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draft Template  Prescription Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.43
ref
ch-pharm-
Effective Date 2019‑09‑11 17:05:49
Other versions this id:
Status draft Draft Version Label 2021
Name PrescriptionItemEntryContentModule Display Name Prescription Item Entry Content Module
Description
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.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.43
Classification CDA Entry Level Template
Open/Closed Closed (only defined elements are allowed)
Associated with
Associated with 6 concepts
Id Name Data Set
cdachemed-dataelement-23 draft Dosierung draft Dataset 1
cdachemed-dataelement-21 draft Anzahl Packungen draft Dataset 1
cdachemed-dataelement-37 draft Substituierbarkeit * draft Dataset 1
cdachemed-dataelement-15 draft Arzneimittel draft Dataset 1
cdachemed-dataelement-35 draft Kommentar * draft Dataset 1
cdachemed-dataelement-38 draft Referenz zu Medication Treatment Plan document * draft Dataset 1
Used by / Uses
Used by 3 transactions and 7 templates, Uses 14 templates
Used by as Name Version
cdachemed-transaction-4 Transaction draft Medication Prescription document 2018‑04‑04 15:33:29
cdachemed-transaction-6 Transaction draft Pharmaceutical Advice document 2018‑04‑04 15:36:35
cdachemed-transaction-7 Transaction draft Medication List document 2018‑04‑04 15:37:19
2.16.756.5.30.1.1.10.4.44 Include draft Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
2.16.756.5.30.1.1.10.3.12 link draft Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link draft Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.3.44 link draft Medication List Section Content Module (2021) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link draft Medication List document (2020) 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.3.10 Containment draft Prescription Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.4 link draft Medication Prescription document (2020) 2016‑05‑21
Uses as Name Version
2.16.756.5.30.1.1.10.4.35 Include draft Dosage Instructions Start/Stop, Frequency, Dose (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.33 Include draft Manufactured Material Entry Content Module (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.36 Include draft Dosage Instructions Related Components (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.41 Containment draft Treatment Reason Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.45 Containment pending MTP Reference Entry Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.16 Containment pending IHE Validation Step Entry Content Module (2020) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment draft IHE Patient Medication Instructions (2014) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Containment draft Fulfillment Instructions (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.38 Containment pending Prescribed Quantity Entry Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.9.1 Containment pending IHE Substitution Permission Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.15 Containment draft IHE Renewal Period Content Module (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.52 Containment draft Dosage Instructions Non Structured Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.82 Containment draft Annotation Comments (2016) DYNAMIC
2.16.756.5.30.1.1.10.9.1 Include draft Narrative Text Reference With Content (2021) DYNAMIC
Example
Example
<substanceAdministration classCode="SBADM" moodCode="INT">
  <!-- IHE PHARM PRE Required element indicating the Medication Treatment
Plan entry content module -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.2"/>  <!-- CCD -->
  <templateId root="2.16.840.1.113883.10.20.1.24"/>  <!-- PCC Medication Entry Content Module -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7"/>  <!-- CH-PHARM Prescription Item Entry Content Module -->
  <templateId root="2.16.756.5.30.1.1.10.4.43"/>  <!-- 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="D41D72BA-2100-11E6-B67B-9E71128CAE77"/>  <text>
    <reference value="#pre.1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime type="IVL_TS">
    <low value="20120204"/>  </effectiveTime>
  <effectiveTime type="SXPR_TS" operator="A">
    <comp type="EIVL_TS">
      <event code="ACM"/>    </comp>
    <comp 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="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use"/>  <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">
        <templateId root="2.16.756.5.30.1.1.10.4.33"/>        <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>        <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>        <asContent classCode="CONT">
          <containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
            <code code="7680500440334" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="NORVASC Tabl 10 mg"/>            <name>NORVASC Tabl 10 mg</name>            <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>            <capacityQuantity value="30"/>          </containerPackagedMedicine>
        </asContent>
        <ingredient classCode="ACTI">
          <quantity>
            <numerator unit="mg" value="10" type="pharm:PQ"/>            <denominator value="1" type="pharm:PQ"/>          </quantity>
          <ingredient classCode="MMAT" determinerCode="KIND">
            <code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine"/>            <name>amlodipine</name>          </ingredient>
        </ingredient>
      </manufacturedMaterial>
    </manufacturedProduct>
  </consumable>
  <entryRelationship typeCode="RSON">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.41"/>      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem" codeSystemName="LOINC"/>      <text>
        <reference value="#pre.1.reason"/>      </text>
      <statusCode code="completed"/>    </observation>
  </entryRelationship>
  <entryRelationship typeCode="COMP">
    <substanceAdministration moodCode="INT" classCode="SBADM">
      <templateId root="2.16.756.5.30.1.1.10.4.37"/>      <text>
        <reference value="#pre.1.dosageintakemode"/>      </text>
      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>
      </consumable>
    </substanceAdministration>
  </entryRelationship>
  <entryRelationship typeCode="COMP">
    <supply moodCode="RQO" classCode="SPLY">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.8"/>      <independentInd value="false"/>      <quantity unit="1" value="1"/>    </supply>
  </entryRelationship>
  <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="5712FFFE-20C6-11E6-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="5712FFFE-20C6-11E6-B67B-9E71128CAE77"/>        </externalDocument>
      </reference>
    </substanceAdministration>
  </entryRelationship>
  <entryRelationship typeCode="COMP">
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.2"/>      <templateId root="2.16.840.1.113883.10.20.1.40"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>      <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>      <text>
        <reference value="#pre.1.note"/>      </text>
      <statusCode code="completed"/>    </act>
  </entryRelationship>
</substanceAdministration>
Item DT Card Conf Description Label
hl7:substanceAdministration
Prescription Item Entry Additional Template ID 6.3.dots.3.3
 
