# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.
# ENTRY Constrained Domain Model: StoppedMedicationActivity
A constrained ENTRY containing a collection of data items required to represent stopped medications. Stopped medications represents a list of medications that were discontinued during this admission. Comprises a required single coded Stopped Medication Activity item, and an association with a current medication activity item which represents the details of the medication being stopped such as the indication for the medication, medicinal product, dose quantity, dose frequency, dosage instructions, course timing, , devices used, review details, amongst others. It may also optionally comprise of any coded representation(s) of the indication for stopping the medication. a textual description of the indication for stopping the medication if it cannot be coded. a coded representation of the reconciliation status of the stopped medication a textual representation of any other additional instructions forming part of the medication activity that cannot be coded. Recommended guidelines to follow for the coding and constraining of relevant SCT expression constraints for stopped medications as per the reconciliation status requirements are listed below: Reconciliation Status Requirement -suspended Record artefact -Ended medication Stopped Medication Activity focus concept constraint -( 432102000 | administration of substance | ) OR ( 433590000 | administration of substance via specific route | ) Context Value Attribute constraint -385655000 | Suspended | 2. Reconciliation Status Requirement -stopped (completed/discontinued) Record artefact -Ended medication Stopped Medication Activity focus concept constraint -( 432102000 | administration of substance | ) OR ( 433590000 | administration of substance via specific route | ) Context Value Attribute constraint -(385658003 | Done |) OR(410546004 | Discontinued |) ## Specializes ## ProductOrSubstanceRelatedActivity ## Attributes
Name | Data type | Occurs | Description | Value constraints
--- | --- | --- | --- | ---
name | SC | 1..1 | The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR node corresponds, as labelled in the EHR system in which it was first committed. |
value
Literal value(s): ENTRY
rc_id | II | 1..1 | The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently included in another EHR_EXTRACT. |
synthesised | BL | 1..1 | This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted. |
value
Default value: false
uncertainty_expressed | BL | 1..1 | This attribute is set to TRUE to advise the EHR Recipient that this ENTRY contains data that indicates some degree of uncertainty, and that care should be taken when using these data within automated processes and systems. |
nullFlavor
Literal value(s): NA
## Contained ELEMENTs ## Graphical Representation
Subject ELEMENT class | Related object classes
--- | ---
Name | ELEMENT Class | Occurs | Description | Relationship | Occurs | Class | Dependency
items | StoppedMedicationActivity | 1 |  | HasRecordRole | 0..* | StoppedMedicationReconciliationStatus | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
HasTemporalContext | 0..* | StoppedMedicationActivity | INDEPENDENT
IsComponentActionOf | 0..* | StoppedMedicationActivity TreatmentActivity | INDEPENDENT
HasPredecessor | 1..* | CurrentMedicationActivity | INDEPENDENT
HasIndication | 0..* | ReasonForStoppingMedicationText ProcedureActivity FindingObservation PropertyObservation AllergiesOrAdverseReactionEvent StoppedMedicationActivity InvestigationActivity Diagnosis CareIssues TreatmentActivity | INDEPENDENT
items | ProcedureActivity | 0 .. * |  | IsComplicatedBy | 0..* | ProcedureActivity FindingObservation | INDEPENDENT
HasIndication | 0..* | Diagnosis FindingObservation CareIssues | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
Complicates | 0..* | Diagnosis | INDEPENDENT
items | CareIssues | 0 .. * |  | IsClinicalContextOf | 0..* | AdmissionEvent | INDEPENDENT
HasRecordRole | 0..* | ProblemsAndComplaintsTag | INDEPENDENT
HasClinicalContext | 0..* | ProcedureActivity Diagnosis FindingObservation | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity | INDEPENDENT
IsMotivationOf | 0..* | ProcedureActivity AdmissionEvent | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | ReasonForStoppingMedicationText | 0 .. * |  |  |  |  |
items | InvestigationActivity | 0 .. * |  |  |  |  |
items | PropertyObservation | 0 .. * |  | IsIndicationOf |  | CurrentMedicationActivity StoppedMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | CurrentMedicationActivity | 1 .. * |  | HasTemporalContext | 0..* | MedicationFutureCourseTiming MedicationCourseTiming | INDEPENDENT
HasRecordRole | 0..* | CurrentMedicationReconciliationStatus | INDEPENDENT
HasTemporalContext | 0..* | CurrentMedicationActivity | INDEPENDENT
HasParameterSetting | 0..* | DoseQuantity | INDEPENDENT
AssertsTiming | 0..* | EventDoseFrequency MeasuredDoseFrequency MedicationReviewText | INDEPENDENT
Consumes | 1..* | MedicinalProductOrSubstance | INDEPENDENT
HasAnnotation | 0..* | DosageInstructions | INDEPENDENT
UsesDevice | 0..* | MedicinalDevice ComplianceDevice | INDEPENDENT
IsProspectOf | 1..* | MedicationRecommendationActivity | INDEPENDENT
IsPrecedentOf | 1..* | StoppedMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | DosageInstructions AdditionalInstructions | INDEPENDENT
HasIndication | 0..* | AllergiesOrAdverseReactionEvent TreatmentActivity InvestigationActivity FindingObservation CurrentMedicationActivity ReasonForMedicationText PropertyObservation ProcedureActivity CareIssues Diagnosis | INDEPENDENT
IsComponentActionOf | 0..* | CurrentMedicationActivity TreatmentActivity | INDEPENDENT
HasComponentAction | 0..* | MedicationReviewActivity | INDEPENDENT
items | Diagnosis | 0 .. * |  | IsComplicatedBy | 0..* | Diagnosis ProcedureActivity | INDEPENDENT
IsClinicalContextOf | 0..* | CareIssues | INDEPENDENT
IsIndicationOf | 0..* | CurrentMedicationActivity StoppedMedicationActivity | INDEPENDENT
HasRecordRole | 0..1 | DiagnosisStatus | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | Text | 0 .. * |  |  |  |  |
items | StoppedMedicationReconciliationStatus | 0 .. 1 |  |  |  |  |
items | TreatmentActivity | 0 .. * |  |  |  |  |
items | AllergiesOrAdverseReactionEvent | 0 .. * |  | IsMotivationOf | 0..* | AdmissionEvent | INDEPENDENT
IsIndicationOf | 0..* | CurrentMedicationActivity StoppedMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
IsInterpretationOf | 0..* | AllergiesOrAdverseReactionPropensity | INDEPENDENT
items | FindingObservation | 0 .. * |  | IsClinicalContextOf | 0..* | CareIssues | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity ProcedureActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
## Content of COMPOSITION Models ### DischargeSummary ## Reference Model Type ## ENTRY