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ref 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
en-US 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 1 Konzept
Id Name Datensatz
cdachemed-dataelement-4
en-US Arzneimittel/Herstellung
en-US
Benutzt von / Benutzt
Benutzt von 7 Templates, Benutzt 9 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 draft eCurrentMedication Section Content Module 2016‑05‑21
2.16.756.5.30.1.1.1.1.3.10.1 link draft eCurrentMedication V1 2016‑05‑13
2.16.756.5.30.1.1.1.1.3.10.2.10.4.10.4.1 Containment draft 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 draft Pharmaceutical Advice Section Content Module 2016‑06‑06
2.16.756.5.30.1.1.1.1.3.10.4 link draft eMedicationComment V1 2016‑05‑21
2.16.756.5.30.1.127.77.4.10.7 Containment draft Medication Treatment Plan Section Content Module 2017‑05‑01 12:51:36
2.16.756.5.30.1.1.1.1.3.10.5 link draft eMedicationTreatmentPlan V1 2017‑04‑12 13:57:31
Benutzt Template-Id als Name Version
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.1 Inklusion draft Dosage Instructions CH P1 DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.2 Containment draft Manufactured Material Entry Content Module DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.12 Inklusion draft Dosage Instructions CH P2 DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.4.1 Containment draft Internal Reference DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.4 Containment draft Treatment Reason Entry Content Module DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment draft epSOS Patient Medication Instructions DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10 Containment draft Dosage Instructions Non Structured Entry Content Module DYNAMIC
2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11 Containment draft Dosage Intake Mode Entry Content Module DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment draft Annotation Comments (2017) 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
en-US Arzneimittel/Herstellung
en-US
hl7:templateId
 II 1 … 1 M
en-US IHE PHARM MTP
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank 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
en-US CCD
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank 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
en-US PCC Medication Entry Content Module
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank 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
en-US CH-EMED Medication Treatment Plan Item Entry Content Module
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank 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
en-US A normal substanceAdministration act that may not contain any subordinate substanceAdministration acts.
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank treeblank 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
en-US A substanceAdministration act that records split dose information in subordinate substanceAdministration acts.
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank treeblank 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
en-US 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:text
 1 … 1 M (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
hl7:reference
 1 … 1 M
en-US 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 CH P1 (DYNAMIC)
hl7:effectiveTime
 IVL_TS 0 … 1 (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank wo [@xsi:type='IVL_TS']
  target Ziel der Konzept Id(s):
cdachemed-dataelement-55
en-US Anwendungsdauer
en-US
cdachemed-dataelement-50
en-US Dosierung
en-US
hl7:low
 TS 0 … 1
en-US 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
en-US 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
en-US 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)
treeblank 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
en-US Dosage Option 2. Multiple events within a day with the same dosage
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank wo [@operator='A' and @xsi:type='SXPR_TS']
@operator
 cs 1 … 1 F A
@xsi:type
 cs 1 … 1 F SXPR_TS
hl7:comp
 1 … 1 M (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank treeblank 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)
treeblank treeblank 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:repeatNumber
 IVL_INT 0 … 1 (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
  target Ziel der Konzept Id(s):
cdachemed-dataelement-44
en-US Wiederholter Bezug pro Arzneimittel
en-US
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
en-US Verabreichungsweg
en-US
hl7:doseQuantity
 0 … 1 (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
hl7:rateQuantity
 0 … 1 (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
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)
treeblank treeblank wo [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']] [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
Eingefügt von 2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.12 Dosage Instructions CH P2 (DYNAMIC)
hl7:entryRelationship
 0 … *
en-US Dosage Option 3. Multiple events within a day with different dosage
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank wo [@typeCode='COMP' and hl7:substanceAdministration]
@typeCode
 cs 1 … 1 F COMP
  target Ziel der Konzept Id(s):
cdachemed-dataelement-50
en-US Dosierung
en-US
hl7:sequenceNumber
 INT 1 … 1 M (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
hl7:substanceAdministration
 0 … 1 R (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
hl7:effectiveTime
 EIVL_TS 0 … 1
en-US timing purpose
(CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank treeblank treeblank 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:entryRelationship
 0 … 1
en-US IHE MTP Reason. Referencing to the Treatment Reason Entry Content Module below (required by IHE PHARM)

Beinhaltet 1.3.6.1.4.1.19376.1.5.3.1.4.4.1 Internal Reference (DYNAMIC) 		IHE PHARM MTP 6.3.4.E1.3.12
treeblank wo [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.4.1]]]
@typeCode
 cs 1 … 1 F RSON
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)
treeblank 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)
treeblank 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)
treeblank 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)
treeblank 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 Annotation Comments (DYNAMIC) (CH‑EMED‑MedicationTreatmentPlanEntryContentModule)
treeblank wo [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
@typeCode
 cs 1 … 1 F COMP