A constrained ENTRY containing a collection of data items required to represent recommendations made in context of a medication activity. The medication recommendation ENTRY represents a list of medications (and medications-related) recommendations advised for action following discharge. Comprises a Medication Recommendation Activity with one or more of a choice of

• a coded representation of a recommendation made to start or change a medication (Current Medication Activity),
• a coded representation of a recommendation made to stop a medication (Stopped Medication Activity) ,

• a coded representation of a recommendation made to review a medication (Medication Review Activity), or
• a textual representation of the recommendation made if it cannot be coded

It may also optionally comprise of

• a textual representation of the event ,

• a recommended date in the future for performing the activity, and
• a maximum of one recipient of a recommendation activity which may include a health professional, a health organisation, or a subject of care amongst others.

Recommended guidelines to follow for the coding and constraining of relevant SCT expression constraints for medication recommendations as per the reconciliation status requirements are listed below:

1. Reconciliation Status Requirement -recommend

• Record artefact -Medicationrecommendation

• Context Value Attribute constraint -(385643006 | To be done |) OR

(410521004 | Not to be done |) OR(385654001 | To be stopped |) OR (385653007 | Not to be stopped |)

Specializes

ProductOrSubstanceRelatedActivity

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	CurrentMedicationActivity	0 .. *		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	MedicationRecommendationText	0 .. *
items	Text	0 .. *
items	StoppedMedicationActivity	0 .. *		HasRecordRole	0..*	StoppedMedicationReconciliationStatus	INDEPENDENT
				HasAnnotation	0..*	Text	INDEPENDENT
				HasTemporalContext	0..*	StoppedMedicationActivity	INDEPENDENT
				IsComponentActionOf	0..*	StoppedMedicationActivity TreatmentActivity	INDEPENDENT
				HasPredecessor	1..*	CurrentMedicationActivity	INDEPENDENT
				HasIndication	0..*	ReasonForStoppingMedicationText ProcedureActivity FindingObservation PropertyObservation AllergiesOrAdverseReactionEvent StoppedMedicationActivity InvestigationActivity Diagnosis CareIssues TreatmentActivity	INDEPENDENT
items	MedicationRecommendationActivity	1 .. *		HasAnnotation	0..*	Text	INDEPENDENT
				HasProspect	0..1	MedicationRecommendationText MedicationReviewActivity StoppedMedicationActivity CurrentMedicationActivity	INDEPENDENT
				AssertsTiming	0..*	MedicationRecommendationFutureDateTime	INDEPENDENT
items	MedicationReviewActivity	0 .. *		AssertsTiming	0..*	MedicationReviewFutureTiming	INDEPENDENT
				HasAnnotation	0..*	MedicationReviewText	INDEPENDENT
				IsComponentActionOf	1..*	CurrentMedicationActivity	INDEPENDENT
items	MedicationRecommendationFutureDateTime	0 .. *

Participations

Other Participations

Name	Class	Occurs	Description
other_participations	RecommendationRecipientChoice	0..1	Represents a choice of FUNCTIONAL_ROLE classes used to describe the participation of a ROLE class in a COMPOSITION or an ENTRY. The ROLE class shall participate as a recipient of the medication recommendation.

Content of COMPOSITION Models

DischargeSummary

Reference Model Type

ENTRY