Terminology

CodeSystem:medicationKnowledge Package Type Codes

MedicationKnowledge Package Type Codes
CodeDisplayDefinition
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blstrpkBlister Packundefined
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cartCartridgeundefined
diskDiskundefined
dosetDosetteundefined
jarJarundefined
jugJugundefined
minimMinimundefined
nebampNebule Ampundefined
ovulOvuleundefined
pchPouchundefined
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vialVialundefined

CodeSystem:Medication Status Codes

Medication Status Codes
CodeDisplayDefinition
activeActiveThe medication is still being taken.
completedCompletedThe medication is no longer being taken.
entered-in-errorEntered in ErrorSome of the actions that are implied by the medication statement may have occurred. For example, the patient may have taken some of the medication. Clinical decision support systems should take this status into account.
intendedIntendedThe medication may be taken at some time in the future.
stoppedStoppedActions implied by the statement have been permanently halted, before all of them occurred. This should not be used if the statement was entered in error.
on-holdOn HoldActions implied by the statement have been temporarily halted, but are expected to continue later. May also be called 'suspended'.
unknownUnknownThe state of the medication use is not currently known.
not-takenNot TakenThe medication was not consumed by the patient

CodeSystem:MedicationAdmninistration Performer Function Codes

MedicationAdministration Performer Function Codes
CodeDisplayDefinition
performerPerformerA person, non-person living subject, organization or device that who actually and principally carries out the action
verifierVerifierA person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.
witnessWitnessA person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.

CodeSystem:Medication Status Codes

Medication Status Codes
CodeDisplayDefinition
inpatientInpatientIncludes orders for medications to be administered or consumed in an inpatient or acute care setting
outpatientOutpatientIncludes orders for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)
communityCommunityIncludes orders for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.).
patientspecifiedPatient SpecifiedIncludes statements about medication use, including over the counter medication, provided by the patient, agent or another provider

CodeSystem:MedicationDispense Status Reason Codes

MedicationDispense Status Codes
CodeDisplayDefinition
frr01Order StoppedThe order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example: A verbal stop, a fax, etc.
frr02Stale-dated OrderOrder has not been fulfilled within a reasonable amount of time, and might not be current.
frr03Incomplete dataData needed to safely act on the order which was expected to become available independent of the order is not yet available. Example: Lab results, diagnostic imaging, etc.
frr04Product unavailableProduct not available or manufactured. Cannot supply.
frr05Ethical/religiousThe dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
frr06Unable to provide careFulfiller not able to provide appropriate care associated with fulfilling the order. Example: Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.
altchoiceTry another treatment firstThis therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
clarifPrescription/Request requires clarificationClarification is required before the order can be acted upon.
drughighDrug level too highThe current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
hospadmAdmission to hospitalThe patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
labintLab interference issuesThe therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
non-availPatient not availablePatient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
pregPatient is pregnant or breastfeedingThe patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
saigAllergyThe patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
sddiDrug interacts with another drugThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sduptherDuplicate therapyAnother short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
sintolSuspected intoleranceThe patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
surgPatient scheduled for surgeryThe drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
washoutWashoutThe patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.
outofstockDrug not available - out of stockDrug out of stock. Cannot supply.
offmarketDrug not available - off marketDrug no longer marketed Cannot supply.

CodeSystem:ReasonMedicationGivenCodes

This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the medication process.
CodeDisplayDefinition
aNoneNo reason known.
bGiven as OrderedThe administration was following an ordered protocol.
cEmergencyThe administration was needed to treat an emergency.

CodeSystem:MedicationDispense Status Codes

MedicationDispense Status Codes
CodeDisplayDefinition
preparationPreparationThe core event has not started yet, but some staging activities have begun (e.g. initial compounding or packaging of medication). Preparation stages may be tracked for billing purposes.
in-progressIn ProgressThe dispensed product is ready for pickup.
cancelledCancelledThe dispensed product was not and will never be picked up by the patient.
on-holdOn HoldThe dispense process is paused while waiting for an external event to reactivate the dispense. For example, new stock has arrived or the prescriber has called.
completedCompletedThe dispensed product has been picked up.
entered-in-errorEntered in ErrorThe dispense was entered in error and therefore nullified.
stoppedStoppedActions implied by the dispense have been permanently halted, before all of them occurred.
declinedDeclinedThe dispense was declined and not performed.
unknownUnknownThe authoring system does not know which of the status values applies for this medication dispense. Note: this concept is not to be used for other - one of the listed statuses is presumed to apply, it's just now known which one.

