Release 4B

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11.6.6 Resource MedicationKnowledge - Detailed Descriptions

Pharmacy Work Group Maturity Level: 0 Trial Use Security Category: Business Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the MedicationKnowledge resource.

MedicationKnowledge
Element Id MedicationKnowledge
Definition

Information about a medication that is used to support knowledge.

Summary false
MedicationKnowledge.code
Element Id MedicationKnowledge.code
Definition

A code that specifies this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

Summary true
Comments

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

MedicationKnowledge.status
Element Id MedicationKnowledge.status
Definition

A code to indicate if the medication is in active use. The status refers to the validity about the information of the medication and not to its medicinal properties.

Is Modifier true (Reason: This element changes the interpretation of all descriptive attributes.)
Summary true
Comments

This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

MedicationKnowledge.manufacturer
Element Id MedicationKnowledge.manufacturer
Definition

Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

Summary true
MedicationKnowledge.doseForm
Element Id MedicationKnowledge.doseForm
Definition

Describes the form of the item. Powder; tablets; capsule.

Summary false
Comments

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

MedicationKnowledge.amount
Element Id MedicationKnowledge.amount
Definition

Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

Summary true
Comments

This is the quantity of medication in a package. To specify the strength of the medication, the Ingredient.strength attribute is used.

MedicationKnowledge.synonym
Element Id MedicationKnowledge.synonym
Definition

Additional names for a medication, for example, the name(s) given to a medication in different countries. For example, acetaminophen and paracetamol or salbutamol and albuterol.

Summary true
MedicationKnowledge.relatedMedicationKnowledge
Element Id MedicationKnowledge.relatedMedicationKnowledge
Definition

Associated or related knowledge about a medication.

Summary false
MedicationKnowledge.relatedMedicationKnowledge.type
Element Id MedicationKnowledge.relatedMedicationKnowledge.type
Definition

The category of the associated medication knowledge reference.

Summary false
MedicationKnowledge.relatedMedicationKnowledge.reference
Element Id MedicationKnowledge.relatedMedicationKnowledge.reference
Definition

Associated documentation about the associated medication knowledge.

Summary false
MedicationKnowledge.associatedMedication
Element Id MedicationKnowledge.associatedMedication
Definition

Associated or related medications. For example, if the medication is a branded product (e.g. Crestor), this is the Therapeutic Moeity (e.g. Rosuvastatin) or if this is a generic medication (e.g. Rosuvastatin), this would link to a branded product (e.g. Crestor).

Summary false
MedicationKnowledge.productType
Element Id MedicationKnowledge.productType
Definition

Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.).

Summary false
MedicationKnowledge.monograph
Element Id MedicationKnowledge.monograph
Definition

Associated documentation about the medication.

Summary false
MedicationKnowledge.monograph.type
Element Id MedicationKnowledge.monograph.type
Definition

The category of documentation about the medication. (e.g. professional monograph, patient education monograph).

Summary false
MedicationKnowledge.monograph.source
Element Id MedicationKnowledge.monograph.source
Definition

Associated documentation about the medication.

Summary false
MedicationKnowledge.ingredient
Element Id MedicationKnowledge.ingredient
Definition

Identifies a particular constituent of interest in the product.

Summary false
MedicationKnowledge.ingredient.item[x]
Element Id MedicationKnowledge.ingredient.item[x]
Definition

The actual ingredient - either a substance (simple ingredient) or another medication.

[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MedicationKnowledge.ingredient.isActive
Element Id MedicationKnowledge.ingredient.isActive
Definition

Indication of whether this ingredient affects the therapeutic action of the drug.

Requirements

True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

Summary false
MedicationKnowledge.ingredient.strength
Element Id MedicationKnowledge.ingredient.strength
Definition

Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

Summary false
MedicationKnowledge.preparationInstruction
Element Id MedicationKnowledge.preparationInstruction
Definition

The instructions for preparing the medication.

Summary false
MedicationKnowledge.intendedRoute
Element Id MedicationKnowledge.intendedRoute
Definition

The intended or approved route of administration.

Summary false
MedicationKnowledge.cost
Element Id MedicationKnowledge.cost
Definition

The price of the medication.

Summary false
MedicationKnowledge.cost.type
Element Id MedicationKnowledge.cost.type
Definition

The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.

Summary false
MedicationKnowledge.cost.source
Element Id MedicationKnowledge.cost.source
Definition

The source or owner that assigns the price to the medication.

Summary false
MedicationKnowledge.cost.cost
Element Id MedicationKnowledge.cost.cost
Definition

The price of the medication.

Summary false
MedicationKnowledge.monitoringProgram
Element Id MedicationKnowledge.monitoringProgram
Definition

The program under which the medication is reviewed.

Summary false
MedicationKnowledge.monitoringProgram.type
Element Id MedicationKnowledge.monitoringProgram.type
Definition

Type of program under which the medication is monitored.

Summary false
MedicationKnowledge.monitoringProgram.name
Element Id MedicationKnowledge.monitoringProgram.name
Definition

Name of the reviewing program.

Summary false
MedicationKnowledge.administrationGuidelines
Element Id MedicationKnowledge.administrationGuidelines
Definition

Guidelines for the administration of the medication.

Summary false
MedicationKnowledge.administrationGuidelines.dosage
Element Id MedicationKnowledge.administrationGuidelines.dosage
Definition

Dosage for the medication for the specific guidelines.