target
cdachemed-dataelement-15 draft Arzneimittel draft Dataset 1
@classCode
cs 1 … 1 F SBADM
@moodCode
cs 1 … 1 F INT
hl7:templateId
II 1 … 1 M CH-PHARM Prescription Item Entry Content Module 6.3.dots.3.3
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.43
hl7:templateId
II 1 … 1 M Prescription Item Entry TemplateID 6.3.dots.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 6.3.dots.3.3
@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 6.3.dots.3.3
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7
Choice 1 … 
Prescription 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
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
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
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
hl7:id
1 … 1 M This ID represents the Prescription Item ID and SHALL be present. 6.3.dots.3.4
hl7:text
1 … 1 M Narrative Text 6.3.dots.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. 6.3.dots.3.6
hl7:statusCode
1 … 1 M 6.3.dots.3.7
@code
1 … 1 F completed
Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions Start/Stop, Frequency, Dose (DYNAMIC)
hl7:effectiveTime
IVL_TS.CH.TZ 0 … 1 Dosage Instructions PCC 6.3.4.16.10 - Start and Stop 6.3.dots.3.8
where [@xsi:type='IVL_TS']
 
target
cdachemed-dataelement-61 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-164 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-102 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-36 draft Anwendungsdauer * draft Dataset 1
hl7:low
TS.CH.TZ 1 … 1 R Start of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
@nullFlavor
cs 0 … 1 F UNK
@value
ts 0 … 1  
  Schematron assert role red error  
  test (not(@nullFlavor) and @value) or (@nullFlavor and not(@value))  
  Message Either @value or @nullFlavor attribute shall be set.  
hl7:high
TS.CH.TZ 1 … 1 R End of Treatment. If End of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
@nullFlavor
cs 0 … 1 F UNK
@value
ts 0 … 1  
  Schematron assert role red error  
  test (not(@nullFlavor) and @value) or (@nullFlavor and not(@value))  
  Message Either @value or @nullFlavor attribute shall be set.  
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
where [@operator='A' and @xsi:type='EIVL_TS']
 
target
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
@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
where [@operator='A' and @xsi:type='SXPR_TS']
 
