CONTEXT: For the use case medication administration I created a template which includes the archetype ACTION.medication.v1. This archetype includes an instruction state machine with a long list of states. Based on the requirements’ analysis (problem domain) we mapped the given states to available a…

Hi Lukas, THere are 2 different (though linked), concepts that are stored in the CDR current_state → generic states like active / suspended/complete etc careflow_step → specific steps defined in the archetype as atCoded values e.g. ‘Dose administered’ but which are associated with a generic state…

Thanks for pointing me to this thread, Silje. I understand your concern in this thread, and thanks to both of you, Silje and Ian, I am now able to provide better documentation for the implementers on how to instantiate the states and set guards for the transitions using the states in the ACTION.medi…

Haha. I absolutely recognuse that tip-over point where we seem to have abandoned the safe zone of digital and entered the more esoteric world of philosophy. At least you have somecfirmal education in that world!

This made me think about a very related topic. Is there a preferred way to store the evolution of the ACTION state machine in the Compositions? I mean, there are two options: To store a new version of the composition, so that the latest version always keeps the current ACTION state. To store a new…

[image] damoca: there are two options: To store a new version of the composition, so that the latest version always keeps the current ACTION state. To store a new and independent composition for each change of the sate (which probably includes changes in the context of the event). I think t…

Thanks Silje, In our experience, there are good cases for both and I think you have delineated them pretty well as against the need to understand state vs recording events. I think Better have increasingly moved to option 2, even for ‘stateful’ cases, as they have some AQL extensions that allow 'c…

@damoca : Context: For the use case medication administration I have finished the use case specification, which requires an active medication order, such that these medication administrations are linked to the respective medication order in the clinical data repository. The use case explicitly excl…

Context: I am currently trying to update medication administrations using the ism_transition.careflow_step, but I am failing - miserably. For this purpose I am using the RESTful API endpoint specified by openehr: {{openEhrApiUrl}}/ehr/3acc6b2f-de35-452a-a78a-5336cda5456b/composition where {{openE…

It might need the defining_code, being a DV_CODED_TEXT? Mine (in DIPS’ json translation of their XML storage format) typically look like this: "ism_transition": { "current_state": { "value": "active", "defining_code": { "terminology_id": { "value": "openehr" }, …

Thank you, Silje! It worked like a charm!

Medication management transition among active states

Clinical Ask IEB

siljelb (Silje Ljosland Bakke) 7 August 2024 10:44 3

It looks like Ian answered the actual question, but could I ask you to have a look at this post too, @Lucas ? Medication ACTION archetype - time to reassess - Clinical - openEHR

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Drug dispense entry class question Technical (archive)	14	12	13 August 2018
Instruction State Machine RM rm , ism	9	1638	10 April 2020
Medication ACTION archetype - time to reassess Clinical	3	154	7 August 2024
Medication management archetype: Transition from Administrations suspended to Medication start date/condition set Clinical archetype	15	662	14 September 2023
Implementation of Instructions vs Actions in exchange Apps	14	1223	19 February 2020
ISM: initial states for instructions / when do we need actions? Clinical (archive)	10	16	26 July 2016
AQL querying on ISM and Careflow Steps AQL	4	578	21 June 2025
ISM Transition : definition of allowed transitions Technical (archive)	4	6	5 March 2015
[Modelling Medication Administration Control] Technical (archive)	9	11	14 May 2006
Designing the Clinical Data Model for Medication list Clinical	17	268	15 October 2024

Medication management transition among active states

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