CodeSystem:medicationrequest Status

MedicationRequest Status Codes
CodeDisplayDefinition
activeActiveThe prescription is 'actionable', but not all actions that are implied by it have occurred yet.
on-holdOn HoldActions implied by the prescription are to be temporarily halted, but are expected to continue later. May also be called 'suspended'.
cancelledCancelledThe prescription has been withdrawn before any administrations have occurred
completedCompletedAll actions that are implied by the prescription have occurred.
entered-in-errorEntered in ErrorSome of the actions that are implied by the medication request may have occurred. For example, the medication may have been dispensed and the patient may have taken some of the medication. Clinical decision support systems should take this status into account
stoppedStoppedActions implied by the prescription are to be permanently halted, before all of the administrations occurred. This should not be used if the original order was entered in error
draftDraftThe prescription is not yet 'actionable', e.g. it is a work in progress, requires sign-off, verificationĀ orĀ needs to be run through decision support process.
unknownUnknownThe authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, but the authoring/source system does not know which.

CodeSystem:MedicationAdmninistration Status Codes

MedicationAdministration Status Codes
CodeDisplayDefinition
in-progressIn ProgressThe administration has started but has not yet completed.
not-doneNot DoneThe administration was terminated prior to any impact on the subject (though preparatory actions may have been taken)
on-holdOn HoldActions implied by the administration have been temporarily halted, but are expected to continue later. May also be called 'suspended'.
completedCompletedAll actions that are implied by the administration have occurred.
entered-in-errorEntered in ErrorThe administration was entered in error and therefore nullified.
stoppedStoppedActions implied by the administration have been permanently halted, before all of them occurred.
unknownUnknownThe authoring system does not know which of the status values currently applies for this request. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, it's just not known which one.

CodeSystem:medicationRequest Course of Therapy Codes

MedicationRequest Course of Therapy Codes
CodeDisplayDefinition
continuousContinuous long term therapyA medication which is expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
acuteShort course (acute) therapyA medication which the patient is only expected to consume for the duration of the current order and which is not expected to be renewed.
seasonalSeasonalA medication which is expected to be used on a part time basis at certain times of the year

CodeSystem:MedicationKnowledge Status Codes

MedicationKnowledge Status Codes
CodeDisplayDefinition
activeActiveThe medication is available for use.
inactiveInactiveThe medication is not available for use.
entered-in-errorEntered in ErrorThe medication was entered in error.

CodeSystem:medicationRequest Category Codes

MedicationRequest Category Codes
CodeDisplayDefinition
inpatientInpatientIncludes requests for medications to be administered or consumed in an inpatient or acute care setting
outpatientOutpatientIncludes requests for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)
communityCommunityIncludes requests for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)
dischargeDischargeIncludes requests for medications created when the patient is being released from a facility

CodeSystem:MedicationDispense Category Codes

MedicationDispense Category Codes
CodeDisplayDefinition
inpatientInpatientIncludes dispenses for medications to be administered or consumed in an inpatient or acute care setting.
outpatientOutpatientIncludes dispenses for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office).
communityCommunityIncludes dispenses for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.).
dischargeDischargeIncludes dispenses for medications created when the patient is being released from a facility.

CodeSystem:MedicationAdmninistration Category Codes

MedicationAdministration Category Codes
CodeDisplayDefinition
inpatientInpatientIncludes administrations in an inpatient or acute care setting
outpatientOutpatientIncludes administrations in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)
communityCommunityIncludes administrations by the patient in their home (this would include long term care or nursing homes, hospices, etc.)

CodeSystem:medicationRequest Status Reason Codes

MedicationRequest Status Reason Codes
CodeDisplayDefinition
altchoiceTry another treatment firstThis therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
clarifPrescription requires clarificationClarification is required before the order can be acted upon.
drughighDrug level too highThe current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
hospadmAdmission to hospitalThe patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
labintLab interference issuesThe therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
non-availPatient not availablePatient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
pregParent is pregnant/breast feedingThe patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
salgAllergyThe patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
sddiDrug interacts with another drugThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sduptherDuplicate therapyThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sintolSuspected intoleranceThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
surgPatient scheduled for surgery.The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
washoutWaiting for old drug to wash outThe patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.

CodeSystem:MedicationDispense Performer Function Codes

MedicationDispense Performer Function Codes
CodeDisplayDefinition
dataentererData EntererRecorded the details of the request
packagerPackagerPrepared the medication.
checkerCheckerPerformed initial quality assurance on the prepared medication
finalcheckerFinal CheckerPerformed the final quality assurance on the prepared medication against the request. Typically, this is a pharmacist function.

