OpenEHR Apperta Mirror
Name
Admission medication reconciliation
Description
Information about admission reconciliation of a single medication entry.
Keywords
medication
medicine
drug
admission
Purpose
To record the result of an admission medicines reconciliation process for a single medication item.
Use
Use to record additional data captured during the process of medicines reconciliation on admission.
References
NHS National Prescribing Centre, Medicines Reconciliation, A guide to implementation.
Available from http://www.npc.nhs.uk/improving_safety/medicines_reconciliation/resources/reconciliation_guide.pdf
Health Quality and Safety Commission New Zealand, Medicine Reconciliation Standard V3, September 2012
Available from: http://ithealthboard.health.nz/system/files/documents/publications/medication-reconciliation-standard-v3.pdf
Archetype Id
openEHR-EHR-CLUSTER.medication_reconciliation_admit_uk.v0
Copyright
© Clinical Models UK, Apperta Foundation
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
Ian McNicoll
freshEHR Clinical Informatics
freshEHR Clinical Informatics
Date Originally Authored
2014-03-15
Name | Card | Type | Description |
---|---|---|---|
Reconciliation action
|
0..1 | DV_CODED_TEXT |
The recommendation for ongoing continuation of a medication entry within the current care setting.
Constraint for DV_CODED_TEXT
|
Date reconciled
|
0..1 | DV_DATE_TIME |
The date at which the reconciliation decision was made or updated.
|
Discrepancy intentional?
|
0..1 | DV_CODED_TEXT |
Is the discrepancy was a result of a deliberate decision.
Constraint for DV_CODED_TEXT
|
Target medication record updated?
|
0..1 | DV_BOOLEAN |
The target medication has neen updated.
|
Source of information
|
0..1 | DV_TEXT |
The source of information about the reconciled medication. Coded terms preferred.
|
Source contact details
|
0..1 | DV_TEXT |
Contact details for the person supplying source information e.g carer.
|
Link to source medication entry
|
0..1 | DV_URI |
Link to the associated source medication entry to which the reconciliation recommendation refers.
|
Link to target medication entry
|
0..1 | DV_URI |
A link to the target medication record.
|
archetype (adl_version=1.4; uid=c66ad879-9992-4e66-9fba-413fc91f6c38) openEHR-EHR-CLUSTER.medication_reconciliation_admit_uk.v0 concept [at0000] -- Admission medication reconciliation language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"freshEHR Clinical Informatics"> ["email"] = <"ian@freshehr.com"> ["date"] = <"2014-03-15"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record the result of an admission medicines reconciliation process for a single medication item."> use = <"Use to record additional data captured during the process of medicines reconciliation on admission."> keywords = <"medication", "medicine", "drug", "admission"> misuse = <""> copyright = <"© Clinical Models UK, Apperta Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <> 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"] = <"Apperta UK"> ["references"] = <"NHS National Prescribing Centre, Medicines Reconciliation, A guide to implementation. Available from http://www.npc.nhs.uk/improving_safety/medicines_reconciliation/resources/reconciliation_guide.pdf Health Quality and Safety Commission New Zealand, Medicine Reconciliation Standard V3, September 2012 Available from: http://ithealthboard.health.nz/system/files/documents/publications/medication-reconciliation-standard-v3.pdf"> ["original_namespace"] = <"uk.org.clinicalmodels"> ["original_publisher"] = <"Apperta UK"> ["custodian_namespace"] = <"uk.org.clinicalmodels"> ["MD5-CAM-1.0.1"] = <"EB44A2D9B688C4E8B9F66C5508630DF6"> ["build_uid"] = <"77b3f92a-597c-417b-a2a9-85962733543c"> ["revision"] = <"0.0.1-alpha"> > definition CLUSTER[at0000] matches { -- Admission medication reconciliation items cardinality matches {1..*; unordered} matches { ELEMENT[at0003] occurrences matches {0..1} matches { -- Reconciliation action value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0023, -- Add medication at0019, -- Change medication at0020, -- Stop medication at0021, -- Withhold medication at0031] -- No change to medication } } } } ELEMENT[at0006] occurrences matches {0..1} matches { -- Date reconciled value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0014] occurrences matches {0..1} matches { -- Discrepancy intentional? value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0016, -- Intentional at0017] -- Unintentional } } } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Target medication record updated? value matches { DV_BOOLEAN matches {*} } } ELEMENT[at0026] occurrences matches {0..1} matches { -- Source of information value matches { DV_TEXT matches {*} } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Source contact details value matches { DV_TEXT matches {*} } } ELEMENT[at0007] occurrences matches {0..1} matches { -- Link to source medication entry value matches { DV_URI matches {*} } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Link to target medication entry value matches { DV_URI matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Admission medication reconciliation"> description = <"Information about admission reconciliation of a single medication entry."> > ["at0003"] = < text = <"Reconciliation action"> description = <"The recommendation for ongoing continuation of a medication entry within the current care setting."> > ["at0006"] = < text = <"Date reconciled"> description = <"The date at which the reconciliation decision was made or updated."> > ["at0007"] = < text = <"Link to source medication entry"> description = <"Link to the associated source medication entry to which the reconciliation recommendation refers."> > ["at0014"] = < text = <"Discrepancy intentional?"> description = <"Is the discrepancy was a result of a deliberate decision."> > ["at0016"] = < text = <"Intentional"> description = <"The discrepancy was the result of a deliberate decision."> > ["at0017"] = < text = <"Unintentional"> description = <"The discrepancy was not result of a deliberate decision."> > ["at0019"] = < text = <"Change medication"> description = <"The medication was changed, generally a dose change."> > ["at0020"] = < text = <"Stop medication"> description = <"The medication was stopped."> > ["at0021"] = < text = <"Withhold medication"> description = <"The medication has been temprarily withheld."> > ["at0023"] = < text = <"Add medication"> description = <"A new medication has been added."> > ["at0026"] = < text = <"Source of information"> description = <"The source of information about the reconciled medication. Coded terms preferred."> > ["at0027"] = < text = <"Source contact details"> description = <"Contact details for the person supplying source information e.g carer."> > ["at0028"] = < text = <"Target medication record updated?"> description = <"The target medication has neen updated."> > ["at0029"] = < text = <"Link to target medication entry"> description = <"A link to the target medication record."> > ["at0031"] = < text = <"No change to medication"> description = <"The medication has not been changed."> > > > >