Project Information
CDA-CH-EMED defines the documents for the exchange of medication information in the context of
the EPR (electronic patient record) in Switzerland. The documents
are based on the IHE Pharmacy Technical Framework modelled and specialized in the
Building Block Repository
CH-PHARM. Base for this modelling was the report from
IPAG eMedikation, 7.6.2017 and the work of IPAG/eHealth Suisse.
The following documents have been defined (in parenthesis the amount of medications
that are described):
- The Medication Treatment Plan document (IPAG report: eMedicationTreatmentPlan) describes one medication of a patient, a
(1) medication that has been, is or will be taken by the patient.
- The Medication Prescription document (IPAG report: eRezept) describes the content and format of a Prescription document
generated during the process in which a health care professional decides that the
patient needs medication (*).
- The Medication Dispense document (IPAG report: eDispense) describes the direct dispensation of a (1) drug to a patient
or legitimized third party with regard to a later application of the product by a
qualified health professional.
- The Pharmaceutical Advice document (IPAG:eMedicationComment) is a document in which health professionals track important
observations (with the explicit consent of the patient), in regards to medication
use (1).
- The Medication List document (IPAG:eCurrentMedication) aims to fully comprise the current medication of a patient.
It consists of Medication Treatment Plan, Medication Prescription, Medication Dispense
and Pharmaceutical Advice entries (*).
- The Medication Card document (IPAG:eCurrentMedication, different view) describes the current medication of a patient,
medications (*) that have been, is or will be taken by the patient.
Additional project information
Properties |
Prefix: cdachemed-Default language: en-US |
Publication location |
Project overview |
http://ehealthsuisse.art-decor.org/ |
Project index |
Disclaimer |
The content of this publication has been carefully prepared and reviewed. However,
eHealth Suisse does not guarantee the accuracy, completeness or quality of the information
provided, or that it is up-to-date. Liability claims against eHealth Suisse in respect
of material or immaterial damage caused by the use or non-use of the information offered
or by inaccurate or
incomplete information are in principle ruled out provided that there is no provable
culpable intent or gross negligence on the institute’s part.
|
List of Authors |
- Administrator
- Oliver Egger
- Dr. Kai Heitmann
- Johannes Gnaegi
- Michaela Ziegler
- Quentin Ligier
- Tony Schaller
- Pero Grgic
- Annatina Foppa
|
|
Version Info
Date |
By |
Description |
2021‑02‑22 20:00:28 |
Annatina Foppa |
Official Release: 0.97 (22.02.2021)
Release for the eMedication test event, taking place in March 2021.
Main changes: - added original representation as requirement for all eMed documents - changed document type according to current annex 3 (old types were deprecated) - added value set UnitOfPresentation to set the dosequantity - issues solved, see below - issues of ch-pharm solved, release of ch-pharm 0.97
There have been changes to the following 10 issues since the last intermediate version
or release.
-
Issue 1 "EprDocumentTypeCode not valid anymore" with status "Closed". Last event (2021-02-11T10:55:38):
changed template according to eMedication Architecture Specification, Table 19.
-
Issue 2 "EprDocumentTypeCode translation, displayName wrong" with status "Closed". Last
event (2021-02-16T08:35:46):
changed
IHEPharmacyMedicationList
1.3.6.1.4.1.19376.1.9.1.1.5 accordingly; applying the instructions of IHE PML, page 19 https://www.ihe.net/uploadedFiles/Documents/Pharmacy/IHE_Pharmacy_Suppl_PML.pdf#page=19
. Issue solved
|
|
-
Issue 3 "EprDocumentTypeCode not valid anymore" with status "Closed". Last event (2021-02-11T11:01:46):
changed according to eMed Architecture Specs
<
translation
code
="
761938008
"
codeSystem
="
2.16.840.1.113883.6.96
"
codeSystemName
="
SNOMED CT
"
displayName
="
Medicinal prescription record (record artifact)
"
/
>
-
Issue 4 "EprDocumentTypeCode not valid anymore" with status "Closed". Last event (2021-02-11T11:00:13):
Changed according to eMedication Architecture Specs
<
translation
code
="
419891008
"
codeSystem
="
2.16.840.1.113883.6.96
"
codeSystemName
="
SNOMED CT
"
displayName
="
Record artifact (record artifact)
"
/
>
-
Issue 5 "EprDocumentTypeCode not valid anymore" with status "Closed". Last event (2021-02-11T10:57:29):
Changed according to eMedication Architecture Specs
<
translation
code
="
419891008
"
codeSystem
="
2.16.840.1.113883.6.96
"
codeSystemName
="
SNOMED CT
"
displayName
="
Record artifact (record artifact)
"
/
>
-
Issue 15 "Validity of document probably missing" with status "Cancelled". Last event (2021-02-15T16:23:44):
After discussion with Stéphane, it doesn't really make sense to have a document validity
in an MTP document. The PRE section should not apply in the MTP specification (hence
the "not applicable"), so this issue can be closed.
-
Issue 16 "Missing referenced template 1.3.6.1.4.1.19376.1.5.3.1.4.4.1" with status "Closed".
