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draft Template  Prescription Item Entry Content Module

Id 2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1 Gültigkeit gültig ab 2016‑06‑25
Status draft Draft Versions-Label
Name CH-EMED-PrescriptionItemEntryContentModule Anzeigename Prescription Item Entry Content Module
Beschreibung A Prescription Item belongs to one prescription and represents one prescribed medication. It may be associated with one or more observations. Prescription Item is the atomic entity for logistics, distribution and billing. It contains the prescribed medicine and dosage information as well as other information to the prescribed item such as patient- and fulfillment instructions and substitution handling.
Kontext Elternknoten des Template-Element mit Id 2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 5 Templates, Benutzt 11 Templates
Benutzt von Template-Id als Name Version
2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.3.1 Containment Prescription Section Content Module 2016‑06‑06
2.16.756.5.30.1.1.1.1.3.10.2 link eRezept V1 2016‑05‑21
2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.4.1 Containment Pharmaceutical Advice Item Entry Content Module 2016‑06‑25
2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.3.1 link Pharmaceutical Advice Section Content Module 2016‑06‑06
2.16.756.5.30.1.1.1.1.3.10.4 link eMedicationComment V1 2016‑05‑21
Benutzt Template-Id als Name Version
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.1 Inklusion CH-EMED-DosageInstructionsEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.2 Containment CH-EMED-ManufacturedMaterialEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.6 Containment CH-EMED-MTPReferenceEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1 Containment CH-EMED-MedicationTreatmentPlanEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.4 Containment CH-EMED-TreatmentReasonEntryContentModule DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment epsosPatientMedicationInstructions DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.3 Containment CH-EMED-PrescribedQuantityEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10 Containment CH-EMED-DosageInstructionsNonStructuredEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11 Containment CH-EMED-DosageIntakeModeEntryContentModule DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.2 Containment CH-EMED-SubstitutionPermissionEntryContentModule DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment CDACH-RemarksEntry DYNAMIC
Beziehung Specialization: Template 1.3.6.1.4.1.19376.1.5.3.1.4.7 (2005‑09‑07)
Specialization: Template 1.3.6.1.4.1.19376.1.9.1.3.2 (2016‑01‑08 13:04:49)
Beispiel
Beispiel
<substanceAdministration classCode="SBADM" moodCode="INT">
  <!-- IHE PHARM PRE -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.2" assigningAuthorityName="IHE PHARM"/>
  <!-- CCD -->
  <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="HL7 CCD"/>
  <!-- PCC Medication Entry Content Module -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7" assigningAuthorityName="IHE PCC"/>
  <!-- CH-EMED Prescription Item Entry Content Module- -->
  <templateId root="2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1"/>
  <!-- A normal substanceAdministration act that may not contain any
subordinate substanceAdministration acts. -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>
  <!-- ID of pre item, PCC TF2 6.3.4.16.6 -->
  <id root="2.16.756.5.30.1.1.1.1" extension="6c968b1a-21ee-11e6-b67b-9e71128cae77"/>
  <text>
    <reference value="#pre.1"/>
  </text>  <statusCode code="completed"/>
  <effectiveTime xsi:type="IVL_TS">
    <low value="20120204"/>
  </effectiveTime>  <effectiveTime xsi:type="SXPR_TS" operator="A">
    <comp xsi:type="EIVL_TS">
      <event code="ACM"/>
    </comp>    <comp xsi:type="EIVL_TS" operator="I">
      <event code="ACV"/>
    </comp>  </effectiveTime>  <!-- 3 Monate -> 90 Tage * 1 Tablette / 30 Tablette -> 3 Packungen,
repeatNumber=2 -->
  <repeatNumber value="2"/>
  <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/>
  <doseQuantity>
    <center value="0.5"/>
  </doseQuantity>  <consumable>
    <manufacturedProduct classCode="MANU">
      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2"/>
      <templateId root="2.16.840.1.113883.10.20.1.53"/>
      <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
        <!-- CDACH-EMED Manufactured Material Content Module -->
        <templateId root="2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.2"/>
        <!-- Medicine Entry Module -->
        <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>
        <code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine">
          <originalText>
            <reference value="#pre.1.ingredient"/>
          </originalText>        </code>        <name>NORVASC Tabl 10 mg</name>        <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/>
        <pharm:asContent classCode="CONT">
          <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