CodeSystem:Medication Status Codes

Medication Status Codes
CodeDisplayDefinition
activeActiveThe medication is available for use.
inactiveInactiveThe medication is not available for use.
entered-in-errorEntered in ErrorThe medication was entered in error.

CodeSystem:medicationKnowledge Characteristic Codes

MedicationKnowledge Characteristic Codes
CodeDisplayDefinition
imprintcdImprint CodeIdentyifying marks on product
sizeSizeDescription of size of the product
shapeShapeDescription of the shape of the product
colorColorDescription of the color of the product
coatingCoatingDescription of the coating of the product
scoringScoringDescription of the scoring of the product
logoLogoDescription of the Logo of the product

CodeSystem:medicationRequest Status

MedicationRequest Status Codes
CodeDisplayDefinition
proposalProposalThe request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act
planPlanThe request represents an intention to ensure something occurs without providing an authorization for others to act.
orderOrderThe request represents a request/demand and authorization for action
original-orderOriginal OrderThe request represents the original authorization for the medication request.
reflex-orderReflex OrderThe request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization..
filler-orderFiller OrderThe request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order.
instance-orderInstance OrderThe request represents an instance for the particular order, for example a medication administration record.
optionOptionThe request represents a component or option for a RequestGroup that establishes timing, conditionality and/or other constraints among a set of requests.

CodeSystem:SNOMEDCTReasonMedicationNotGivenCodes

This value set includes all medication refused, medication not administered, and non-administration of necessary drug or medicine codes from SNOMED CT - provided as an exemplar value set.
CodeDisplayDefinition
aNoneNo reason known.
bAwayThe patient was not available when the dose was scheduled.
cAsleepThe patient was asleep when the dose was scheduled.
dVomitThe patient was given the medication and immediately vomited it back.

ValueSet: MedicationAdmninistration Category Codes

MedicationAdministration Category Codes

ValueSet: Medication Status Codes

Medication Status Codes

ValueSet: ReasonMedicationGivenCodes

This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the medication process.

ValueSet: Medication Status Codes

Medication Status Codes

ValueSet: SNOMEDCTAdditionalDosageInstructions

This value set includes all SNOMED CT Additional Dosage Instructions.

ValueSet: MedicationKnowledge Status Codes

MedicationKnowledge Status Codes

ValueSet: SNOMEDCTMedicationAsNeededReasonCodes

This value set includes all clinical findings from SNOMED CT - provided as an exemplar value set.

ValueSet: medicationKnowledge Characteristic Codes

MedicationKnowledge Characteristic Codes

ValueSet: SNOMEDCTRouteCodes

This value set includes all Route codes from SNOMED CT - provided as an exemplar.

ValueSet: SNOMEDCTReasonMedicationNotGivenCodes

This value set includes all medication refused, medication not administered, and non-administration of necessary drug or medicine codes from SNOMED CT - provided as an exemplar value set.

ValueSet: MedicationDispense Status Codes

MedicationDispense Status Codes

ValueSet: medicationrequest Status

MedicationRequest Status Codes

ValueSet: medicationRequest Status Reason Codes

MedicationRequest Status Reason Codes

ValueSet: MedicationAdmninistration Status Codes

MedicationAdministration Status Codes

ValueSet: MedicationDispense Category Codes

MedicationDispense Category Codes

ValueSet: MedicationDispense Performer Function Codes

MedicationDispense Performer Function Codes

ValueSet: Medication Status Codes

Medication Status Codes

ValueSet: MedicationDispense Status Reason Codes

MedicationDispense Status Codes

ValueSet: SNOMEDCTMedicationCodes

This value set includes all drug or medicament substance codes and all pharmaceutical/biologic products from SNOMED CT - provided as an exemplar value set.

ValueSet: medicationRequest Course of Therapy Codes

MedicationRequest Course of Therapy Codes

ValueSet: SNOMEDCTAdministrationMethodCodes

This value set includes some method codes from SNOMED CT - provided as an exemplar

ValueSet: medicationKnowledge Package Type Codes

MedicationKnowledge Package Type Codes

ValueSet: SNOMEDCTFormCodes

This value set includes all dose form codes from SNOMED CT - provided as an exemplar.

ValueSet: MedicationAdmninistration Performer Function Codes

MedicationAdministration Performer Function Codes

ValueSet: medicationRequest Status

MedicationRequest Status Codes

ValueSet: SNOMEDCTDrugTherapyStatusCodes

This value set includes some taken and not taken reason codes from SNOMED CT - provided as an exemplar

ValueSet: medicationRequest Category Codes

MedicationRequest Category Codes