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CSCR-089-Med-Add Orderable & Administerable Medication CMETs

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Back to Clinical Statement Change Requests page.

Submitted by: John Hatem Revision date: 01/14/2009
Submitted date: 01/14/2009 Change request ID: CSCR-089

Issue

Documentation of what medication information was associated with a medication order or medication event needs to be allowed in the clinical statement model. This may be an ingredient, a medication or a packaged medicine.

Recommendation

Add the R_OrderableMedication universal CMET to the model, associating it with the SubstanceAdministration class in the model. The orderable medication would be associated with the SubstanceAdministration class via a consumable (CSM) participation.

Add the R_AdministerableMedication universal CMET to the model, associating it with the Supply class in the model. The administerable medication would be associated with the Supply class via a product (PRD) participation.

  • Remove AgentChoice from the consumable (CSM) participation on the SubstanceAdministration class
    • Also removes MaterialKind, MaterialPart and MaterialPart2. Pharmacy WG believes all of these constructs are present in current CMET
  • Add a consumable (CSM) participation from SubstanceAdministration to the R_OrderableMedication universal CMET
    • Remove contextControlCode from consumable (CSM) participation
  • Remove ManufacturedProduct from the product (PRD) participation on the Supply class
    • Also removes Organization and DrugOrOtherMaterial. Pharmacy WG believes all of these constructs are present in current CMET
  • Add a product (PRD) participation from Supply to the R_AdministrableMedication universal CMET
    • Remove contextControlCode from product (PRD) participation
    • Change cardinality on product to CMET from 1..* to 0..1

Rationale

Discussion

Recommended Action Items

Resolution