Summary false
MedicationKnowledge.administrationGuidelines.dosage.type
Element Id MedicationKnowledge.administrationGuidelines.dosage.type
Definition

The type of dosage (for example, prophylaxis, maintenance, therapeutic, etc.).

Summary false
MedicationKnowledge.administrationGuidelines.dosage.dosage
Element Id MedicationKnowledge.administrationGuidelines.dosage.dosage
Definition

Dosage for the medication for the specific guidelines.

Summary false
MedicationKnowledge.administrationGuidelines.indication[x]
Element Id MedicationKnowledge.administrationGuidelines.indication[x]
Definition

Indication for use that apply to the specific administration guidelines.

[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MedicationKnowledge.administrationGuidelines.patientCharacteristics
Element Id MedicationKnowledge.administrationGuidelines.patientCharacteristics
Definition

Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).

Summary false
MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]
Element Id MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]
Definition

Specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).

[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
MedicationKnowledge.administrationGuidelines.patientCharacteristics.value
Element Id MedicationKnowledge.administrationGuidelines.patientCharacteristics.value
Definition

The specific characteristic (e.g. height, weight, gender, etc.).

Summary false
MedicationKnowledge.medicineClassification
Element Id MedicationKnowledge.medicineClassification
Definition

Categorization of the medication within a formulary or classification system.

Summary false
MedicationKnowledge.medicineClassification.type
Element Id MedicationKnowledge.medicineClassification.type
Definition

The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification).

Summary false
MedicationKnowledge.medicineClassification.classification
Element Id MedicationKnowledge.medicineClassification.classification
Definition

Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.).

Summary false
MedicationKnowledge.packaging
Element Id MedicationKnowledge.packaging
Definition

Information that only applies to packages (not products).

Summary false
MedicationKnowledge.packaging.type
Element Id MedicationKnowledge.packaging.type
Definition

A code that defines the specific type of packaging that the medication can be found in (e.g. blister sleeve, tube, bottle).

Summary false
MedicationKnowledge.packaging.quantity
Element Id MedicationKnowledge.packaging.quantity
Definition

The number of product units the package would contain if fully loaded.

Summary false
MedicationKnowledge.drugCharacteristic
Element Id MedicationKnowledge.drugCharacteristic
Definition

Specifies descriptive properties of the medicine, such as color, shape, imprints, etc.

Summary false
MedicationKnowledge.drugCharacteristic.type
Element Id MedicationKnowledge.drugCharacteristic.type
Definition

A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint).

Summary false
MedicationKnowledge.drugCharacteristic.value[x]
Element Id MedicationKnowledge.drugCharacteristic.value[x]
Definition

Description of the characteristic.

[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
Comments

The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.

MedicationKnowledge.contraindication
Element Id MedicationKnowledge.contraindication
Definition

Potential clinical issue with or between medication(s) (for example, drug-drug interaction, drug-disease contraindication, drug-allergy interaction, etc.).

Summary false
MedicationKnowledge.regulatory
Element Id MedicationKnowledge.regulatory
Definition

Regulatory information about a medication.

Summary false
MedicationKnowledge.regulatory.regulatoryAuthority
Element Id MedicationKnowledge.regulatory.regulatoryAuthority
Definition

The authority that is specifying the regulations.

Summary false
MedicationKnowledge.regulatory.substitution
Element Id MedicationKnowledge.regulatory.substitution
Definition

Specifies if changes are allowed when dispensing a medication from a regulatory perspective.

Summary false
MedicationKnowledge.regulatory.substitution.type
Element Id MedicationKnowledge.regulatory.substitution.type
Definition

Specifies the type of substitution allowed.

Summary false
MedicationKnowledge.regulatory.substitution.allowed
Element Id MedicationKnowledge.regulatory.substitution.allowed
Definition

Specifies if regulation allows for changes in the medication when dispensing.

Summary false
MedicationKnowledge.regulatory.schedule
Element Id MedicationKnowledge.regulatory.schedule
Definition

Specifies the schedule of a medication in jurisdiction.

Summary false
MedicationKnowledge.regulatory.schedule.schedule
Element Id MedicationKnowledge.regulatory.schedule.schedule
Definition

Specifies the specific drug schedule.

Summary false
MedicationKnowledge.regulatory.maxDispense
Element Id MedicationKnowledge.regulatory.maxDispense
Definition

The maximum number of units of the medication that can be dispensed in a period.

Summary false
MedicationKnowledge.regulatory.maxDispense.quantity
Element Id MedicationKnowledge.regulatory.maxDispense.quantity
Definition

The maximum number of units of the medication that can be dispensed.

Summary false
MedicationKnowledge.regulatory.maxDispense.period
Element Id MedicationKnowledge.regulatory.maxDispense.period
Definition

The period that applies to the maximum number of units.

Summary false
MedicationKnowledge.kinetics
Element Id MedicationKnowledge.kinetics
Definition

The time course of drug absorption, distribution, metabolism and excretion of a medication from the body.

Summary false
MedicationKnowledge.kinetics.areaUnderCurve
Element Id MedicationKnowledge.kinetics.areaUnderCurve
Definition

The drug concentration measured at certain discrete points in time.

Summary false
MedicationKnowledge.kinetics.lethalDose50
Element Id MedicationKnowledge.kinetics.lethalDose50
Definition

The median lethal dose of a drug.

Summary false
MedicationKnowledge.kinetics.halfLifePeriod
Element Id MedicationKnowledge.kinetics.halfLifePeriod
Definition

The time required for any specified property (e.g., the concentration of a substance in the body) to decrease by half.

Summary false

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