            <!-- National medicinal product code (package-level) -->
            <pharm:code code="7680500440334" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="NORVASC Tabl 10 mg"/>
            <!-- Brand name (package) -->
            <pharm:name>NORVASC Tabl 10 mg</pharm:name>            <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/>
            <pharm:capacityQuantity value="30"/>
          </pharm:containerPackagedMedicine>        </pharm:asContent>        <pharm:ingredient classCode="ACTI">
          <pharm:quantity>
            <pharm:numerator unit="mg" value="10" xsi:type="pharm:PQ"/>
            <pharm:denominator value="1" xsi:type="pharm:PQ"/>
          </pharm:quantity>          <pharm:ingredient classCode="MMAT" determinerCode="KIND">
            <pharm:code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine"/>
            <pharm:name>amlodipine</pharm:name>          </pharm:ingredient>        </pharm:ingredient>      </manufacturedMaterial>    </manufacturedProduct>  </consumable>  <entryRelationship typeCode="COMP">
    <supply moodCode="RQO" classCode="SPLY">
      <independentInd value="false"/>
      <quantity unit="1" value="1"/>
    </supply>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <substanceAdministration moodCode="INT" classCode="SBADM">
      <templateId root="2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11"/>
      <text>
        <reference value="#mtp.1.dosageintakemode"/>
      </text>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>
        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <id root="2.16.756.5.30.1.1.1.1" extension="068e887c-2270-11e6-b67b-9e71128cae77"/>
      <code code="MTPItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2" displayName="Medication Treatment Plan Item" codeSystemName="IHE Pharmacy Item Type List"/>
      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>
        </manufacturedProduct>      </consumable>      <reference typeCode="XCRPT">
        <externalDocument>
          <id root="2.16.756.5.30.1.1.1.1" extension="074da900-2103-11e6-b67b-9e71128cae77"/>
        </externalDocument>      </reference>    </substanceAdministration>  </entryRelationship></substanceAdministration>
Item DT Kard Konf Beschreibung Label
hl7:substanceAdministration
 (CH-EMED-PrescriptionItemEntryContentModule)
@classCode
 cs 1 … 1 F SBADM
@moodCode
 cs 1 … 1 F INT
hl7:templateId
 II 1 … 1 M IHE PHARM PRE (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='1.3.6.1.4.1.19376.1.9.1.3.2']
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.2
hl7:templateId
 II 1 … 1 M CCD (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='2.16.840.1.113883.10.20.1.24']
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.24
hl7:templateId
 II 1 … 1 M PCC Medication Entry Content Module (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7']
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7
hl7:templateId
 II 1 … 1 M CH-EMED Prescription Item Entry Content Module (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1']
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1
Auswahl 1 …  Elemente in der Auswahl:
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']
hl7:templateId
 II 0 … 1 A normal substanceAdministration act that may not contain any subordinate substanceAdministration acts. (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7.1
hl7:templateId
 II 0 … 1 A substanceAdministration act that records split dose information in subordinate substanceAdministration acts. (CH-EMED-PrescriptionItemEntryContentModule)
wo [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.9
hl7:id
 1 … * M This ID represents the Prescription Item ID and SHALL be present. ID created by the software which created it or @root='2.16.756.5.30.1.1.3.5.1' with a GUID as @extension (CH-EMED-PrescriptionItemEntryContentModule)
hl7:code
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:originalText
 ED 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:text
 1 … 1 M IHE PHARM PRE 6.3.4.2.3.6
hl7:reference
 1 … 1 M This element SHALL be present. The URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication dispensed. IHE PHARM PRE 6.3.4.2.3.6
hl7:statusCode
 1 … 1 M IHE PHARM PRE 6.3.4.2.3.7
@code
 1 … 1 F completed
Eingefügt von 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.1 Dosage Instructions Entry Content Module (DYNAMIC)
hl7:effectiveTime
 IVL_TS 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
wo [@xsi:type='IVL_TS']
  target Ziel der Konzept Id(s):
cdachemed-dataelement-55 Behandlungsdauer Parameter eMedikation
hl7:low
 TS 0 … 1 Start of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". (CH-EMED-PrescriptionItemEntryContentModule)
hl7:high
 TS 0 … 1 End of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". (CH-EMED-PrescriptionItemEntryContentModule)
hl7:effectiveTime
 EIVL_TS 0 … 1 Dosage Option 1. Event based time interval, where the event is not a precise time, but is used for timing purposes (e.g., with meals, between meals, before breakfast, before sleep). (CH-EMED-PrescriptionItemEntryContentModule)
