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BasicElements

All CBB's implicitly contain a number of basic elements. These are usually not included in the information models of the individual building blocks, but are supposed to be present. These are concepts that are of a more technical nature, often have little or no clinical relevance, but are necessary for the sake of clarity and readability of the information. In those cases where these elements are of clinical significance, they will usually be explicit in the information models. An example of this is an AGB number as an identification number for a health professional.

MedicationAgreement

A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.

MedicationUse

MedicationUse is a statement on the historic, current or intended use of a certain medicine.

MedicationAdministration

Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements.

AdministrationAgreement

An administration agreement is the use (or administering) instructions from the pharmacist to the patient (or their representative or administrator), whereby a medication agreement is structured at a concrete level.

Dispense

A dispense is the delivery of an amount of medicine to the patient, their administrator or their representative.

DispenseRequest

The dispense request is the request of a prescriber to the pharmacist to dispense medication(s) to the patient to support current medication agreements. The prescriber asks them to dispense a certain amount of medicine or to dispense medicine(s) for a period of use.

Respiration

During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.

Alert

An alert describes a clinical or administrative fact brought to the attention of the users of the clinical systems to be taken into account when shaping diagnostic and therapeutic policy or in dealing with the patient, usually because of a safety risk.  Disorders that describe the body’s sensitivity to a substance which results in a specific physiological reaction after being exposed to that substance are referred to as allergies. These are described in a separate information model. 

GeneralMeasurement

A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model is not intended for laboratory determinations to be carried out on the material taken from the patient.

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