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"purpose" : "For å registrere alle aspekter av ordinering av et legemiddel, en vaksine, ernæringsprodukt eller medisinsk forbruksmateriell for et spesifikt individ.",
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"use" : "Brukes for å registrere alle aspekter av ordinering av et legemiddel, en vaksine, enæringsvare eller medisinsk forbruksmateriell for et spesifikt individ.\r\n\r\nArketypen kan brukes i alle legemiddelrelaterte ordineringer, enten de er for reseptpliktige legemidler ordinert av en kliniker, eller for reseptfrie legemidler. Arketypen dekker også ordinering av vaksiner, parenterale væsker, eller medisinsk forbruksmateriell, som bandasjer, ernæringsprodukter eller andre varer som påføres eller administreres for å ha en terapeutisk effekt, og der dataene som skal registreres er de samme.\r\n\r\nArketypen er designet for bruk i en rekke ulike kliniske sammenhenger, for eksempel:\r\n- en registrering i en klinisk konsultasjon (COMPOSITION.encounter).\r\n- en resept skrevet av en lege, tannlege eller annet helsepersonell, på et legemiddel eller ernæringsprosdukt som skal utdeles eller administreres (i en COMPOSITION.prescription).\r\n- et element i en legemiddelliste, resept eller legemiddelkurve (COMPOSITION.medication_list)\r\n- et element i et oppsummeringsdokument som f.eks. en epikrise (COMPOSITION.transfer_summary) eller en henvisning (COMPOSITION.request).\r\n\r\nMerk at disse bruksområdene omfatter FHIR-ressursene for både Medication Order og Medication Statement.\r\n\r\nI mange tilfeller vil legemiddelordineringen være enkel - typisk for en enkelt legemiddelvare med ukompliserte instruksjoner for utdeling og administrering. Arketypen er imidlertid også utviklet for å tillate mer komplekse ordineringer, for eksempel:\r\n- ved nedtrapping av en prednisolondose over flere uker.\r\n- ved titrering av insulin, hvor dosering er avhengig av prøveresultater.\r\n- flere legemidler ordinert på samme tidspunkt som en del av et samlet behandlingsregime, for eksempel trippelbehandling for magesår.\r\n- ved parenteral administrering av legemidler eller ernæring, inkludert parenteral ernæring.\r\n\r\nArketypen er derfor utviklet for å tillate ulik kompleksitet, fra\r\n- enkle fritekstinstrukser for ordineringer som \"Furosemid 40 mg, to tabletter om morgenen og en til lunsj\" for å sikre kompatibilitet med eksisterende systemer, og\r\n- legemiddelmengden representeres som regel ved et tall med tilhørende måleenhet, alternativt med fritekst for å sikre kompatibilitet med eksisterende systemer og for å dekke alle kliniske scenarier\r\ntil\r\n- strukturerte detaljer for dose, administreringssvei og administreringsstidspunkter for at datamaskiner skal kunne lese og gjøre beregninger med dataene.\r\n\r\nArketypen er designet slik at en enkel legemiddelordinering kan representere:\r\n-komplekse sekvensielle legemiddelordineringer som bruker samme preparatstyrke i samme ordineringsstruktur.\r\n-flere legemiddelordineringer kan lenkes, der ulike legemidler eller blandinger må administreres sekvensielt.\r\n\r\nArketypen er også egnet for å ordinere væsker, der det er vanlig at disse ordineres. I andre sammenhenger kan det være mer passende å bruke en egen arketype for væskeforordninger.\r\n\r\nMengden av et legemiddel representeres vanligvis med et tall og en enhet, men det kan også dokumenteres i fritekst for å sikre kompatibilitet med eksisterende systemer og for å dekke alle scenarier.\r\n\r\nSLOTer med CLUSTER-arketyper brukes for å representere deler av innholdet av tre årsaker:\r\n- For å sikre en kjernearketype som kan brukes i alle de overnevnte brukscasene, men likevel være fleksibel der det trengs, f.eks. i SLOTet \"Legemiddeldetaljer\" der ytterligere strukturerte detaljer kan legges til. Det er foreslått en arketype for detaljer om legemidler, og det kan tenkes at man i fremtiden vil trenge andre CLUSTER-arketyper for andre formål, som f.eks. komplekse ordineringer av parenteral ernæring.\r\n- for å tillate gjenbruk av arketyper i situasjoner hvor innholdet også brukes i andre kliniske kontekster, i hovedsak i den tilhørende arketypen ACTION.medication for å registrere faktisk utdeling, administrering osv.\r\n- for å fjerne mindre brukt innhold fra arketypens rammeverk.\r\n\r\nDet er mulig å legge inn flere ordinasjoner som aktiviteter innenfor én instans av arketypen for å representere tett sammenbundne ordinasjoner av forskjellige legemidler, for eksempel en legemiddelpakke mot H. pylori der denne ikke ordineres som en enkelt pakning.\r\n\r\nMerk at disse bruksområdene innbefatter FHIR-ressursene for både \"Medication Order\" og \"Medication Statement\", det vil si at denne arketypen matcher begge disse FHIR-ressursene i passende brukssammenhenger.",
