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May be a date or partial date (e.g. year) or text (**e.g. during childhood**)", "requirements": "AllergyIntolerance.onset", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.14253--20210304132934", "path": "palliative_and_end_of_life_care.allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.allergy_end_date", "short": "Allergy end date", "definition": "The date the allergy was diagnosed as ended", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.allergy_end_date", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.14273--20210409110111", "path": "palliative_and_end_of_life_care.allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.comment", "short": "Comment", "definition": "Any further comments on the person's allergies or adverse reactions.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.comment", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ] }, { "id": "2.16.840.1.113883.3.1937.777.28.2.636--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices", "short": "Medications and medical devices", "definition": "Medications and medical devices", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10663--20181113155621", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry", "short": "Medication item entry", "definition": "All medications and devices that can be prescribed to be entered via this Medication item entry. Handles details of continuation / addition / amendment of admission medications.", "min": 0, "max": "*", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10664--20181113162551", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster", "short": "Medication item cluster", "definition": "Medication item cluster", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10536--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name", "short": "Medication name", "definition": "May be generic name or brand name.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13622--20200908191521", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name.coded_value", "short": "Coded value", "definition": "The coded value for medication name", "requirements": "MedicationStatement.medication[x].medicationCodableConcept", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13623--20200908191739", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name.free_text", "short": "Free text", "definition": "Free text field to be used if no code is available", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_name.free_text", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10537--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form", "short": "Form", "definition": "The form of the medication e.g. capsule, drops, tablet, lotion etc.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13624--20200908193229", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form.coded_value", "short": "Coded value", "definition": "The coded value for form.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13625--20200908193334", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form.free_text", "short": "Free text", "definition": "Free text field to be used if no code is available", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.form.free_text", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10538--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route", "short": "Route", "definition": "The route by which the medication is administered e.g. oral, IM, IV", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13655--20200908203038", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route.coded_value", "short": "Coded value", "definition": "The coded value for route", "requirements": "MedicationStatement.dosage.route", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13656--20200908203140", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route.free_text", "short": "Free text", "definition": "Free text field to be used if no code is available", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.route.free_text", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10540--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site", "short": "Site", "definition": "The anatomical site at which the medication is to be administered.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13657--20200908203318", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site.coded_value", "short": "Coded value", "definition": "The coded value for site", "requirements": "MedicationStatement.dosage.site", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13658--20200908203542", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site.free_text", "short": "Free text", "definition": "Free text field to be used when code is not available", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.site.free_text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10541--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.method", "short": "Method", "definition": "The technique or method by which the medication is to be administered.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.method", "min": 0, "max": "1" }, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13379--20200810165127", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.over_the_counter_medication_flag", "short": "Over the counter medication flag", "definition": "Indicates if the medication or device is acquired without a prescription i.e. got by the person over the counter", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.over_the_counter_medication_flag", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.11639--20190530174022", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster", "short": "Structured dose direction cluster", "definition": "A structural representation of the elements carried by the dose syntax in 'parsable dose strength / timing' i.e. dose strength, dose timing, dose duration and maximum dose.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10554--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.structured_dose_amount", "short": "Structured dose amount", "definition": "A structural representation of dose amount, e.g. 20mg or 2 tablets. This element will generally only be used when persisting data within systems with 'parsable dose directions' being used to exchange the same information between systems. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): [https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home](https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home \"\")", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.structured_dose_amount", "min": 0, "max": "1" }, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10555--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.structured_dose_timing", "short": "Structured dose timing", "definition": "A slot containing a structural, computable representation of dose timing and maximum dose. This element will generally only be used when persisting data within systems with 'parsable dose directions' being used to exchange the same information between systems. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): [https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home](https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home \"\")", "requirements": "MedicationStatement.dosage.timing", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.structured_dose_timing", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10548--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_direction_duration", "short": "Dose direction duration", "definition": "Recommendation of the time period for which the medication should be continued, including direction not to discontinue. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): [https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home](https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home \"\")", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_direction_duration", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10544--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_directions_description", "short": "Dose directions description", "definition": "Describes the entire medication dosage and administration directions including dose quantity and medication frequency and optionally duration e.g. “1 tablet at night\" or “2mg at 10pm”.", "requirements": "MedicationStatement.dosage.text", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_directions_description", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10545--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.additional_instructions", "short": "Additional instructions", "definition": "Allows for: requirements for adherence support, e.g. compliance aids, prompts and packaging requirements, additional information about specific medicines e.g. where specific brand required, person requirements, e.g. unable to swallow tablets.", "requirements": "MedicationStatement.dosage.additionalInstruction", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.additional_instructions", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10561--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster", "short": "Course details cluster", "definition": "Details of the overall course of medication.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10666--20181113164755", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.course_status", "short": "Course status", "definition": "The status of this prescription.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.course_status", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10546--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.indication", "short": "Indication", "definition": "Reason for medication being prescribed, where known.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.indication", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10667--20181113164922", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.start_datetime", "short": "Start date/time", "definition": "The date and/or time that the medication course should begin.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.start_datetime", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10557--20181031000000", "path": 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"palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.link_to_indication_record", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10547--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.commentrecommendation", "short": "Comment/recommendation", "definition": "Suggestions about duration and/or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication. 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This element will generally only be used when persisting data within systems with 'parsable dose directions' being used to exchange the same information between systems. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): [https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home](https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home \"\")", "requirements": "MedicationStatement.dosage.timing", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.structured_dose_timing", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10548--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_direction_duration", "short": "Dose direction duration", "definition": "Recommendation of the time period for which the medication should be continued, including direction not to discontinue. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): [https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home](https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home \"\")", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_direction_duration", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10544--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_directions_description", "short": "Dose directions description", "definition": "Describes the entire medication dosage and administration directions including dose quantity and medication frequency and optionally duration e.g. “1 tablet at night\" or “2mg at 10pm”.", "requirements": "MedicationStatement.dosage.text", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.structured_dose_direction_cluster.dose_directions_description", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10545--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.additional_instructions", "short": "Additional instructions", "definition": "Allows for: requirements for adherence support, e.g. compliance aids, prompts and packaging requirements, additional information about specific medicines e.g. where specific brand required, person requirements, e.g. unable to swallow tablets.", "requirements": "MedicationStatement.dosage.additionalInstruction", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.additional_instructions", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10561--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster", "short": "Course details cluster", "definition": "Details of the overall course of medication.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10666--20181113164755", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.course_status", "short": "Course status", "definition": "The status of this prescription.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.course_status", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10546--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.indication", "short": "Indication", "definition": "Reason for medication being prescribed, where known.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.indication", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10667--20181113164922", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.start_datetime", "short": "Start date/time", "definition": "The date and/or time that the medication course should begin.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.start_datetime", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10557--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.end_datetime", "short": "End date/time", "definition": "The date and/or time that the medication course should finish.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.end_datetime", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10668--20181113165909", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.link_to_indication_record", "short": "Link to indication record", "definition": "A link to the record which contains the indication for this medication order.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.link_to_indication_record", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10547--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.commentrecommendation", "short": "Comment/recommendation", "definition": "Suggestions about duration and/or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication. Additional comment or recommendation about the medication course e.g. 'Patient named supply', 'unlicensed medication', 'Foreign brand' or monitoring recommendations", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.course_details_cluster.commentrecommendation", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10568--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster", "short": "Medication change summary cluster", "definition": "Records the changes made to medication.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10669--20181113170050", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.status", "short": "Status", "definition": "The nature of any change made to the medication.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.status", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10670--20181113170207", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.indication", "short": "Indication", "definition": "Reason for change in medication, e.g. sub-therapeutic dose, person intolerant.