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draft Template  Medication Treatment Plan Item Entry Content Module

Id 2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1 Gültigkeit gültig ab 2016‑06‑13
Status draft Draft Versions-Label
Name CH-EMED-MedicationTreatmentPlanEntryContentModule Anzeigename Medication Treatment Plan Item Entry Content Module
Beschreibung A medication treatment plan item is an entity describing a medication included in the medication treatment plan of the patient. See also IHE Pharmacy MTP Suppl
Kontext Elternknoten des Template-Element mit Id 2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 2 Konzepte
Id Name Datensatz
cdachemed-dataelement-4 Arzneimittel/Herstellung Parameter eMedikation
cdachemed-dataelement-44 Wiederholter Bezug pro Arzneimittel Parameter eMedikation
Benutzt von / Benutzt
Benutzt von 11 Templates, Benutzt 7 Templates
Benutzt von Template-Id als Name Version
2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.3.1 Containment eCurrentMedication Section Content Module 2016‑05‑21
2.16.756.5.30.1.1.1.1.3.10.1 link eCurrentMedication V1 2016‑05‑13
2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.4.1 Containment Prescription Item Entry Content Module 2016‑06‑25
2.16.756.5.30.1.1.1.1.3.10.2.10.2.10.3.1 link 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 link 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
2.16.756.5.30.1.1.1.1.3.10.2.10.3.10.4.1 Containment Dispense Item Entry Content Module 2016‑06‑17
2.16.756.5.30.1.1.1.1.3.10.2.10.3.10.3.1 link Dispense Section Content Module 2016‑06‑06
2.16.756.5.30.1.1.1.1.3.10.3 link eAbgabeAnwendung 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
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.4 Containment CH-EMED-TreatmentReasonEntryContentModule DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment epsosPatientMedicationInstructions DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10 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
2.16.756.5.30.1.1.10.4.2 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 1.3.6.1.4.1.19376.1.9.1.3.7 (DYNAMIC)
Specialization: Template 2.16.840.1.113883.10.20.1.24 (DYNAMIC)
Beispiel
Beispiel
<substanceAdministration classCode="SBADM" moodCode="INT">
  <!-- IHE PHARM MTP Required element indicating the Medication Treatment
Plan entry content module -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.7"/>
  <!-- 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-EMED Medication Treatment Plan Item Entry Content Module -->
  <templateId root="2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1"/>
  <!-- Split dosing -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.9"/>
  <!-- ID of mtp item, PCC TF2 6.3.4.16.6 -->
  <id root="2.16.756.5.30.1.1.1.1" extension="bcdc9970-4778-11e6-beb8-9e71128cae77"/>
  <text>
    <reference value="#mtp.1"/>
  </text>
  <statusCode code="completed"/>
  <effectiveTime xsi:type="IVL_TS">
    <low value="20120204"/>
  </effectiveTime>
  <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/>
  <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"/>
        <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>
        <code code="C07AB02" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="Metoprolol">
          <originalText>
            <reference value="#mtp.1.ingredient"/>
          </originalText>
        </code>
        <name>BELOC ZOK Ret Tabl 50 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="7680521101306" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="BELOC ZOK Ret Tabl 50 mg 30 Stk"/>
            <!-- Brand name (package) -->
            <pharm:name>BELOC ZOK Ret Tabl 50 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="50" xsi:type="pharm:PQ"/>
            <pharm:denominator value="1" xsi:type="pharm:PQ"/>
          </pharm:quantity>
          <pharm:ingredient classCode="MMAT" determinerCode="KIND">
            <pharm:code code="C07AB02" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="Metoprolol"/>
            <pharm:name>Metoprolol</pharm:name>          </pharm:ingredient>
        </pharm:ingredient>
      </manufacturedMaterial>
    </manufacturedProduct>
  </consumable>
  <entryRelationship typeCode="COMP">
    <!-- morgens 1 stück -->
    <sequenceNumber value="1"/>
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <effectiveTime xsi:type="EIVL_TS">
        <event code="ACM"/>
      </effectiveTime>
      <doseQuantity>
        <center value="1"/>
      </doseQuantity>
      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>
        </manufacturedProduct>
      </consumable>
    </substanceAdministration>
  </entryRelationship>
  <entryRelationship typeCode="COMP">
    <!-- abends 0.5 stück -->
    <sequenceNumber value="2"/>
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <effectiveTime xsi:type="EIVL_TS">
        <event code="ACV"/>
      </effectiveTime>
      <doseQuantity>
        <center value="0.5"/>
      </doseQuantity>
      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>
        </manufacturedProduct>
      </consumable>
    </substanceAdministration>
  </entryRelationship>
  <entryRelationship typeCode="RSON">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.127.77.4.10.20"/>
      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem"/>
      <statusCode code="completed"/>
      <value xsi:type="CD" nullFlavor="OTH">
