TEST Conditions
Name
Medication summary nwis
Description
Summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.
Purpose
For recording summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.
Use
Use for recording summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.
Misuse
Not to be used for recordning an order for a medication to be administered or consumed - use INSTRUCTION.medication_order for this purpose.

Not to be used for documenting the administration or consumption of a medication - use ACTION.medication for this purpose.
References
Derived from: <Add reference to original resource here>
Archetype Id
openEHR-EHR-EVALUATION.medication_summary-nwis.v0
Copyright
© openEHR Foundation, Clinical Models UK
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Heather Leslie
Ocean Informatics
Date Originally Authored
2015-12-08
Language Details
Norwegian Bokmal
Gro-Hilde Ulriksen
Norwegian centre for e-health research
Portuguese (Brazil)
Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão
Core Consulting
Name Card Type Description
Medication name
0..1 DV_TEXT Name of medication or class of medication.
Ever used?
0..1 DV_BOOLEAN Has the individual ever used the medication or class of medication?
Constraint for DV_BOOLEAN
Alowed Values: true
Current use?
0..1 DV_BOOLEAN Is the individual currently using the medication or class of medications?
Clinical description
0..1 DV_TEXT Narrative description about the medication use.
Onset of use
0..1 DV_DATE_TIME First ever onset of use.
Episode
0..* CLUSTER Details about each episode of use.
CLUSTER
Specific name
0..1 DV_TEXT Specific name of medication.
Comment
Use to identify the specific medication used if a class is identified in 'Medication name'. Redundant if the name is identified using the 'Medication name' data element.
Episode onset
0..1 DV_DATE_TIME The date of onset for this episode of use.
Clinical indication
0..1 DV_TEXT The clinical indication for the administration or consumption of the medication.
Intent
0..1 DV_TEXT Intent for use.
Comment
For example: palliative; short term; or a specified duration
Description
0..1 DV_TEXT Description of use during the identified episode of use.
Episode cessation
0..1 DV_DATE_TIME The date of cessation for this episode of use.
Episode dose
0..1 DV_QUANTITY Total dose for the identified episode.
DV_QUANTITY
Reason for cessation
0..1 DV_TEXT The reason why the medication was ceased.
Treatment outcome
0..1 DV_TEXT *
Cumulative dose
0..1 DV_QUANTITY Total amount ever consumed.
DV_QUANTITY
Cessation of use
0..1 DV_DATE_TIME Most recent cessation of use.
Name Card Type Description
Last updated
0..1 DV_DATE_TIME The date this medication summary was last updated.
Extension
0..* Slot (Cluster) Additional information required to capture local content or to align with other reference models/formalisms.
Comment
For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Slot
Slot
archetype (adl_version=1.4; uid=edb40b3f-1b2b-425a-8fbe-ab2732a2d188)
	openEHR-EHR-EVALUATION.medication_summary-nwis.v0
specialise
	openEHR-EHR-EVALUATION.medication_summary.v0

concept
	[at0000.1]	-- Medication summary nwis
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Gro-Hilde Ulriksen">
				["organisation"] = <"Norwegian centre for e-health research">
			>
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão">
				["organisation"] = <"Core Consulting">
				["email"] = <"contato@coreconsulting.com.br">
			>
			accreditation = <"Hospital Alemão Oswaldo Cruz (HAOC)">
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"2015-12-08">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere et sammendrag om administrasjon eller forbruk av et spesifisert legemiddel eller legemiddelklasse over individets levetid.">
			use = <"Brukes for å registrere et sammendrag om administrasjon eller forbruk av et spesifisert legemiddel eller legemiddelklasse over individets levetid.">
			misuse = <"Brukes ikke for å registrere en ordinering av et legemiddel som skal administreres eller forbrukes - bruk arketypen INSTRUCTION.medication_order (Legemiddelordinering) for dette formålet.">
			copyright = <"© openEHR Foundation, Clinical Models UK">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"Para registrar informações sumarizadas sobre a administração ou histórico de consumo de um medicamento específico ou de uma classe de medicamento durante a vida do indivíduo.