target
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
@operator
cs 1 … 1 F A
@xsi:type
cs 1 … 1 F SXPR_TS
hl7:comp
1 … * M 6.3.dots.3.8
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
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:repeatNumber
0 … 1 Number of repeats/refills. Either the @value or @nullFlavor attribute shall be set. It's required in MTP, PRE and PADV items ; forbidden in DIS items. 6.3.dots.3.9
 
target
cdachemed-dataelement-96 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-31 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-157 draft Wiederholter Bezug pro Arzneimittel draft Dataset 1
cdachemed-dataelement-55 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
@value
cs 0 … 1   A value of 0 (zero) means that no repeat/refill is allowed, a positive value sets the number of maximum repeats/refills (so the total number of dispenses could equal this value plus one, as the first dispense is not counted). A negative value is forbidden.
@nullFlavor
cs 0 … 1 F NI
  The NI null flavor means that unlimited repeats/refills are allowed.
  Schematron assert role red error  
  test not(@value) or @value >= 0  
  Message The value shall not be negative  
  Schematron assert role red error  
  test (not(@value) and @nullFlavor) or (@value and not(@nullFlavor))  
  Message Either the @value or @nullFlavor attribute shall be set  
hl7:routeCode
CE (required) 0 … 1 6.3.dots.3.3
 
target
cdachemed-dataelement-100 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-34 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-162 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-59 draft Verarbreichungsweg * draft Dataset 1
  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.dots.3.3
hl7:doseQuantity
IVL_PQ 0 … 1 6.3.dots.3.3
 
target
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real 1 … 1 R
hl7:rateQuantity
IVL_PQ 0 … 1 6.3.dots.3.3
hl7:consumable
1 … 1 R 6.3.dots3.10
hl7:manufacturedProduct
1 … 1 M 6.3.dots3.10
hl7:templateId
II 1 … 1 M 6.3.dots.3.1
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
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.dots3.10
@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.dots3.10
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.33
hl7:templateId
II 1 … 1 M 6.3.dots3.10
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.1
hl7:code
CE 1 … 1 R The element SHALL be present and describes the code of the medication package (GTIN). If it is a magistral preparation/compound medicin @nullFlavor SHALL be "NA". 6.3.dots3.10
 
target
cdachemed-dataelement-158 draft GTIN * draft Dataset 1
cdachemed-dataelement-97 draft GTIN * draft Dataset 1
cdachemed-dataelement-56 draft GTIN * draft Dataset 1
cdachemed-dataelement-32 draft GTIN * draft Dataset 1
@nullFlavor
cs 0 … 1 F NA
@codeSystem
oid 0 … 1 F 2.51.1.1
hl7:originalText
ED 0 … 1 6.3.dots3.10
hl7:reference
TEL 1 … 1 R 6.3.dots3.10
@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
 
target
cdachemed-dataelement-89 draft Präparatenname draft Dataset 1
cdachemed-dataelement-152 draft Präparatenname draft Dataset 1
cdachemed-dataelement-16 draft Präparatenname draft Dataset 1
cdachemed-dataelement-50 draft Präparatenname draft Dataset 1
@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.dots3.10
 
target
cdachemed-dataelement-53 draft galenische Form draft Dataset 1
cdachemed-dataelement-155 draft galenische Form draft Dataset 1
cdachemed-dataelement-92 draft galenische Form draft Dataset 1
cdachemed-dataelement-19 draft galenische Form draft Dataset 1
  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
 
target
cdachemed-dataelement-104 draft Lotnummer * draft Dataset 1
pharm:expirationTime
TS.CH.TZ 0 … 1 IHE PHARM PRE 6.3.4.1.3.7
@value
1 … 1 R
pharm:asContent
0 … 1 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
CE 0 … 1 In case the medicine describes a product, the GTIN code of the medication package SHOULD be specified. If set, it shall be the same as the hl7:code. IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-32 draft GTIN * draft Dataset 1
cdachemed-dataelement-56 draft GTIN * draft Dataset 1
cdachemed-dataelement-158 draft GTIN * draft Dataset 1
cdachemed-dataelement-97 draft GTIN * draft Dataset 1
  Variable let Name gtin  
  Value ./@code  
  Schematron assert role red error  
  test ../../../hl7:code[@code = $gtin]  
  Message If set, the GTIN shall be the same as the medication product.  
pharm:name
TN 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
 
