AU Base Implementation Guide
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This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

CodeSystem: Medicine Item Change

Official URL: http://terminology.hl7.org.au/CodeSystem/medicine-item-change Version: 4.2.2-ballot
Standards status: Trial-use Maturity Level: 1 Computable Name: MedicineItemChange
Other Identifiers: OID:2.16.840.1.113883.2.3.4.1.4.6

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

The Medicine Item Change code system defines concepts that identify a change that has been made, or is recommended to be made, to a medicine item.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem medicine-item-change

This case-sensitive code system http://terminology.hl7.org.au/CodeSystem/medicine-item-change defines the following codes in a Is-A hierarchy:

LvlCodeDisplayDefinition
1 nochange Unchanged No change has been made to this medicine.
1 changed Change occurred A change has been made to this medicine; for example, new medicine prescribed or dosage change.
2   new New A new medicine item is introduced.
3     prescribed New prescription A new medicine item has been prescribed.
2   ceased Ceased A medicine that was previously taken by the individual may actually be ceased as it required immediate attention. This cessation is anticipated to be permanent. Example uses: the medicine in question is considered ineffective or has caused serious adverse effects.
2   suspended Suspended A medicine that was previously taken by the individual may be temporarily stopped. Example uses: medication in question may reach toxicity blood level, or suspected to have caused some undesirable effects; or needs to be suspended before a surgical/diagnostic procedure.
2   cancelled Cancelled The prescription for this medicine item was cancelled. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patients clinical condition.
2   amended Amended The current medicine item has been changed in some way, e.g. dose, form, route, frequency change.
1 recommended Change was recommended A change has been recommended to this medicine but may not have occurred yet, e.g. medicine recommended to be stopped.
2   new-recommended New recommended medicine A new medicine item is recommended.
3     prescription-recommended Prescription recommended It may be recommended that the usual GP prescribe a new medicine to be taken by the individual. The addition may not be urgent or there may be an arrangement that all medicine changes are to be enacted by the GP as the coordinator of the individual‘s overall care.
2   review-recommended Review recommended It may be recommended to the usual GP that a medicine that was previously taken by the individual be reviewed. The outcome of the review may be that the medicine is amended or stopped.
2   cessation-recommended Cessation recommended It may be recommended to the usual GP that a medicine that was previously taken by the individual be ceased.
2   suspension-recommended Suspension recommended It may be recommended to the usual GP that a medicine item that was previously taken by the individual be temporarily stopped. Example uses: medication in question may reach toxicity blood level, or suspected to have caused some undesirable effects; or needs to be suspended before a surgical/diagnostic procedure.
2   cancellation-recommended Cancellation recommended The prescription for this medicine item is recommended to be cancelled. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patients clinical condition.