">
			use = <"Usado para registrar informações sumarizadas sobre a administração ou histórico de consumo de um medicamento específico ou de uma classe de medicamento durante a vida do indivíduo.
">
			misuse = <"Não deve ser usado para registrar uma solicitação de administração ou consumo de um medicamento - use INSTRUCTION.medication_order para este propósito.

Não deve ser usado documentar a administração ou consumo de um medicamento - use ACTION.medication para este propósito.
">
			copyright = <"© openEHR Foundation, Clinical Models UK">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For recording summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.">
			use = <"Use for recording summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.">
			misuse = <"Not to be used for recordning an order for a medication to be administered or consumed - use INSTRUCTION.medication_order for this purpose.

Not to be used for documenting the administration or consumption of a medication - use ACTION.medication for this purpose.">
			copyright = <"© openEHR Foundation, Clinical Models UK">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Silje Ljosland Bakke, Nasjonal IKT HF, Norway", "Ian McNicoll, FreshEHR Clinical Informatics, United Kingdom">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"UK Clinical Models">
		["references"] = <"Derived from: <Add reference to original resource here>">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"UK Clinical Models">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"98112983CB6C91D56511BBD2D937D6D7">
		["build_uid"] = <"616dee75-2522-47a3-9bdd-6d91fa38c8ea">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000.1] matches {    -- Medication summary nwis
		data matches {
			ITEM_TREE[at0001] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..1} matches {    -- Medication name
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0003] occurrences matches {0..1} matches {    -- Ever used?
						value matches {
							DV_BOOLEAN matches {
								value matches {true}
							}
						}
					}
					ELEMENT[at0004] occurrences matches {0..1} matches {    -- Current use?
						value matches {
							DV_BOOLEAN matches {*}
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {    -- Clinical description
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0009] occurrences matches {0..1} matches {    -- Onset of use
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					CLUSTER[at0008] occurrences matches {0..*} matches {    -- Episode
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0021] occurrences matches {0..1} matches {    -- Specific name
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0011] occurrences matches {0..1} matches {    -- Episode onset
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							ELEMENT[at0018] occurrences matches {0..1} matches {    -- Clinical indication
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0020] occurrences matches {0..1} matches {    -- Intent
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0014] occurrences matches {0..1} matches {    -- Description
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0012] occurrences matches {0..1} matches {    -- Episode cessation
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							ELEMENT[at0016] occurrences matches {0..1} matches {    -- Episode dose
								value matches {
									C_DV_QUANTITY <
																			>
								}
							}
							ELEMENT[at0013] occurrences matches {0..1} matches {    -- Reason for cessation
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0.2] occurrences matches {0..1} matches {    -- Treatment outcome
								value matches {
									DV_TEXT matches {*}
								}
							}
						}
					}
					ELEMENT[at0015] occurrences matches {0..1} matches {    -- Cumulative dose
						value matches {
							C_DV_QUANTITY <
															>
						}
					}
					ELEMENT[at0010] occurrences matches {0..1} matches {    -- Cessation of use
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0005] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0006] occurrences matches {0..1} matches {    -- Last updated
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000.1"] = <
					text = <"Medication summary nwis">
					description = <"Summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.">
				>
				["at0.2"] = <
					text = <"Treatment outcome">
					description = <"*">
				>
				["at0000"] = <
					text = <"Medication summary">