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.indication", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10671--20181113170303", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.date_of_change", "short": "Date of change", "definition": "The date of the change - addition, or amendment", "requirements": "ExtensionUKCoreMedicationDosageLastChanged", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.date_of_change", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10672--20181113170342", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.description_of_amendment", "short": "Description of amendment", "definition": "Where a change is made to the medication i.e. one drug stopped and another started or eg dose, frequency or route is changed.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.medication_change_summary_cluster.description_of_amendment", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10665--20181113164441", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.total_dose_daily_quantity", "short": "Total dose daily quantity", "definition": "The total daily dose of this medication. This is helpful for estimating optimal adherence to dosing guidance. It may be computed from product/dose strength and frequency or entered manually.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_item_cluster.total_dose_daily_quantity", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10583--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry", "short": "Medical devices entry", "definition": "Medical devices", "min": 0, "max": "*", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10673--20181113171015", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry.medical_device", "short": "Medical device", "definition": "Any medical device that isn't prescribed.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry.medical_device", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.11280--20190529174702", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry.comments", "short": "Comments", "definition": "Any information regarding the medical device.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medical_devices_entry.comments", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10576--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry", "short": "Medication discontinued entry", "definition": "Medication discontinued entry", "min": 0, "max": "*", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10577--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication", "short": "Name of discontinued medication", "definition": "The name of the medication or medical device being discontinued", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13659--20200908205752", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication.coded_value", "short": "Coded value", "definition": "The coded value for medication name", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.13660--20200908205840", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication.free_text", "short": "Free text", "definition": "Amount of vaccine administered.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.name_of_discontinued_medication.free_text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.12472--20190625114223", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.status", "short": "Status", "definition": "The status of any change made to the medication. MUST CONTAIN STOPPED.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.status", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10579--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.indication", "short": "Indication", "definition": "The clinical indication for any changes in medication status", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.indication", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10580--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.date_of_change", "short": "Date of change", "definition": "The date of the discontinuation", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.date_of_change", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10582--20181031000000", "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.comment", "short": "Comment", "definition": "Any additional comment about the discontinuation or amendment.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.medications_and_medical_devices.medication_item_entry.medication_discontinued_entry.comment", "min": 0, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.508--20181031000000", "path": "palliative_and_end_of_life_care.care_and_support_plan", "short": "Care and support plan", "definition": "This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.care_and_support_plan", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.10419--20181031000000", "path": "palliative_and_end_of_life_care.care_and_support_plan.strengths", "short": "Strengths", "definition": "Any strengths and assets the person has relating to their goals and hopes about their health and well-being.", "min": 0, "max": "*", "base": { "path": "palliative_and_end_of_life_care.care_and_support_plan.strengths", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.14369--20210706121333", "path": "palliative_and_end_of_life_care.care_and_support_plan.strengths.coded_value", "short": "Coded value", "definition": "The coded value associated with the person's strengths.  Could be derived from the assessment of the person e.g. 300738008 |Able to participate in leisure activities (finding)|", "min": 0, "max": "1", "base": { "path": "palliative_and_end_of_life_care.care_and_support_plan.strengths.coded_value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.14370--20210706122131", "path": "palliative_and_end_of_life_care.care_and_support_plan.strengths.free_text", "short": "Free text", "definition": "The person’s strengths (in free text). If the strengths are coded then this is any supplementary or personalised information that relates to the coded strength.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueMarkdown": "The person’s strengths (in free text). 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"palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.professional_identifier", "short": "Professional identifier", "definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.", "requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)", "min": 1, "max": "1", "base": { "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.professional_identifier", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "maxLength": 32, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.12469--20190619160903", "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.date_completed", "short": "Date completed", "definition": "The date and time the record was completed.", "requirements": "Composition.date", "min": 1, "max": "1", "base": { "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.date_completed", "min": 1, "max": "1" }, "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.12470--20190619160903", "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.contact_details", "short": "Contact details", "definition": "Contact details of the person completing the record.", "requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom", "min": 1, "max": "1", "base": { "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.person_completing_record.contact_details", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "maxLength": 35, "mustSupport": true }, { "id": "2.16.840.1.113883.3.1937.777.28.2.12471--20190619160928", "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.comments", "short": "Comments", "definition": "Comments associated with the imaging", "min": 1, "max": "1", "base": { "path": "palliative_and_end_of_life_care.documents_including_correspondence_audio_and_images.documents.additional_information_required_for_images.comments", "min": 1, "max": "1" }, "type": [ { "code": "markdown" } ], "maxLength": 150, "mustSupport": true } ] } }