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International
Realm
Pharmacy
Extensions
Profile
Scope
and
Usage
This
profile
defines
several
core
extensions
for
the
Pharmacy
and
Immunization
domains
More
details
will
be
provided
shortly.
This
profile
needs
to
be
reviewed
by
Pharmacy.
Content
Extensions
:
pharmacy-core-doseType
doseType
:
The
type
of
dose,
e.g.,
initial,
maintenance,
loading.
pharmacy-core-infuseOver
infuseOver
:
For
infused
medications,
the
length
of
time
the
infusion
process,
as
a
duration.
Note
the
difference
between
infuseOver
and
duration
of
treatment
(specified
in
administrationFrequency).
An
order
may
call
for
infusing
a
patient
TID
for
an
hour
each
time
over
a
duration
of
5
days.
pharmacy-core-rateIncrement
rateIncrement
:
Change
in
the
dosing
rate
applied
each
rateIncrementInterval,
e.g.,
20
mL/hour.
The
rate
increment
is
usually
an
increase
for
a
patient
who
is
initiating
tube
feeding.
The
increase
is
continued
until
the
maxDeliveryRate
or
rateGoal
is
reached.
pharmacy-core-rateIncrementInterval
rateIncrementInterval
:
Period
of
time
after
which
the
rate
increment
should
be
attempted,
e.g.,
4
hours.
pharmacy-core-rateGoal
rateGoal
:
The
target
rate
to
reach
for
this
infusion.
Note
that
deliveryRateGoal
is
typically
less
than
the
maximum
delivery
rate
which
is
the
rate
not
to
exceed.
For
enteral
feeding
orders,
a
target
tube
feeding
rate
of
75ml/hour
may
be
specified.
pharmacy-core-minDosePerPeriod
minDosePerPeriod
:
The
minimum
total
quantity
of
a
therapeutic
substance
that
may
be
administered
to
a
subject
over
the
period
of
time.
E.g.,
10
mg
in
24
hours.
pharmacy-core-maxDeliveryRate
maxDeliveryRate
:
The
maximum
rate
of
substance
administration.
For
volume
medications,
the
maximum
rate
is
to
be
expressed
as
a
volume
per
time
period.
This
value
may
be
used
as
a
stopping
condition
when
a
deliveryRateIncrement
is
specified
without
a
count.
pharmacy-core-maxDeliveryVolume
maxDeliveryVolume
:
The
maximum
volume
of
fluid
to
administer
to
a
patient.
pharmacy-core-refillsRemaining
refillsRemaining
:
Number
of
refills
allowed
or
remaining
after
a
dispensing
event.
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