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ref Template  eMedicationComment V1

Id 2.16.756.5.30.1.1.1.1.3.10.4 Gültigkeit gültig ab 2016‑05‑21
Status draft Draft Versions-Label
Name CDA-CH-EMED-eMedicationComment-V1 Anzeigename eMedicationComment V1
Beschreibung
en-US The eMedicationComment is a document in which health professionals track important observations (with the explicit consent of the patient), in regards to medication use. These observations are entered in free text. The eMedicationComment does not replace direct interprofessional communication.

Benefits of eMedicationComment
The eCurrentMedication aids interprofessional communication, which aims at a raised standard of interprofessional accountability within the entire treatment chain: Every treating health professional should be increasingly accountable to ensure that all required information is readily available to all subsequent treating health professionals, thus guaranteeing an optimal treatment for the patient.

eMedicationComment Parameters
Parameters recommended by the IPAG for implementation represent the current eMedication "Minimal Data Set" and can be found in the IPAG report. In the ART-DECOR Dataset they are marked with MDS for Minimal Data Set. The remaining parameters are not recommended for implementation at this point in time. The IPAG will continue to revise these.
Source: IPAG eMedikation, 19.9.2016

Relation to IHE Pharmacy
The eMedicationComment is based on the IHE Pharmacy Technical Framework Supplement – Pharmacy Pharmaceutical Advice (PADV).
Kontext Elternknoten des Template-Element mit Id 2.16.756.5.30.1.1.1.1.3.10.4
Klassifikation CDA Document Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 1 Konzept
Id Name Datensatz
cdachemed-dataelement-60
en-US Ausstelldatum (Erstellungsdatum)
en-US
Benutzt von / Benutzt
Benutzt von 0 Templates, Benutzt 11 Templates
Benutzt Template-Id als Name Version
2.16.756.5.30.1.1.10.2.25 Inklusion draft Realm (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.24 Inklusion active CDA TypeId DYNAMIC
2.16.756.5.30.1.1.10.2.18 Inklusion draft Template Id (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.3 Inklusion active CDA Document Id DYNAMIC
2.16.756.5.30.1.1.10.2.19 Inklusion draft Confidentiality Code (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.22 Inklusion draft Document language (2017) DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.10.2.5 Inklusion draft recordTarget DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.10.2.1 Inklusion draft author DYNAMIC
2.16.756.5.30.1.1.10.2.3 Inklusion active CDA custodian DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.3.1 Containment draft Pharmaceutical Advice Section Content Module DYNAMIC
2.16.756.5.30.1.1.10.3.2 Containment draft Remarks Section (2017) DYNAMIC
Beziehung Specialization: Template 2.16.840.1.113883.10.12.2 (DYNAMIC)
Specialization: Template 1.3.6.1.4.1.19376.1.9.1.1.2 (DYNAMIC)
Specialization: Template 2.16.756.5.30.1.1.1.1 (DYNAMIC)
Beispiel
header
<cda:ClinicalDocument>
  <cda:realmCode code="CHE"/>  <cda:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <!-- IHE PCC -->
  <cda:templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/>  <!-- IHE PHARM PADV -->
  <cda:templateId root="1.3.6.1.4.1.19376.1.9.1.1.2"/>  <!-- CDA-CH -->
  <cda:templateId root="2.16.756.5.30.1.1.1.1" extension="CDA-CH"/>  <!-- CDA-CH-EMED-eMedicationComment-V1 -->
  <cda:templateId root="2.16.756.5.30.1.1.1.1.3.10.4"/>  <!-- id of this eMedicationComment -->
  <cda:id root="2.16.756.5.30.1.1.1.1" extension="8ed02d0a-2971-11e6-b67b-9e71128cae77"/>  <!-- IHE PHARM PADV -->
  <cda:code code="61356-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pharmaceutical advice"/>  <cda:title>Kommentar zur Medikation</cda:title>  <cda:effectiveTime value="20120204140000+0100"/>  <cda:confidentialityCode code="30003" codeSystem="2.16.756.5.30.1.127.3.10.1.5" displayName="Medical data"/>  <cda:languageCode code="de-CH"/>  <!-- snip -->
</cda:ClinicalDocument>
Item DT Kard Konf Beschreibung Label
hl7:ClinicalDocument
 (CDA‑CH‑EMED‑eMedicationComment‑V1)
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.10.2.25 Realm (DYNAMIC)
hl7:realmCode
 CS 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@code
 CONF 1 … 1 F CHE
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.10.2.24 CDA TypeId (DYNAMIC)
hl7:typeId
 II 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@root
 uid 1 … 1 F 2.16.840.1.113883.1.3
@extension
 st 1 … 1 F POCD_HD000040
hl7:templateId
 II 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.1.1
 
en-US IHE PCC
Eingefügt von 2.16.756.5.30.1.1.10.2.18 Template Id (DYNAMIC)
hl7:templateId
 II 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@extension
 st 1 … 1 F CDA-CH
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.1.1
hl7:templateId
 II 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.1.1.3.10.4
 
en-US CDA-CH-EMED-eMedicationComment-V1
hl7:templateId
 II 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.1.2
 
