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ref Template  Dispense Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.42
ref
ch-pharm-
Effective Date 2016‑06‑17
Status pending Under pre-publication review Version Label 2017
Name DispenseItemEntryContentModule Display Name Dispense Item Entry Content Module
Description
A Dispense Item belongs to one Dispensation and represents one dispensed medication. It contains the dispensed medicinal product including information such as product code, brand name and packaging information.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.42
Classification CDA Entry Level Template
Open/Closed Closed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 4 templates, Uses 10 templates
Used by as Name Version
2.16.756.5.30.1.1.10.3.11 Containment pending Dispense Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.5 link pending Medication Dispense document (2017) 2016‑05‑21
2.16.756.5.30.1.1.10.3.44 Containment pending Medication List Section Content Module (2017) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link pending Medication List document (2017) 2018‑01‑22 15:17:26
Uses as Name Version
2.16.756.5.30.1.1.10.4.33 Include pending Manufactured Material Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.45 Containment pending MTP Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.47 Containment pending PRE Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.53 Containment pending PADV Reference Entry Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment active IHE Patient Medication Instructions (2014) DYNAMIC
2.16.756.5.30.1.1.10.4.35 Include pending Dosage Instructions Start/Stop, Frequency, Dose (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.36 Include pending Dosage Instructions Dosage Change (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.9.2 Containment pending IHE Substitution Act Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.37 Containment pending Dosage Intake Mode Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment pending Annotation Comments (2016) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.4 (DYNAMIC)
Example
Example
<supply classCode="SPLY" moodCode="EVN">
  <!-- CH-PHARM-DispenseItemEntryContentModule -->
  <templateId root="2.16.756.5.30.1.1.10.4.42"/>  <!-- IHE PARM DIS 6.3.4.5.1 -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/>  <templateId root="2.16.840.1.113883.10.20.1.34"/>  <!-- ID of dis item, IHE PARM DIS 6.3.4.5.3.3 -->
  <id root="488BD23A-20C6-11E6-B67B-9E71128CAE77"/>  <text>
    <reference value="#dis.1"/>  </text>
  <quantity unit="1" value="1"/>  <product>
    <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">
        <!-- CH-PHARM Manufactured Material Content Module -->
        <templateId root="2.16.756.5.30.1.1.10.4.33"/>        <!-- Medicine Entry Module -->
        <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>        <code code="C09AA05" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="ramipril">
          <originalText>
            <reference value="#mtp.1.ingredient"/>          </originalText>
        </code>
        <name>TRIATEC Tabl 2.5 mg</name>        <pharm:formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>        <pharm:asContent classCode="CONT">
          <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
            <!-- National medicinal product code (package-level) -->
            <pharm:code code="7680538751228" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="TRIATEC Tabl 2.5 mg 100 Stk"/>            <!-- Brand name (package) -->
            <pharm:name>TRIATEC Tabl 2.5 mg</pharm:name>            <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/>            <pharm:capacityQuantity value="20"/>          </pharm:containerPackagedMedicine>
        </pharm:asContent>
        <pharm:ingredient classCode="ACTI">
          <pharm:quantity>
            <pharm:numerator unit="mg" value="2.5" xsi:type="pharm:PQ"/>            <pharm:denominator unit="1" value="1" xsi:type="pharm:PQ"/>          </pharm:quantity>
          <pharm:ingredient classCode="MMAT" determinerCode="KIND">
            <pharm:code code="C09AA05" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="ramipril"/>            <pharm:name>ramipril</pharm:name>          </pharm:ingredient>