					description = <"Summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Medication name">
					description = <"Name of medication or class of medication.">
				>
				["at0003"] = <
					text = <"Ever used?">
					description = <"Has the individual ever used the medication or class of medication?">
				>
				["at0004"] = <
					text = <"Current use?">
					description = <"Is the individual currently using the medication or class of medications?">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0006"] = <
					text = <"Last updated">
					description = <"The date this medication summary was last updated.">
				>
				["at0007"] = <
					text = <"Clinical description">
					description = <"Narrative description about the medication use.">
				>
				["at0008"] = <
					text = <"Episode">
					description = <"Details about each episode of use.">
				>
				["at0009"] = <
					text = <"Onset of use">
					description = <"First ever onset of use.">
				>
				["at0010"] = <
					text = <"Cessation of use">
					description = <"Most recent cessation of use.">
				>
				["at0011"] = <
					text = <"Episode onset">
					description = <"The date of onset for this episode of use.">
				>
				["at0012"] = <
					text = <"Episode cessation">
					description = <"The date of cessation for this episode of use.">
				>
				["at0013"] = <
					text = <"Reason for cessation">
					description = <"The reason why the medication was ceased.">
				>
				["at0014"] = <
					text = <"Description">
					description = <"Description of use during the identified episode of use.">
				>
				["at0015"] = <
					text = <"Cumulative dose">
					description = <"Total amount ever consumed.">
				>
				["at0016"] = <
					text = <"Episode dose">
					description = <"Total dose for the identified episode.">
				>
				["at0018"] = <
					text = <"Clinical indication">
					description = <"The clinical indication for the administration or consumption of the medication.">
				>
				["at0019"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at0020"] = <
					text = <"Intent">
					description = <"Intent for use.">
					comment = <"For example: palliative; short term; or a specified duration">
				>
				["at0021"] = <
					text = <"Specific name">
					description = <"Specific name of medication.">
					comment = <"Use to identify the specific medication used if a class is identified in 'Medication name'. Redundant if the name is identified using the 'Medication name' data element.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000.1"] = <
					text = <"Legemiddelsammendrag">
					description = <"Sammendrag om administrasjon eller forbruk av et spesifisert legemiddel eller legemiddelklasse over individets levetid.">
				>
				["at0.2"] = <
					text = <"*DV_TEXT (en)">
					description = <"*">
				>
				["at0000"] = <
					text = <"Legemiddelsammendrag">
					description = <"Sammendrag om administrasjon eller forbruk av et spesifisert legemiddel eller legemiddelklasse over individets levetid.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Legemiddel">
					description = <"Legemiddelets navn eller klasse.">
				>
				["at0003"] = <
					text = <"Bruk av medikament">
					description = <"Har personen noen gang brukt dette medikamentet?">
				>
				["at0004"] = <
					text = <"Nåværende bruk">
					description = <"Bruker personen medikamentet nå?">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0006"] = <
					text = <"Sists oppdatert">
					description = <"Datoen da medikament oppsummeringen sist ble oppdatert">
				>
				["at0007"] = <
					text = <"Klinisk beskrivelse">
					description = <"Fritekstbeskrivelse om bruken av legemeddelet.">
				>
				["at0008"] = <
					text = <"Episode">
					description = <"Detaljer om hver episode som har ført til bruk av medikamentet">
				>
				["at0009"] = <
					text = <"**Startet bruk">
					description = <"Første gang personen startet å bruke medikamentet">
				>
				["at0010"] = <
					text = <"Avsluttet bruk">
					description = <"Sist avsluttet bruk">
				>
				["at0011"] = <
					text = <"Starttidspunkt for episoden">
					description = <"Datoen en episode startet">
				>
				["at0012"] = <
					text = <"Episode slutt">
					description = <"Dato for avslutning av medikamentbruk knytte til en spesifikk episode">
				>
				["at0013"] = <
					text = <"Årsak til å avslutte">
					description = <"Årsak til at medikament ble avsluttet">
				>
				["at0014"] = <
					text = <"Beskrivelse">
					description = <"Beskrivelse av bruk i løpet av en identifisert episode">
				>
				["at0015"] = <
