Constraint:
any_immunisable_disease
[Any disease for which a vaccine exists.]
Constraint binding:
- [MKB]
- /10?
subset=bolezni
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| Target disease sequence # | Target disease sequence #: The sequence number of the vaccination against the target disease e.g Diptheria [1]. |
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| description | |
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| Vaccination | Vaccination: The medication or other therapeutic good which was the focus of the action. Use CBZ codes or EPSOS vaccination codes as mapping.
Choice of:
 Coded Text
Constraint:
Any CBZ2 or epSOS immunisation term
[Any valid CBZ2 or epSOS vaccination term.]
 Text
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| Instructions | Instructions: Any instructions given to the subject of care or carer at the time of the action. |
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| Ingredients and form | Ingredients and form: Detailed information about the ingredient(s) including form and strength.
Include:
openEHR-EHR-CLUSTER.medication_ingredients.v1 and specialisations |
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| 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.
- at0.67::100 - Regular (routine) vaccination program [Regular (routine) vaccination program.]
- at0.68::101 - Regular ( (routine) vaccination program - pre-school children [Regular ( (routine) vaccination program - pre-school children.]
- at0.69::102 - Regular ( (routine) vaccination program - School children and students [Regular ( (routine) vaccination program - School children and students.]
- at0.70::103 - Regular ( (routine) vaccination program - exposure exercises [Regular ( (routine) vaccination program - exposure exercises.]
- at0.71::104 - Regular ( (routine) vaccination program - occupational exposure [Regular ( (routine) vaccination program - occupational exposure.]
- at0.72::200 - Optional vaccination [Optional vaccination.]
- at0.73::201 - Optional vaccination – passengers [Optional vaccination – passengers.]
- at0.74::202 - Optional vaccination - vaccination remained (self-paying) [Optional vaccination - vaccination remained (self-paying).]
- at0.75::300 - Epidemiological indication [Epidemiological indication.]
- at0.76::301 - Post-exposure vaccination [Post-exposure vaccination.]
- at0.77::400 - medical indications [Medical indications.]
- at0.78::401 - Medical indication - circulatory diseases [Medical indication - circulatory diseases.]
- at0.79::402 - Medical indication - the blood and the immune system [Medical indication - the blood and the immune system.]
- at0.80::403 - Medical indication - malignant neoplasm [Medical indication - malignant neoplasm.]
- at0.81::404 - Medical indication - respiratory diseases [Medical indication - respiratory diseases.]
- at0.82::405 - Medical indication - Metabolic Diseases [Medical indication - Metabolic Diseases.]
- at0.83::406 - Medical indication - diseases of muscles, bones and connective tissue [Medical indication - diseases of muscles, bones and connective tissue.]
- at0.84::407 - Medical indication - urinary tract [Medical indication - urinary tract.]
- at0.85::408 - Health- indication asplenia [Health- indication asplenia.]
- at0.86::409 - Medical indication - after transplantation [Medical indication - after transplantation.]
- at0.87::410 - Medical indication - likvorfistula after head injury [Medical indication - likvorfistula after head injury.]
- at0.88::411 - Medical indication – “Snaillike” implant [Medical indication – “Snaillike” implant.]
- at0.89::500 - Pregnancy [Pregnancy.]
- at0.90::900 - Other [Other.]
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| Quantity | Quantity: The quantity of medicine, vaccine or other therapeutic good.
Include:
openEHR-EHR-CLUSTER.medication_amount.v1 |
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| Comment | Comment: A comment on the action taken. |
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| Sequence number | Sequence number: The sequence number specific to the action being recorded. |
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| Administration | Administration: Details about the administration of the medicine, vaccine or other therapeutic good.
Include:
openEHR-EHR-CLUSTER.medication_admin.v1 and specialisations |
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| 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. |
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| Vaccinated according to the vaccination program | Vaccinated according to the vaccination program: If patient has been vaccinated according the vaccionation program of RS?.
Assumed value: true |
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| Comment | Comment: Any comment about vaccination. |
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| Other contributors | Ian McNicoll, Ocean Informatics, UK |
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| Translators | Slovenian, Slovene: Biljana Prinčič, Marand, Ljubljana, biljana.princic@marand.si
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