target
cdachemed-dataelement-89 draft Präparatenname draft Dataset 1
cdachemed-dataelement-16 draft Präparatenname draft Dataset 1
cdachemed-dataelement-50 draft Präparatenname draft Dataset 1
cdachemed-dataelement-152 draft Präparatenname draft Dataset 1
pharm:formCode
CE 0 … 1 IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-92 draft galenische Form draft Dataset 1
cdachemed-dataelement-19 draft galenische Form draft Dataset 1
cdachemed-dataelement-53 draft galenische Form draft Dataset 1
cdachemed-dataelement-155 draft galenische Form draft Dataset 1
pharm:capacityQuantity
PQ 0 … 1 The element SHOULD be present and describes the capacity of the packaging. IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-95 draft Packungsgrösse draft Dataset 1
cdachemed-dataelement-22 draft Packungsgrösse draft Dataset 1
@nullFlavor
cs 0 NP NP/not present
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
1 … 1 R
pharm:ingredient
0 … * One or more active ingredients SHOULD be represented with this structure. 6.3.dots3.10
@classCode
cs 1 … 1 F ACTI
pharm:quantity
RTO_PQ_PQ 0 … 1 The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication 6.3.dots3.10
 
target
cdachemed-dataelement-54 draft Dosis pro Einheit draft Dataset 1
cdachemed-dataelement-156 draft Dosis pro Einheit draft Dataset 1
cdachemed-dataelement-93 draft Dosis pro Einheit draft Dataset 1
cdachemed-dataelement-20 draft Dosis pro Einheit draft Dataset 1
hl7:numerator
PQ 1 … 1 M 6.3.dots3.10
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real 1 … 1 R
hl7:denominator
PQ 1 … 1 M 6.3.dots3.10
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real 1 … 1 R
pharm:ingredient
1 … 1 R Ingredients SHALL be coded with SNOMED CT. 6.3.dots3.10
@classCode
cs 1 … 1 F MMAT
@determinerCode
cs 1 … 1 F KIND
pharm:code
CE 0 … 1 6.3.dots3.10
 
target
cdachemed-dataelement-57 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
cdachemed-dataelement-98 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
cdachemed-dataelement-159 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
cdachemed-dataelement-33 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
@code
cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.82 ActivePharmaceuticalIngredient (DYNAMIC)
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.96
@codeSystemName
st 1 … 1 F SNOMED CT
pharm:name
TN 1 … 1 R 6.3.dots3.10
 
target
cdachemed-dataelement-153 draft Wirkstoffname draft Dataset 1
cdachemed-dataelement-17 draft Wirkstoffname draft Dataset 1
cdachemed-dataelement-90 draft Wirkstoffname draft Dataset 1
cdachemed-dataelement-51 draft Wirkstoffname draft Dataset 1
hl7:author
0 … 1 Prescriber 6.3.dots3.11
hl7:time
1 … 1 M 6.3.dots3.11
hl7:author
0 … 1 Community Prescription document author 6.3.dots3.12
hl7:time
1 … 1 M 6.3.dots3.12
Included from 2.16.756.5.30.1.1.10.4.36 Dosage Instructions Related Components (DYNAMIC)
hl7:entryRelationship
0 … * Dosage Instructions PCC 6.3.4.16.20 - Related components IHE PCC 6.3.4.16.20
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
1 … 1 M IHE PCC 6.3.4.16.20
@moodCode
cs 1 … 1 R INT for an intent or EVN for an event.
@classCode
cs 1 … 1 F SBADM
hl7:effectiveTime
EIVL_TS 0 … 1 timing purpose IHE PCC 6.3.4.16.20
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
IVL_PQ 0 … 1 IHE PCC 6.3.4.16.20
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
cs 1 … 1 R
hl7:rateQuantity
IVL_PQ 0 … 1 IHE PCC 6.3.4.16.20
hl7:consumable
1 … 1 M IHE PCC 6.3.4.16.20
hl7:manufacturedProduct
1 … 1 M 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:entryRelationship
0 … 1 Treatment Reason as text
Contains 2.16.756.5.30.1.1.10.4.41 Treatment Reason Entry Content Module (DYNAMIC)
6.3.dots.3.3
where [hl7:observation]
@typeCode
cs 1 … 1 F RSON
hl7:entryRelationship
0 … 1 Reference to Medication Treatment Plan Item. If the Prescription Item 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.dots3.14
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.45']]]
 
