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By means of the list CD-MS-ADAPTATION it can be indicated in a simple manner where in the kmehr message modifications have been made by the end user.

Permitted values for this list are:

• nochanges
• medication
• posology
• treatmentsuspension

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If changes have taken place to several parts of the kmehr message, it is possible to enter several codesmultiple values. However if the value ‘nochanges’ is used, only this value is permitted and no other codes may be added..

CD-MS-ORIGIN

With the help of the list CD-MS-ORIGIN it can be indicated via which path the medication is included in the medication scheme. Has this occurred by means of the ‘normal’ path by which the medicine is prescribed by the doctor and is delivered by the pharmacist (or in the case of OTC medication, is only delivered by the pharmacist)? This path will be indicated with the code ‘regularprocess’.

The other manner is that the patient or a care player indicates that he ingests certain medication. This medication can already be present at the patient's home; they have been obtained via friends or family or possibly purchased via the Internet or abroad. This medication can then still be included in the medication scheme and be indicated with the code ‘recorded’.

Permitted values for this list are:

• regularprocess
• recorded

CD-ITEM-MS

<item>
	<id SV="1.0" S="ID-KMEHR">2</id>
	<cd SV="1.3" S="CD-ITEM">healthcareelement</cd>
	<content>
		<cd SV="1.0" S="CD-ITEM-MS">adaptationflag</cd>
		<cd SV="1.0" S="CD-MS-ADAPTATION">medication</cd>
		<cd SV="1.0" S="CD-MS-ADAPTATION">posology</cd>
	</content>
</item>

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