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.

ELEMENT Constrained Domain Model: CurrentMedicationActivity

An ELEMENT to represent the act of performing an activity which primarily focuses on the prescription, dispensation, and administration of a medication. This may include the act of planning or requesting for a medication activity to occur or may include the actual event of prescribing, dispensing, or administering a medication. The scope of this ELEMENT includes medications a subject of care is currently on (whether new, changed, or continuing).

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): MATERIAL_ACTIVITY_ELEMENT
rc_id II.Uuid 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.
meaning CD.CV.SCT 1..1 The standardised clinical or administrative concept to which the name attribute has been mapped. In archetyped systems it will correspond to the archetype node name. In non-archetyped systems it might be a coded term from an appropriate terminology system.
code
Semantic expression constraint
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
policy_ids II 0..* This attribute identifies one or more access control policies that specifically pertain to this RECORD_COMPONENT and which need to be communicated to the EHR Recipient to govern future access to it. The identifiers may refer to policy information included in this EHR_EXTRACT as defined in EN 13606-4:2007, or to policies held in external policy servers to which the EHR Recipient has access.
obs_time IVL_TS 0..1 The date and time, or interval, at which the ITEM actually occurred or was true, if different from the session time of the COMPOSITION.
value ANY 1..1 An ELEMENT has a single DATA_VALUE containing the value, unless this is indicated as absent by a null_flavour attribute.
nullFlavor
Literal value(s): NA


Component Relationships

Subject Relationships

Object Class Name Occurs Dependency Specified by
MedicationRecommendationActivity IsProspectOf 1..* INDEPENDENT CurrentMedicationActivity
StoppedMedicationActivity IsPrecedentOf 1..* INDEPENDENT CurrentMedicationActivity
MedicationReviewActivity HasComponentAction 0..* INDEPENDENT CurrentMedicationActivity
CurrentMedicationActivity IsComponentActionOf 0..* INDEPENDENT CurrentMedicationActivity
TreatmentActivity
DosageInstructions HasAnnotation 0..* INDEPENDENT CurrentMedicationActivity
MedicationFutureCourseTiming HasTemporalContext 0..* INDEPENDENT CurrentMedicationActivity
MedicationCourseTiming
CurrentMedicationReconciliationStatus HasRecordRole 0..* INDEPENDENT CurrentMedicationActivity
EventDoseFrequency AssertsTiming 0..* INDEPENDENT CurrentMedicationActivity
MeasuredDoseFrequency
MedicationReviewText
MedicinalDevice UsesDevice 0..* INDEPENDENT CurrentMedicationActivity
ComplianceDevice
DosageInstructions HasAnnotation 0..* INDEPENDENT CurrentMedicationActivity
AdditionalInstructions
CurrentMedicationActivity HasTemporalContext 0..* INDEPENDENT CurrentMedicationActivity
AllergiesOrAdverseReactionEvent HasIndication 0..* INDEPENDENT CurrentMedicationActivity
TreatmentActivity
InvestigationActivity
FindingObservation
CurrentMedicationActivity
ReasonForMedicationText
PropertyObservation
ProcedureActivity
CareIssues
Diagnosis
DoseQuantity HasParameterSetting 0..* INDEPENDENT CurrentMedicationActivity
MedicinalProductOrSubstance Consumes 1..* INDEPENDENT CurrentMedicationActivity

Object Relationships

Subject Class Name Occurs Dependency Specified by
AllergiesOrAdverseReactionEvent IsIndicationOf 0..* INDEPENDENT AllergiesOrAdverseReactionEvent
CareIssues IsIndicationOf 0..* INDEPENDENT CareIssues
CurrentMedicationActivity IsComponentActionOf 0..* INDEPENDENT CurrentMedicationActivity
CurrentMedicationActivity HasTemporalContext 0..* INDEPENDENT CurrentMedicationActivity
CurrentMedicationActivity HasIndication 0..* INDEPENDENT CurrentMedicationActivity
Diagnosis IsIndicationOf 0..* INDEPENDENT Diagnosis
FindingObservation IsIndicationOf 0..* INDEPENDENT FindingObservation
MedicationRecommendationActivity HasProspect 0..1 INDEPENDENT MedicationRecommendationActivity
MedicationReviewActivity IsComponentActionOf 1..* INDEPENDENT MedicationReviewActivity
ProcedureActivity IsIndicationOf 0..* INDEPENDENT ProcedureActivity
PropertyObservation IsIndicationOf INDEPENDENT PropertyObservation
StoppedMedicationActivity HasPredecessor 1..* INDEPENDENT StoppedMedicationActivity

Item of ENTRY Constrained Domain Models

AllergiesOrAdverseReactionEvent

CareIssues

CurrentMedicationActivity

Diagnosis

FindingObservation

MedicationRecommendation

MedicationReview

ProcedureActivity

PropertyObservation

StoppedMedicationActivity

Reference Model Type

MATERIAL_ACTIVITY_ELEMENT