en-US IHE PHARM PADV
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.10.9.3 CDA Document Id (DYNAMIC)
hl7:id
 II 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-59
en-US Referenz-ID des Dokuments
en-US
hl7:code
 CE 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@code
 CONF 1 … 1 F 61356-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@displayName
 1 … 1 F Medication Pharmaceutical Advice
@codeSystemName
 1 … 1 F LOINC
hl7:title
 ST 0 … 1
en-US eMedicationComment
(CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:effectiveTime
 TS.CH.TZ 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-60
en-US Ausstelldatum (Erstellungsdatum)
en-US
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.10.2.19 Confidentiality Code (DYNAMIC)
hl7:confidentialityCode
 CE CNE 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.756.5.30.1.1.11.1 Swiss Confidentiality Codes (DYNAMIC)
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.10.2.22 Document language (DYNAMIC)
hl7:languageCode
 CS 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Eingefügt 1 … 1 M von 2.16.756.5.30.1.1.1.1.3.10.10.2.5 recordTarget (DYNAMIC)
hl7:recordTarget
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-3
en-US Patient
en-US
hl7:patientRole
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:id
 II 1 … * R
en-US Contains the patient identifiers. The OID (root attribute) SHALL be published in the oid registry of switzerland. Identifiers can be from a Master Patient Index (MPI) or internal numbers from institutions.
(CDA‑CH‑EMED‑eMedicationComment‑V1)
  Beispiel <id extension="807569999999999930200" root="2.16.756.5.30.4.9.1.1.1000.200.3"/>
hl7:addr
 AD 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:streetAddressLine
 ADXP 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:postalCode
 ADXP 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:city
 ADXP 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:country
 ADXP 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:telecom
 TEL 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:patient
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:name
 PN 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:given
 ENXP 1 … * M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-24
en-US Vorname
en-US
hl7:family
 ENXP 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-23
en-US Name
en-US
hl7:administrativeGenderCode
 CE 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
 TS 1 … 1 M
en-US The birthday SHALL be provided at least to the birth year.
(CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-25
en-US Geburtsjahr
en-US
cdachemed-dataelement-26
en-US Geburtsdatum
en-US
Eingefügt 1 … * von 2.16.756.5.30.1.1.1.1.3.10.10.2.1 author (DYNAMIC)
hl7:author
 1 … * R (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-2
en-US Behandelnder
en-US
hl7:functionCode
 CE 0 … 1 (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:time
 TS 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-52
en-US Verabreichungsweg
en-US
hl7:assignedAuthor
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
@classCode
 cs 0 … 1 F ASSIGNED
hl7:id
 II 1 … * R
en-US The GLN identifier for the health care professional SHOULD be provided.
(CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-9
en-US GLN-Nr.
en-US
  Beispiel <id root="2.51.1.3" extension="7601000000000"/>
hl7:code
 CE 0 … 1 (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:addr
 AD 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:telecom
 TEL 0 … * (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:assignedPerson
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
Eingefügt M von 2.16.756.5.30.1.1.1.1.3.10.10.2.7 name (DYNAMIC)
hl7:name
 PN 1 … * M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:given
 ENXP 1 … * M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-8
en-US Vorname
en-US
hl7:family
 ENXP 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-7
en-US Name
en-US
hl7:representedOrganization
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
Eingefügt von 2.16.756.5.30.1.1.1.1.3.10.10.2.3 representedOrganisationPart (DYNAMIC)
hl7:id
 II 1 … * R (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:name
 ON 1 … * R (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:addr
 AD 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:streetAddressLine
 ADXP 1 … * M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-16
en-US Adresse
en-US
hl7:postalCode
 ADXP 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-17
en-US PLZ
en-US
hl7:city
 ADXP 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-18
en-US Ort
en-US
hl7:telecom
 TEL 1 … * R (CDA‑CH‑EMED‑eMedicationComment‑V1)
Eingefügt 1 … 1 R von 2.16.756.5.30.1.1.10.2.3 CDA custodian (DYNAMIC)
hl7:custodian
 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@typeCode
 cs 0 … 1 F CST
hl7:assignedCustodian
 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@classCode
 cs 0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@classCode
 cs 0 … 1 F ORG
@determinerCode
 cs 0 … 1 F INSTANCE
hl7:id
 II 1 … * M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:name
 ON 0 … 1 (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:telecom
 TEL 0 … 1 (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:addr
 AD 0 … 1 (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:component
 1 … 1 R (CDA‑CH‑EMED‑eMedicationComment‑V1)
@contextConductionInd
 bl 1 … 1 R
hl7:structuredBody
 1 … 1 M (CDA‑CH‑EMED‑eMedicationComment‑V1)
hl7:component
 1 … 1 M Beinhaltet 2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.3.1 Pharmaceutical Advice Section Content Module (DYNAMIC) (CDA‑CH‑EMED‑eMedicationComment‑V1)
treeblank treeblank treeblank wo [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.127.77.4.10.9']] [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.2.2']] [hl7:templateId [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.3.1']]]
hl7:component
 0 … 1 Beinhaltet 2.16.756.5.30.1.1.10.3.2 Remarks Section (DYNAMIC) (CDA‑CH‑EMED‑eMedicationComment‑V1)
treeblank treeblank treeblank wo [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.1.10.3.2']]]