"misuse" : "Skal ikke brukes for å registrere faktisk administrering eller utdeling av legemidler, vaksiner, parenterale væsker, ernæringsprodukter eller medisinsk forbruksmateriell. Bruk arketypen ACTION.medication for dette formålet.\r\n\r\nSkal ikke brukes for å registrere ordinering av blodkomponenter, som omfatter en fundamentalt ulik klinisk prosess og sannsynligvis vil trenge ulik støtteinformasjon. Bruk arketypen INSTRUCTION.transfusion for dette formålet.\r\n\r\nSkal ikke brukes for å registrere ordinering av innlegging av implantater og medisinsk utstyr som pacemakere og defibrillatorer. Bruk arketypen INSTRUCTION.procedure for dette formålet.",
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"use" : "Utilizar para el registro de todos los aspectos de una orden de medicamento, vacuna, producto nutricional u otro ítem terapéutico para un individuo identificado.\r\n\r\nSu objetivo es la utilización para cualquier orden de medicamento o ítems relacionados, ya sea que los prescriba un profesional de la salud o que se encuentren disponibles sin receta médica. El alcance de este arquetipo de medicamento incluye órdenes de vacuna, fluidos parenterales u otros insumos terpéuticos tales como vendajes, productos nutricionales u otros ítems que se aplican o son administrados para obtener un efecto terapéutico, y que tiene un patrón común de registro de datos.\r\n\r\nEste arquetipo seta diseñado para ser utilizado en un conjunto de contexto clínicos que incluyen, pero no se limitan, a:\r\n- un registro de una consulta clínica (COMPOSITION.encounter);\r\n- una prescripción escrita por un médico, odontólogo, enfermero u otro profesional de la salud, para una medicación o producto nutricional a ser dispensado y administrado (como parte de una COMPOSITION.prescription);\r\n- un ítem incluido en una lista de medicamentos recibidos actualmente, en una prescripción o en una lista de medicamentos (como parte de una COMPOSITION.medication_list); y como\r\n- un ítem incluido en un documento de resumen, tal como una transferencia de sitio de cuidados (COMPOSITION.transfer_summary) o una interconsulta (COMPOSITION.request).\r\n\r\nEn muchos casos una orden de medicamento será simple -típicamente para un solo ítem medicamentoso con instrucciones carentes de complejidad para su dispensación y administración. Sin embargo, este arquetipo también esta diseñado para permitir órdenes terapéuticas mas complejas, como por ejemplo:\r\n- la reducción de una dosis de prednisolona a lo largo de un período de semanas;\r\n- la titulación de insulina, donde la dosis dependerá de los resultados de una prueba;\r\n- la prescripción simultanea de varios medicamentos como parte de un régimen único de medicamentos, tales como la terapia triple para la úlcera péptica; y\r\n- la administración endovenosa de medicamentos o suplementos nutricionales, incluyendo nutrición parenteral.\r\n\r\nEl arquetipo ha sido por lo tanto diseñado para permitir diversos rangos de complejidad, desde:\r\n- instrucciones narrativas simples para órdenes tales como \"furosemida 40 miligramos, dos tabletas por la mañana y una al almuerzo\", para asegurar la compatibilidad con sistemas existentes\r\n- la cantidad de la medicación, usualmente representada en términos de un número y su correspondiente unidad de dosis, pero que alternativamente puede ser representada mediante una narrativa para asegurar compatibilidad con sistemas existentes y la cobertura de diferentes escenarios clínicos; hasta\r\n- el detalle estructurado de la dosis, vía de administración y temporalidad, para así representar una especificación completamente computable.