ehr Sharable Data - Prescribing Record Validation Rule Code Table Data requirement (Certified Level 1)

Transcription

1 ehr Sharable - Form Entity Name Definition Type (code) Type (description ) Validation Rule Code Table Prescription datetime Datetime when the prescription was made TS Time stamp NA M M 6/12/2010 6/12/2010 6/12/2010 Prescribing institution A unique identifier for the prescribing M M M PMH PMH PMH identifier institution from whom the drug order was made Prescribing institution name Name if the healthcare institution who issued the drug order ST String [Prescribing institution name] should be the corresponding description of [Prescribing institution identifier] in the Provider Index M M M Princess Marageret Hospital, Hospital Authority Princess Marageret Hospital, Hospital Authority Princess Marageret Hospital, Hospital Authority Prescription order number Unique prescription ID assigned by the healthcare institution Prescriber identifier A unique identifier for the healthcare Prescriber's prefix Prefix of the name of the healthcare Prescriber's English Surname in English of the healthcare Surname Prescriber's English Given Given name in English of the healthcare Name Prescriber's Chinese Name Full Name in Chinese of the healthcare. Encoding method : unicode Prescriber's Chinese Name Suffix of the Chinese name of the healthcare Suffix Prescribed drug - name Recognised terminology / classification set for the prescribed drug ST String NA METMH METMH NA M M Healthcare staff NA M M Dr. Dr. English name prefix ST String NA M M CHAN CHAN ST String NA M M Tai Man Tai Man ST String NA M M 陳 大 文 陳 大 文 If ehr value = HKCTT, allowable nature is "Pharmaceutical product"; if ehr value = SNMED CT, allowable hierarchy is "Pharmaceutical / biologic product" Healthcare staff Chinese name suffix Recognised terminology name - pharmaceutical product NA M M 醫 生 醫 生 NA NA M HKCTT Prescrbed drug identifier - Unique identifier of the prescribed drug in the [Prescribed drug identifier - ] should be included in the selected recognised terminology of the "Recognised terminology name - pharmaceutical product" code table. NA NA M Prescrbed drug description - Description of the prescribed drug in [Prescribed drug description - recognised terminology] should be the corresponding description of [Prescribed drug identifier - recognised terminology] in the selected NA NA M Panadol (paracetamol) oral tablet 500 mg

2 ehr Sharable - Form Entity Name Definition Type (code) Type (description ) Validation Rule Code Table Prescribed drug code - local terminology Local code of the prescribed drug developed by the healthcare provider Prescribed drug description - Local description of the prescribed drug local terminology developed by the healthcare provider Dose Instruction The entire combined dose instruction information of an ordered drug; the syntax should contain the following information of the prescription order: - route of administration - dose - frequency - duration of treatment, or treatment start and end date ST String NA PARA01 PARA01 ST String NA M M PARATAM L TABLET 500MG ST String NA M M (1) 1-2 tablet(s) when required (2) 1 capsule(s) daily (3) 5 ml once a day in the morning for 1 week (4) 500 mg QID 4/52 (5) 2 drop(s) orally twice a day for 2 weeks PARATAML TABLET 500MG (1) 1-2 tablet(s) when required (2) 1 capsule(s) daily (3) 5 ml once a day in the morning for 1 week (4) 500 mg QID 4/52 (5) 2 drop(s) orally twice a day for 2 weeks Special Instruction Additional information relating to the use of the prescribed drug ST String NA omit if vomitting or diarrhoea omit if vomitting or diarrhoea Prescription report (PDF) Prescription report in Portable Document Format (PDF) ED Encapsulated data Mandatory if : - [Prescribed drug - recognised terminology name] and [Prescribed drug description - local terminology] is blank, AND - [Prescription report (Text)] is blank

3 ehr Sharable - Form Entity Name Definition Type (code) Type (description ) Validation Rule Code Table Prescription report (Text) Prescription report in text format TX Text Mandatory if : - [Prescribed drug - recognised terminology name] and [Prescribed drug description - local terminology] is blank, AND - [Prescription report (PDF)] is blank

4 Healthcare staff Chinese Name Suffix Purpose : title to address the healthcare staff in Chinese Reference : GCI ehr Sharable - Codex: Chinese Name Suffix Term ID ehr Value 教 授 醫 生 醫 師 ehr Description 教 授 醫 生 醫 師

5 Healthcare Staff English Name Prefix Purpose : Title to address the healthcare staff in English Reference : GCI Term ID ehr Value ehr Description Prof Professor Dr Doctor ehr Sharable - Codex: English name prefix

6 ehr Sharable - Codex: Recognised Terminology Name - Pharmaceutical Product Recognised Terminology Name - Pharmaceutical Product Purpose: to define the names of the for pharmaceutical product Term ID ehr Value ehr Description Allowable Values HKCTT Hong Kong Clinical Terminology Table Nature = Pharmaceutical Products CPP Compendium of Pharmaceutical Products All values SNMED CT Systematized Nomenclature of Medicine - Clinical Terms Hierarchy = Pharmaceutical / biologic product