        <originalText>
          <reference value="#mtp.1.reason"/>
        </originalText>
      </value>
    </observation>
  </entryRelationship>
  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <act classCode="ACT" moodCode="INT">
      <templateId root="2.16.840.1.113883.10.20.1.49"/>
      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3"/>
      <code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode"/>
      <text>
        <reference value="#mtp.1.pinstruct"/>
      </text>
      <statusCode code="completed"/>
    </act>
  </entryRelationship>
  <entryRelationship typeCode="COMP">
    <!-- CH-EMED-DosageIntakeModeEntryContentModule -->
    <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="COMP">
    <act classCode="ACT" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>
      <templateId root="2.16.840.1.113883.10.20.1.40"/>
      <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>
      <text>
        <reference value="#mtp.1.note"/>
      </text>
      <statusCode code="completed"/>
    </act>
  </entryRelationship>
</substanceAdministration>
Item DT Kard Konf Beschreibung Label
hl7:substanceAdministration
(CH-EMED-MedicationTreatmentPlanEntryContentModule)
@classCode
cs 1 … 1 F SBADM
@moodCode
cs 1 … 1 F INT
  target Ziel der Konzept Id(s):
cdachemed-dataelement-4 Arzneimittel/Herstellung Parameter eMedikation
hl7:templateId
II 1 … 1 M IHE PHARM MTP (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [@root='1.3.6.1.4.1.19376.1.9.1.3.7']
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.7
hl7:templateId
II 1 … 1 M CCD (CH-EMED-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
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 Medication Treatment Plan Item Entry Content Module (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1']
@root
uid 1 … 1 F 2.16.756.5.30.1.1.1.1.3.10.2.10.1.10.4.1
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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
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 … 1 M This ID represents the Medication Treatment Plan 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-MedicationTreatmentPlanEntryContentModule)
hl7:code
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:originalText
ED 0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:text
1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
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 included in the plan. (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:statusCode
1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
wo [@operator='A' and @xsi:type='EIVL_TS']
@operator
cs 1 … 1 F A
hl7:event
CS 1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
wo [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@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-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
@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-MedicationTreatmentPlanEntryContentModule)
  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-MedicationTreatmentPlanEntryContentModule)
hl7:rateQuantity
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:entryRelationship
0 … * Dosage Option 3. Multiple events within a day with different dosage (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [@typeCode='COMP' and hl7:substanceAdministration]
@typeCode
cs 1 … 1 F COMP
hl7:sequenceNumber
INT 1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:substanceAdministration
0 … 1 R (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:effectiveTime
EIVL_TS 0 … 1 timing purpose (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@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-MedicationTreatmentPlanEntryContentModule)
hl7:rateQuantity
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:consumable
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:manufacturedProduct
0 … 1 R (CH-EMED-MedicationTreatmentPlanEntryContentModule)
hl7:manufacturedMaterial
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@nullFlavor
cs 1 … 1 F NA
hl7:repeatNumber
0 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-44 Wiederholter Bezug pro Arzneimittel Parameter eMedikation
hl7:consumable
1 … 1 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
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) (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.53']
hl7:templateId
II 1 … 1 M (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@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 (CH-EMED-MedicationTreatmentPlanEntryContentModule)
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.53
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-MedicationTreatmentPlanEntryContentModule)
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) (CH-EMED-MedicationTreatmentPlanEntryContentModule)
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 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10 Dosage Instructions Non Structured Entry Content Module (DYNAMIC) (CH-EMED-MedicationTreatmentPlanEntryContentModule)
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-MedicationTreatmentPlanEntryContentModule)
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 2.16.756.5.30.1.1.10.4.2 CDA-CH Remarks Entry (DYNAMIC) (CH-EMED-MedicationTreatmentPlanEntryContentModule)
wo [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
@typeCode
cs 1 … 1 F COMP