\r\n\r\nTambién ha sido diseñado de modo tal que la estructura de una sola orden de medicamento permita representar:\r\n- una secuencia compleja de órdenes de medicamento que utiliza la misma potencia del preparado como una sola estructura de orden; y\r\n- múltiples órdenes de medicamentos encadenadas en circunstancias donde diferentes medicamentos o preparados deben ser administrados conforme a una secuencia.\r\n\r\nEste arquetipo es también adecuado para ordenar fluidos en entornos de cuidado donde es de uso corriente que estos ítems sean \"prescribibles\". EN otros contextos una orden separada de fluido parenteral podría ser mas apropiada.\r\n\r\nLos SLOTs que contienen arquetipos CLUSTER han sido utilizados para representar parte del contenido por tres razones:\r\n- Para asegurar un arquetipo de base que pueda ser utilizado en todos los casos arriba descritos pero que permitan flexibilidad alli donde esta es requerida, como por ejemplo el SLOT `Detalles de la preparación´ en el cual un mayor detalle estructurado puede ser agregado. Se ha sugerido un arquetipo candidato para Medicaciones. Es posible que otros arquetipos CLUSTER sean necesarios en el futuro para otros propósitos tal como las órdenes de nutrición parenteral compleja;\r\n- Para permitir la re-utilización del arquetipo en situaciones en las cuales el contenido ha sido identificado como utilizado también en otros contextos clínicos, en particular en forma apareada como el arquetipo ACTION.medication, para el registro de la dispensación, administración, etc. concretas; y\r\n- Para remover del arquetipo base los contenidos menos comúnmente utilizados.\r\n\r\nVarias órdenes pueden ser representadas como actividades separadas dentro de una sola instancia de este arquetipo, para el uso de órdenes fuertemente vinculadas (como la terapia del Helicobacter Pylori) cuando estas nos son prescriptas como paquete único.\r\n\r\nDebe tenerse en cuenta que estos usos subsumen lso casos de uso tanto de la Orden de Medicamento FHIR como de la Declaración de Medicamento, es decir que este arquetipo coincide con ambos recursos FHIR, utilizados en el contexto apropiado.",
"misuse" : "No debe ser utilizado para el registro de las actividades relacionadas con el cumplimiento de la orden del medicamento, vacuna, producto nutricional o ítem terapéutico, tal como los detalles de su administración o dispensa. Se debe utilizar el ACTION.medication para este propósito.\r\n\r\nNo debe ser utilizado para el registro de órdenes de sangre o sus preparados, lo cual involucra un proceso clínico fundamentalmente diferente que muy probablemente requiera otro tipo de información. Se debe utilizar el ACTION.transfusion para este propósito.\r\n\r\nNo debe ser utilizado para el registro de órdenes de inserción de implantes o dispositivos médicos tales como marcapasos o defibriladores. Se debe utilizar el ACTION.procedure para este propósito.",
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"use" : "Utilizado para registrar todos os aspectos da prescrição de medicamentos, vacinas, produtos nutricionais ou outros itens terapêuticos, para um indivíduo identificado.\r\n\r\nDestina-se a ser usado para qualquer tipo de medicamento e prescrição relacionada, quer seja prescrito por um profissional de saúde ou disponível para compra \"no balcão\"da farmácia. O escopo deste arquétipo de medicamentos também inclui prescrições de vacinas, fluidos parenterais ou outros produtos terapêuticos, como bandagens, produtos nutricionais ou outros ítens que possuem um padrão comum para o seu registro e são aplicados ou administrados com vistas a um efeito terapêutico. \r\n\r\nEste arquétipo é projetado para ser usado em vários contextos clínicos, incluindo, entre outros:\r\n- um registro em uma consulta clínica (COMPOSITION.encounter);\r\n- uma receita escrita por um médico, dentista, ou outro profissional de saúde autorizado para prescrever uma medicamento ou produto nutricional a ser dispensado e administrado (COMPOSITION.prescription);\r\n- um ítem em uma lista atual de medicamento, receita ou carta de medicamentos (dentro de COMPOSITION.medication_list); e\r\n- um ítem em um documento de resumo, como a transferência de cuidados (COMPOSITION.transfer_summary) ou um documento de contra-referência (COMPOSITION.request).