target
cdachemed-dataelement-38 draft Referenz zu Medication Treatment Plan document * draft Dataset 1
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 Validation Step
Contains 1.3.6.1.4.1.19376.1.9.1.3.16 IHE Validation Step Entry Content Module (DYNAMIC)
6.3.dots3.16
where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.16']]]
@typeCode
cs 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)
IHE PHARM PRE 6.3.4.2.3.17
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 Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Fulfillment Instructions (DYNAMIC)
6.3.dots3.17
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3.1']]]
@typeCode
cs 1 … 1 F SUBJ
@inversionInd
bl 1 … 1 F true
hl7:act
6.3.dots3.17
hl7:templateId
II 1 … 1 M 6.3.dots3.17
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.3.1
hl7:entryRelationship
0 … 1 Amount of units of the consumable to dispense
Contains 2.16.756.5.30.1.1.10.4.38 Prescribed Quantity Entry Content Module (DYNAMIC)
6.3.dots3.19
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.8']]]
 
target
cdachemed-dataelement-21 draft Anzahl Packungen draft Dataset 1
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … * Substitution permission
Contains 1.3.6.1.4.1.19376.1.9.1.3.9.1 IHE Substitution Permission Content Module (DYNAMIC)
6.3.dots3.20
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.9.1']]]
 
target
cdachemed-dataelement-37 draft Substituierbarkeit * draft Dataset 1
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … 1 Renewal Period
Contains 1.3.6.1.4.1.19376.1.9.1.3.15 IHE Renewal Period Content Module (DYNAMIC)
6.3.dots3.21
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.15']]]
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.52 Dosage Instructions Non Structured Entry Content Module (DYNAMIC) 6.3.dots.3.3
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.52']]]
 
target
cdachemed-dataelement-23 draft Dosierung draft Dataset 1
@typeCode
cs 1 … 1 F COMP
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.82 Annotation Comments (DYNAMIC) 6.3.dots.3.3
where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
 
target
cdachemed-dataelement-35 draft Kommentar * draft Dataset 1
@typeCode
cs 1 … 1 F COMP
hl7:reference
0 … * 6.3.dots3.22
@typeCode
cs 1 … 1 F XCRPT
hl7:externalDocument
1 … 1 R 6.3.dots3.22
hl7:id
1 … * R 6.3.dots3.22
hl7:precondition
0 … 1 Precondition Criterion 6.3.dots3.23
hl7:criterion
1 … 1 R 6.3.dots3.23
Included R from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
hl7:text
ED 1 … 1 R It shall contain both the narrative text content and a reference to the human readable part of the item. This human readable part may contain a simple text to redirect the reader to the PDF document (e.g. "See PDF version included").
There shall be a single non-blank text node (i.e. the text shall be completely before or after the reference, see examples). The text shall be raw (i.e. no markup shall be used).
6.3.dots3.23
hl7:reference
TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx']
6.3.dots3.23
@value
st 1 … 1 R
Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
  Variable let Name textBefore  
  Value normalize-space(text()[1])  
  Variable let Name textAfter  
  Value normalize-space(text()[2])  
  Schematron assert role red error  
  test (not($textBefore) and $textAfter) or ($textBefore and not($textAfter))  
  Message The text content shall be included before or after the reference.  
  Schematron assert role red error  
  test hl7:repeatNumber  
  Message The 'hl7:repeatNumber' is mandatory in PRE items.