wo [@operator='A' and @xsi:type='EIVL_TS']
@operator
 cs 1 … 1 F A
hl7:event
 CS 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
@code
 cs 1 … 1 R
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:effectiveTime
 SXPR_TS 0 … 1 Dosage Option 2. Multiple events within a day with the same dosage (CH-EMED-PrescriptionItemEntryContentModule)
wo [@operator='A' and @xsi:type='SXPR_TS']
@operator
 cs 1 … 1 F A
@xsi:type
 cs 1 … 1 F SXPR_TS
  target Ziel der Konzept Id(s):
cdachemed-dataelement-50 Dosierung Parameter eMedikation
hl7:comp
 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
wo [@xsi:type='EIVL_TS']
@xsi:type
 cs 1 … 1 F EIVL_TS
hl7:event
 CS 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
@code
 cs 1 … 1 R
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:comp
 1 … * M (CH-EMED-PrescriptionItemEntryContentModule)
wo [@operator='I' and @xsi:type='EIVL_TS']
@operator
 cs 1 … 1 F I
@xsi:type
 cs 1 … 1 F EIVL_TS
hl7:event
 CS 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
@code
 cs 1 … 1 R
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:routeCode
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-52 Verabreichungsweg Parameter eMedikation
hl7:doseQuantity
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:rateQuantity
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:entryRelationship
 0 … * Dosage Option 3. Multiple events within a day with different dosage (CH-EMED-PrescriptionItemEntryContentModule)
wo [@typeCode='COMP' and hl7:substanceAdministration]
@typeCode
 cs 1 … 1 F COMP
hl7:sequenceNumber
 INT 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
hl7:substanceAdministration
 0 … 1 R (CH-EMED-PrescriptionItemEntryContentModule)
hl7:effectiveTime
 EIVL_TS 0 … 1 timing purpose (CH-EMED-PrescriptionItemEntryContentModule)
wo [@xsi:type='EIVL_TS']
@xsi:type
 cs 1 … 1 F EIVL_TS
hl7:event
 CS 1 … 1 M (CH-EMED-PrescriptionItemEntryContentModule)
@code
 cs 1 … 1 R
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:doseQuantity
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:rateQuantity
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:consumable
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
hl7:manufacturedProduct
 0 … 1 R (CH-EMED-PrescriptionItemEntryContentModule)
hl7:manufacturedMaterial
 0 … 1 (CH-EMED-PrescriptionItemEntryContentModule)
@nullFlavor
 cs 1 … 1 F NA
hl7:repeatNumber
 1 … 1 M IHE PHARM PRE 6.3.4.2.3.9
hl7:consumable
 1 … 1 IHE PHARM PRE 6.3.4.2.3.10
hl7:manufacturedProduct
 1 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.2 Manufactured Material Entry Content Module (DYNAMIC) IHE PHARM PRE 6.3.4.2.3.10
hl7:templateId
 II 1 … 1 M IHE PHARM PRE 6.3.4.2.3.10
wo [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']
@root
 uid 0 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7.2
hl7:templateId
 II 1 … 1 M IHE PHARM PRE 6.3.4.2.3.10
wo [@root='2.16.840.1.113883.10.20.1.53']
@root
 uid 0 … 1 F 2.16.840.1.113883.10.20.1.53
hl7:author
 0 … * IHE PHARM PRE 6.3.4.2.3.11
hl7:time
 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11
Auswahl 0 … 1
If the Prescription Item is related to a Medication Treatment Plan Item, the reference to it SHALL be present.
Elemente in der Auswahl:
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.6 MTP Reference Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [@typeCode='REFR']
@typeCode
 cs 1 … 1 F REFR
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1 Medication Treatment Plan Item Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [@typeCode='REFR']
@typeCode
 cs 1 … 1 F REFR
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.4 Treatment Reason Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [hl7:observation]
@typeCode
 cs 1 … 1 F RSON
hl7:entryRelationship
 0 … 1 Beinhaltet 1.3.6.1.4.1.19376.1.5.3.1.4.3 epSOS Patient Medication Instructions (DYNAMIC) IHE PHARM PRE 6.3.4.2.3.14
wo [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3']]]
@typeCode
 cs 1 … 1 F SUBJ
@inversionInd
 bl 1 … 1 F true
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.3 Prescribed Quantity Entry Content Module (DYNAMIC) IHE PHARM PRE 6.3.4.2.3.16
wo [hl7:supply]
@typeCode
 cs 1 … 1 F COMP
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10 Dosage Instructions Non Structured Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10']]]
@typeCode
 cs 1 … 1 F COMP
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11 Dosage Intake Mode Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11']]]
@typeCode
 cs 1 … 1 F COMP
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.2 Substitution Permission Entry Content Module (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [hl7:supply]
@typeCode
 cs 1 … 1 F COMP
hl7:entryRelationship
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.10.4.2 CDA-CH Remarks Entry (DYNAMIC) (CH-EMED-PrescriptionItemEntryContentModule)
wo [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
@typeCode
 cs 1 … 1 F COMP