        </pharm:ingredient>
      </manufacturedMaterial>
    </manufacturedProduct>
  </product>
  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.10"/>      <templateId root="2.16.756.5.30.1.1.10.4.45"/>      <id root="C9F758A1-296C-4710-84D4-E181DB8C7478"/>      <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="C9F758A1-296C-4710-84D4-E181DB8C7478"/>        </externalDocument>
      </reference>
    </substanceAdministration>
  </entryRelationship>
</supply>
Item DT Card Conf Description Label
hl7:supply
(Disdotsule)
hl7:templateId
II 1 … 1 M CH‑Pdotsdule
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.42
hl7:templateId
II 1 … 1 M Dispense Item Entry TemplateID 6.3.4.5.3.2
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.4
hl7:templateId
II 1 … 1 M 6.3.4.5.3.2
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7.3
hl7:templateId
II 1 … 1 M 6.3.4.5.3.2
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.34
hl7:id
II 1 … 1 M Dispense Item ID 6.3.dots.3.3
hl7:code
CD 0 … 1 Code 6.3.dots.3.4
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.7 DispenseSupplyType (DYNAMIC)
hl7:text
1 … 1 M Narrative Text 6.3.dots.3.5
hl7:reference
1 … 1 M 6.3.dots.3.5
hl7:quantity
1 … 1 M Quantity Value 6.3.dots.3.7
hl7:product
1 … 1 M Product 6.3.dots.3.8
hl7:manufacturedProduct
1 … 1 M 6.3.dots.3.8
hl7:templateId
II 1 … 1 M 6.3.dots.3.1
treeblank treeblank treeblank where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7.2
hl7:templateId
II 1 … 1 M 6.3.dots.3.1
treeblank treeblank treeblank where [@root='2.16.840.1.113883.10.20.1.53']
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.53
Included 1 … 1 M from 2.16.756.5.30.1.1.10.4.33 Manufactured Material Entry Content Module (DYNAMIC)
hl7:manufacturedMaterial
1 … 1 M 6.3.dots.3.8
@classCode
cs 0 … 1 F MMAT
@determinerCode
cs 0 … 1 F KIND
hl7:templateId
II 1 … 1 M CH-PHARM Manufactured Material Content Module 6.3.dots.3.8
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.33
hl7:templateId
II 1 … 1 M 6.3.dots.3.8
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.1
hl7:code
CE 1 … 1 R ATC Code of the medicine, if it as magistral preparation/compound medicin nullFlavor SHALL be NA 6.3.dots.3.8
@codeSystem
oid 0 … 1 F 2.16.840.1.113883.6.73
hl7:originalText
ED 0 … 1 6.3.dots.3.8
hl7:reference
TEL 1 … 1 R 6.3.dots.3.8
@nullFlavor
cs 0 … 1 F NA
hl7:name
EN 1 … 1 R The element SHALL contain the name of the medication. IHE PHARM PRE 6.3.4.1.3.4
@nullFlavor
cs 0 … 1 F NA
pharm:formCode
CE 0 … 1 This code represents the pharmaceutical dose form (e.g., tablet, capsule, liquid) and SHOULD be present, if not implied by the product. 6.3.dots.3.8
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.3 Pharmaceutical Dose Form (EDQM) (DYNAMIC)
hl7:lotNumberText
ST 0 … 1 IHE PHARM PRE 6.3.4.1.3.6
pharm:expirationTime
TS 0 … 1 IHE PHARM PRE 6.3.4.1.3.7
@value
1 … 1 R
pharm:asContent
0 … * IHE PHARM PRE 6.3.4.1.3.8
@classCode
cs 1 … 1 F CONT
pharm:containerPackagedMedicine
1 … 1 M packaging of the medication IHE PHARM PRE 6.3.4.1.3.8
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
pharm:code
0 … 1 In case the medicine describes a product, the GTIN code of the medication package SHOULD be specified. IHE PHARM PRE 6.3.4.1.3.8
pharm:name
0 … 1 In case the package describes a product, and the package has a brand name, it SHOULD be described. IHE PHARM PRE 6.3.4.1.3.8
pharm:formCode
0 … 1 IHE PHARM PRE 6.3.4.1.3.8
pharm:capacityQuantity
PQ 1 … 1 R The element SHALL be present and describes the capacity of the packaging. IHE PHARM PRE 6.3.4.1.3.8
@unit
cs 0 … 1  
@value
1 … 1 R
pharm:ingredient
0 … * One or more active ingredients SHOULD be represented with this structure. 6.3.dots.3.8
@classCode
cs 1 … 1 F ACTI
pharm:quantity
0 … 1 The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication 6.3.dots.3.8
pharm:numerator
0 … 1 6.3.dots.3.8
pharm:denominator
0 … 1 6.3.dots.3.8
pharm:ingredient
0 … * 6.3.dots.3.8
@classCode
cs 1 … 1 F MMAT
@determinerCode
cs 1 … 1 F KIND
pharm:code
0 … 1 6.3.dots.3.8
pharm:name
1 … 1 R 6.3.dots.3.8
hl7:author
0 … 1 Dispenser 6.3.dots3.10
hl7:author
0 … 1 Community Dispense document author 6.3.dots3.11
hl7:entryRelationship
0 … 1 If the dispense is related to a Medication Treatment Plan Item, the reference to it SHALL be present.