\r\n\r\nEm muitos casos, uma prescrição de medicamento será simples - tipicamente para um único item de medicamento com instruções simples para a sua dispensação e administração. No entanto, este arquétipo foi também projetado para permitir prescrições mais complexas. Por exemplo:\r\n\r\n-\tuma redução de dose de prednisolona durante um período de semanas;\r\n-\tfracionamento de insulina, com dosagem dependente dos resultados do teste;\r\n-\tmedicamentos múltiplos prescritos simultaneamente como parte de um regime de fármaco único, como uma terapia tripla para úlcera péptica; e\r\n-\tadministração intravenosa de medicamentos ou suplementos nutricionais, incluindo nutrição parenteral.\r\n\r\nO arquétipo foi, portanto, projetado para atender prescrições de maior complexidade, como, por exemplo: \r\n-\tinstruções narrativas simples tais como \"furosemida 40mg dois comprimidos pela manhã e um no almoço\" para assegurar a compatibilidade com os sistemas existentes; \r\n-\ta quantidade do medicamento geralmente é representada por um número e uma unidade de dose correspondente, no entanto, pode haver uma descrição em texto livre para garantir a compatibilidade com os sistemas existentes e a cobertura de todos os cenários clínicos; através de\r\n-\tdetalhes estruturados para a dose, via e duração para representar uma especificação totalmente computável.\r\n\r\nEste arquétipo foi também projetado para que uma única estrutura de prescrição de medicamento possa representar:\r\n\r\n-\tPrescrições sequencias complexas de medicamento com a mesma concentração de preparação representados em uma única estrutura de prescrição; e\r\n-\tmúltiplas prescrições de medicamentos que podem ser encadeadas em circunstâncias em que diferentes medicamentos ou preparações precisem ser administrados sequencialmente.\r\n\r\nEste arquétipo é também adequado para prescrição de soluções parenterais, em cenários de atendimento onde é normal prescrever estes itens. Em outras cenários, uma prescrição separada de soluções parenterais poderá ser mais apropriada.\r\n\r\nSLOTs contendo arquétipos do tipo CLUSTER foram utilizados ​​para representar parte do conteúdo por três razões:\r\n-\tPara garantir que um arquétipo básico possa ser utilizado em todos os casos de uso descritos acima, oferecendo flexibilidade onde for necessário, por exemplo, o SLOT de \"Detalhes da preparação\", permite que detalhes adicionais estruturados da preparação possam ser adicionados. Existe um arquétipo sugerido para medicamentos. É possível que outros arquétipos do tipo CLUSTER sejam necessários no futuro, para outros fins, como pedidos complexos de nutrição parenteral;\r\n-\tapoiar a reutilização do arquétipo em situações em que o conteúdo foi identificado como sendo utilizado também em outros contextos clínicos, em particular o arquétipo ACTION.medication (para deste arquéitpo) para gravação de distribuição real, administração, etc. e\r\n-\tremover o conteúdo de menor utilização do núcleo do arquétipo. \r\n\r\nVárias prescrições podem ser representadas como atividades separadas nesta instância de arquétipo, para, por exemplo, representar prescrições de diferentes medicamentos, conectadas entre si, como ocorre na terapia de H. pylori, quando se opta por não prescrever como um único pacote.\r\n\r\nObservar que esses casos de usos acima descritos incluem os casos de uso da Prescrição de Medicamento e Medicamentos do FHIR. Isto é, este arquétipo é uma correspondência para ambos os recursos do FHIR, desde que utilizado no contexto apropriado.",
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"misuse" : "Not to be used to record the activities related to carrying out the order for medication, vaccine, nutritional product or therapeutic item, such as details about actual administration or dispensing. Use the ACTION.medication for this purpose.\r\n\r\nNot to be used to record the ordering of blood products, which involves a fundamentally different clinical process and is likely to require different supporting information Use the INSTRUCTION.transfusion for this purpose.\r\n\r\nNot to be used to record the order for insertion of implants or medical devices such as pacemakers and defibrillators. Use the INSTRUCTION.procedure for this purpose.",
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