Logical Record Architecture for Health and Social Care

Discharge Summary Release 0.02

The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.

ENTRY Constrained Domain Model: MedicationReview

A constrained ENTRY containing a collection of data items required to represent the review of a medication. Comprises a single coded Medication Review Activity item and optionally may contain:

  • a textual description of the review activity that is indicated to be performed, and
  • a participant representation of the recipient of the review request.

Specializes

MedicationReviewPlan

Attributes

Name Data type Occurs Description Value constraints
name SC 1..1 The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR node corresponds, as labelled in the EHR system in which it was first committed.
value
Literal value(s): ENTRY
rc_id II 1..1 The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently included in another EHR_EXTRACT.
synthesised BL 1..1 This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted.
value
Default value: false
uncertainty_expressed BL 1..1 This attribute is set to TRUE to advise the EHR Recipient that this ENTRY contains data that indicates some degree of uncertainty, and that care should be taken when using these data within automated processes and systems.
nullFlavor
Literal value(s): NA


Contained ELEMENTs



Graphical Representation

Subject ELEMENT class Related object classes
Name ELEMENT Class Occurs Description Relationship Occurs Class Dependency
items MedicationReviewActivity 1 AssertsTiming 0..* MedicationReviewFutureTiming

INDEPENDENT
HasAnnotation 0..* MedicationReviewText

INDEPENDENT
IsComponentActionOf 1..* CurrentMedicationActivity

INDEPENDENT
items CurrentMedicationActivity 1 .. * HasTemporalContext 0..* MedicationFutureCourseTiming

MedicationCourseTiming

INDEPENDENT
HasRecordRole 0..* CurrentMedicationReconciliationStatus

INDEPENDENT
HasTemporalContext 0..* CurrentMedicationActivity

INDEPENDENT
HasParameterSetting 0..* DoseQuantity

INDEPENDENT
AssertsTiming 0..* EventDoseFrequency

MeasuredDoseFrequency

MedicationReviewText

INDEPENDENT
Consumes 1..* MedicinalProductOrSubstance

INDEPENDENT
HasAnnotation 0..* DosageInstructions

INDEPENDENT
UsesDevice 0..* MedicinalDevice

ComplianceDevice

INDEPENDENT
IsProspectOf 1..* MedicationRecommendationActivity

INDEPENDENT
IsPrecedentOf 1..* StoppedMedicationActivity

INDEPENDENT
HasAnnotation 0..* DosageInstructions

AdditionalInstructions

INDEPENDENT
HasIndication 0..* AllergiesOrAdverseReactionEvent

TreatmentActivity

InvestigationActivity

FindingObservation

CurrentMedicationActivity

ReasonForMedicationText

PropertyObservation

ProcedureActivity

CareIssues

Diagnosis

INDEPENDENT
IsComponentActionOf 0..* CurrentMedicationActivity

TreatmentActivity

INDEPENDENT
HasComponentAction 0..* MedicationReviewActivity

INDEPENDENT
items MedicationReviewFutureTiming 0 .. 1
items MedicationReviewText 0 .. *

Reference Model Type

ENTRY