Contains 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC)
6.3.dots3.12
treeblank where [@typeCode='REFR' and hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.45']]]
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 The reference to the Prescription Item this dispense is related to SHALL be present
Contains 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC)
6.3.dots3.13
treeblank where [@typeCode='REFR' and hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.47']]]
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 Reference to Pharmaceutical Advice Item
Contains 2.16.756.5.30.1.1.10.4.53 PADV Reference Entry Content Module (DYNAMIC)
6.3.dots3.14
treeblank where [@typeCode='REFR' and hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.53']]]
@typeCode
1 … 1 F REFR
hl7:entryRelationship
0 … 1 Patient Medication Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC)
6.3.dots3.15
treeblank where [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 Fulfillment Notes 6.3.dots3.16
treeblank where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3.1']]]
@typeCode
1 … 1 F SUBJ
@inversionInd
1 … 1 F true
hl7:act
6.3.dots3.16
hl7:templateId
II 1 … 1 M 6.3.dots3.16
@root
1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.3.1
hl7:entryRelationship
0 … 1 Dosage Instructions 6.3.dots3.17
treeblank where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.6']]]
@typeCode
1 … 1 F COMP
hl7:substanceAdministration
6.3.dots3.17
@moodCode
1 … 1 F INT
hl7:templateId
II 1 … 1 M 6.3.dots3.17
@root
1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.6
Choice 1 … 
Medication Treatment Plan Item Entry Additional Template ID
Elements to choose from:
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
  • 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. 6.3.dots.3.3
treeblank treeblank treeblank treeblank where [@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 tapered dose information in subordinate. 6.3.dots.3.3
treeblank treeblank treeblank treeblank where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.8
hl7:templateId
II 0 … 1 A substanceAdministration act that records split dose information in subordinate substanceAdministration acts. 6.3.dots.3.3
treeblank treeblank treeblank treeblank where [@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
Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions Start/Stop, Frequency, Dose (DYNAMIC)
hl7:effectiveTime
IVL_TS 0 … 1 Dosage Instructions PCC 6.3.4.16.10 - Start and Stop 6.3.dots.3.8
treeblank treeblank treeblank where [@xsi:type='IVL_TS']
hl7:low
TS 0 … 1 Start of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
hl7:high
TS 0 … 1 End of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
hl7:effectiveTime
EIVL_TS 0 … 1 Dosage Instructions PCC 6.3.4.16.12 - Frequency: 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). 6.3.dots.3.8
treeblank treeblank treeblank where [@operator='A' and @xsi:type='EIVL_TS']
@operator
cs 1 … 1 F A
hl7:event
CS 1 … 1 M 6.3.dots.3.8
@code
cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:effectiveTime
SXPR_TS 0 … 1 Dosage Instructions PCC 6.3.4.16.12 - Frequency: Multiple events within a day with the same dosage 6.3.dots.3.8
treeblank treeblank treeblank where [@operator='A' and @xsi:type='SXPR_TS']
@operator
cs 1 … 1 F A
@xsi:type
cs 1 … 1 F SXPR_TS
hl7:comp
1 … * M 6.3.dots.3.8
treeblank treeblank treeblank treeblank where [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M 6.3.dots.3.8
@code
cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:comp
1 … * M 6.3.dots.3.8
treeblank treeblank treeblank treeblank where [@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 6.3.dots.3.8
@code
cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:routeCode
CD (required) 0 … 1 6.3.dots3.17
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.2 RouteOfAdministration (EDQM) (DYNAMIC)
hl7:approachSiteCode
CD 0 … * 6.3.dots3.17
hl7:doseQuantity
IVL_PQ 0 … 1 6.3.dots3.17
hl7:rateQuantity
IVL_PQ 0 … 1 6.3.dots3.17
hl7:consumable
1 … 1 R 6.3.dots3.17
hl7:manufacturedProduct
1 … 1 R 6.3.dots3.17
hl7:manufacturedMaterial
1 … 1 R 6.3.dots3.17
@nullFlavor
1 … 1 F NA
Included from 2.16.756.5.30.1.1.10.4.36 Dosage Instructions Dosage Change (DYNAMIC)
hl7:entryRelationship
0 … * Dosage Instructions PCC 6.3.4.16.12 - Dosage change IHE PCC 6.3.4.16.20
treeblank treeblank treeblank where [@typeCode='COMP' and hl7:substanceAdministration and (../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.10'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.11']) and not(hl7:substanceAdministration/hl7:templateId)]
@typeCode
cs 1 … 1 F COMP
hl7:sequenceNumber
INT 1 … 1 M IHE PCC 6.3.4.16.20
hl7:substanceAdministration
0 … 1 R IHE PCC 6.3.4.16.20
hl7:effectiveTime
EIVL_TS 0 … 1 timing purpose IHE PCC 6.3.4.16.20
treeblank treeblank treeblank treeblank treeblank where [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M IHE PCC 6.3.4.16.20
@code
cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:doseQuantity
0 … 1 IHE PCC 6.3.4.16.20
hl7:rateQuantity
0 … 1 IHE PCC 6.3.4.16.20
hl7:consumable
0 … 1 IHE PCC 6.3.4.16.20
hl7:manufacturedProduct
1 … 1 R IHE PCC 6.3.4.16.20
hl7:manufacturedMaterial
1 … 1 R IHE PCC 6.3.4.16.20
@nullFlavor
cs 1 … 1 F NA
hl7:reference
0 … * ID of parent container (Community Dispense document) 6.3.dots3.18
@typeCode
1 … 1 F XCRPT
hl7:externalDocument
1 … 1 R 6.3.dots3.18
hl7:id
1 … * M 6.3.dots3.18
hl7:entryRelationship
0 … * Substitution act
Contains 1.3.6.1.4.1.19376.1.9.1.3.9.2 IHE Substitution Act Content Module (DYNAMIC)
6.3.dots3.19
treeblank where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.9.1']]]
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.37 Dosage Intake Mode Entry Content Module (DYNAMIC) (Disdotsule)
treeblank where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.37']]]
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … 1 Comment
Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)
EMED
treeblank where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
@typeCode
cs 1 … 1 F COMP