Last event (2021-02-11T11:26:28):
Linked from CH-PHARM into CDE-CH-EMED Entry Level templates. Thanks for pointing
this out
-
Issue 17 "Undefined template links" with status "Closed". Last event (2021-02-11T11:37:31):
Both templates are defined in HL7CHCDA, linked them from there to eMed-templates
-
Issue 18 "Undefined template link: 2.16.756.5.30.1.1.10.9.27" with status "Closed". Last
event (2021-02-12T10:34:22):
template has been imported
-
Issue 19 "Usage of @contextConductionInd" with status "Open". Last event (2021-02-16T09:15:46):
The usage of the @contextConductionInd attribute is undocumented and unclear but required. Stéphane is submitting a change proposal to IHE PHARM, forbidding its usage.
|
2020‑07‑29 16:49:22 |
Oliver Egger |
Official Release: 0.96.1 (29.7.2020)
There have been changes to the following 4 issues since the last intermediate version
or release.
|
2020‑05‑08 14:19:04 |
Oliver Egger |
Official Release: 0.96 (08.05.2020)
Release:
0.96 (08.05.2020)
|
2020‑02‑06 16:57:17 |
Oliver Egger |
Official Release: 0.96.1 (06.02.2020)
Changelog for update from 0.95.3:
- ch-pcc and IHE PCC added as dependent projects
- SubstanceAdministration: routeCode has CE data type (was CD)
- manufacturedMaterial.pharm: asContent not declared as a list
- IHEPrescriptionItemEntryContentModule, Prescription Item Entry Content Module repeatNumber,
routeCode order fixed
- Adjustments Documed Code Translations to Appendix 3 (Prescription changed, Dispensation,
Treatment Plan and Medication Comment currently no typeCode
- Medication Card document and Medication Prescription document Original Representation
Section added for original representation
- update to IHE PHARM 2020 (Validation Step Template for IHE PRE)
- SNOMED CT coding for substances instead of ATC
-
Art-Decor Issue 1 "EprDocumentTypeCode not valid anymore" with status "Open". Last event (2019-10-15T11:26:08):
Finding:
<!-- Mapping to the Swiss EPR XDS.b metadata according to the Value-Set EprDocumentTypeCode (201704.1-beta; 2.16.756.5.30.1.127.3.10.1.27) -->
<
translation code
="
275670009
" codeSystem
="
2.16.840.1.113883.6.96
" codeSystemName
="
SNOMED CT
" displayName
="
Medication Dispensation
"
/
>
Medication Dispensation with SNOMED CT code 275670009 is not in the 201907.0-stable
ValueSet anymore.
Suggestion:
Discuss with eHealth Suisse.
Further explanation:
-
-
Art-Decor Issue 2 "EprDocumentTypeCode translation, displayName wrong" with status "Open". Last event
(2019-10-15T11:40:53):
Finding:
displayName of translation fixed to Medication summary, but should be
Medication summary document
Suggestion:
IHE PML specifies expliciltly 'Table 6.3.1.D.5-1' SHALL be 56445-0, LOINC, “Medication
summary”
Further explanation:
-
-
Art-Decor Issue 3 "EprDocumentTypeCode not valid anymore" with status "Open". Last event (2019-10-15T11:43:12):
Finding:
<!-- Mapping to the Swiss EPR XDS.b metadata according to the Value-Set EprDocumentTypeCode (201704.1-beta; 2.16.756.5.30.1.127.3.10.1.27) -->
<
translation code
="
440545006
" codeSystem
="
2.16.840.1.113883.6.96
" codeSystemName
="
SNOMED CT
" displayName
="
Drug prescription
"
/
>
Medication Prescription with SNOMED CT code 440545006 is not in the 201907.0-stable
ValueSet anymore.
Suggestion:
Change to 761938008 Medical Prescription record (record artifact)? Discuss with eHealth
Suisse
-
Further explanation:
-
-
Art-Decor Issue 4 "EprDocumentTypeCode not valid anymore" with status "Open". Last event (2019-10-15T11:44:50):
Finding:
<!-- Mapping to the Swiss EPR XDS.b metadata according to the Value-Set EprDocumentTypeCode (201704.1-beta; 2.16.756.5.30.1.127.3.10.1.27) -->
<
translation code
="
761931002
" codeSystem
="
2.16.840.1.113883.6.96
" codeSystemName
="
SNOMED CT
" displayName
="
Medication Treatment Plan
"
/
>
Medication Treatment Plan with SNOMED CT code
761931002
is not in the 201907.0-stable ValueSet anymore.
Suggestion:
Discuss with eHealth Suisse.
Further explanation:
-
-
Art-Decor Issue 5 "EprDocumentTypeCode not valid anymore" with status "Open". Last event (2019-10-15T11:45:55):
Finding:
<
translation
code
="
1221000195109
"
codeSystem
="
2.16.840.1.113883.6.96
"
codeSystemName
="
SNOMED CT
"
displayName
="
Medication Comment
"
/
>
Medication Comment with SNOMED CT code
1221000195109
is not in the 201907.0-stable ValueSet anymore.
Suggestion:
Discuss with eHealth Suisse.
Further explanation:
-
|
2018‑05‑08 09:03:51 |
Johannes Gnaegi |
Official Release: 0.95.3 (08.05.2018)
There have been no changes to issues since the last intermediate version or release.
Formal release to include formal changes to CDA-CH.
|
2018‑05‑03 17:03:51 |
Oliver Egger |
Official Release: 0.95.2 (30.04.2018) labeled pre-publication review
|
2018‑04‑29 08:51:05 |
Oliver Egger |
Official Release: 0.95.1
ajdusted samples
|
2018‑04‑26 20:40:35 |
Oliver Egger |
Official Release: 0.95.0
- update to IHE Pharmacy Framework 2017
- EDQM valusets
- integration of feedback for hearing of ordonnance of appendix 4
|
|
Data sets, codes, OIDs and Rules: this information is used for rendering and validation
purposes.