					text = <"Samlet dose">
					description = <"Total mengde en person har inntatt av et medikament">
				>
				["at0016"] = <
					text = <"Totaldose for en episode">
					description = <"Total medikamentdose for en definert episode">
				>
				["at0018"] = <
					text = <"Klinisk indikasjon">
					description = <"Klinisk indikasjon for bruk av medikament">
				>
				["at0019"] = <
					text = <"Forlengelse">
					description = <"Tilleggsinformasjon nødvendig for å fange opp lokalt innhold eller synkronisere med andre referansemodeller">
					comment = <"For eksempel: krav til lokal informasjon eller tilleggs data for å kunne synkronisere med FHIR eller CIMI ekvivalenter">
				>
				["at0020"] = <
					text = <"Hensikt">
					description = <"Hensikt med bruk">
					comment = <"For eksempel lindrende, kort tid, spesifikk lengde">
				>
				["at0021"] = <
					text = <"Detaljert navn">
					description = <"Detaljert navn på medikamentet">
					comment = <"Brukt for å identifisere et spesifikt medikament som brukes, hvis en klasse medikamenter er identifisert i 'Medikament navn'">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000.1"] = <
					text = <"Sumário de medicamentos">
					description = <"Informações sumarizadas sobre a administração ou histórico de consumo de um medicamento específico ou de uma classe de medicamento durante a vida do indivíduo.">
				>
				["at0.2"] = <
					text = <"*DV_TEXT (en)">
					description = <"*">
				>
				["at0000"] = <
					text = <"Sumário de medicamentos">
					description = <"Informações sumarizadas sobre a administração ou histórico de consumo de um medicamento específico ou de uma classe de medicamento durante a vida do indivíduo.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Nome do medicamento">
					description = <"Nome ou classe do medicamento.">
				>
				["at0003"] = <
					text = <"Já usou?">
					description = <"O indivíduo já usou alguma vez esse medicamento ou essa classe de medicamento?">
				>
				["at0004"] = <
					text = <"Usa atualmente?">
					description = <"O indivíduo está atualmente usando esse medicamento ou essa classe de medicamento?">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0006"] = <
					text = <"Última atualização">
					description = <"A última data em que esse sumário de medicamente foi atualizado.">
				>
				["at0007"] = <
					text = <"Descrição clínica">
					description = <"Narrativa descritiva sobre o uso do medicamento.">
				>
				["at0008"] = <
					text = <"Episódio">
					description = <"Detalhes sobre cada episódio de uso.">
				>
				["at0009"] = <
					text = <"Início de uso">
					description = <"Primeiro início de uso.">
				>
				["at0010"] = <
					text = <"Interrupção do uso">
					description = <"Interrupção de uso mais recente.">
				>
				["at0011"] = <
					text = <"Início do episódio">
					description = <"Data de início para este episódio de uso.">
				>
				["at0012"] = <
					text = <"Término do episódio">
					description = <"Data do término desse episódio de uso.">
				>
				["at0013"] = <
					text = <"Razão para interrpução">
					description = <"Razão pela qual esse medicamento foi interrompido.">
				>
				["at0014"] = <
					text = <"Descrição">
					description = <"Descrição do uso durante o episódio de uso identificado.">
				>
				["at0015"] = <
					text = <"Dose cumulativa">
					description = <"Quantidade total já consumida.">
				>
				["at0016"] = <
					text = <"Dose do episódio">
					description = <"Dose total para o episódio identificado.">
				>
				["at0018"] = <
					text = <"Indicação clínica">
					description = <"Indicação clínica para a administração ou consumo desse medicamento.">
				>
				["at0019"] = <
					text = <"Extensão">
					description = <"Informação adicional requerida para entender o contexto local ou alinhar com outros modelos de referência/formalismos.">
					comment = <"Por exemplo: requisitos de informação local ou metadados adicionais para alinhar com equivalentes do FHIR ou CIMI.">
				>
				["at0020"] = <
					text = <"Intenção">
					description = <"Intenção do uso.">
					comment = <"Por exemplo: paliativo; curto prazo; ou duração específica">
				>
				["at0021"] = <
					text = <"Nome específico">
					description = <"Nome específico do medicamento.">
					comment = <"Usado para identificar o medicamento específico utilizado caso a classe esteja identificada em \"Nome do medicamento\". Redundante se o nome é identificado usando o elemento de dado \"Nome do medicamento\".">
				>
			>
		>
	>