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ref Template  Prescription Section Content Module

Id 2.16.756.5.30.1.1.10.3.10
ref
ch-pharm-
Effective Date 2016‑06‑06
Status draft Draft Version Label 2017
Name PrescriptionSectionContentModule Display Name Prescription Section Content Module
Description
The Prescription Section contains a description of the medications in a given prescription for the patient. It includes entries for Prescription Items as described in the Prescription Item Entry Content Module. See also chapter 6.3.3.1 in IHE Pharmacy PRE Suppl
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.10
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 2 templates
Used by as Name Version
2.16.756.5.30.1.1.10.1.4 Containment draft Medication Prescription document (2017) 2016‑05‑21
Uses as Name Version
2.16.756.5.30.1.1.10.9.23 Include active Author (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.43 Containment draft Prescription Item Entry Content Module (2017) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.2.1 (2018‑01‑10 11:13:04)
Example
Example
<section>
  <!-- PRE -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.2.1"/>  <!-- CH-PHARM PRE -->
  <templateId root="2.16.756.5.30.1.1.10.3.10"/>  <!-- id of this prescription -->
  <id root="D41D72BA-2100-11E6-B67B-9E71128CAE77"/>  <code code="57828-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PRESCRIPTIONS"/>  <title>Arzneimittelverordnung</title>  <text>
    <table>
      <thead>
        <tr>
          <th>Präpartename</th>          <th>Wirkstoffname</th>          <th>Galenische Form</th>          <th>Dosis pro Einheit</th>          <th>Wiederholter Bezug pro Arzneimittel</th>          <th>Dosierung</th>          <th>Dos.Morgen</th>          <th>Dos.Mittag</th>          <th>Dos.Abend</th>          <th>Dos.Nacht</th>          <th>Verabreichungsweg</th>          <th>Kommentar</th>          <th>Anwendungsdauer</th>          <th>Substituierbarkeit</th>        </tr>
      </thead>
      <tbody>
        <tr ID="pre.1">
          <td ID="pre.1.brandedmedication">Norvasc</td>          <td ID="pre.1.ingredient">Amlodipin</td>          <td ID="pre.1.dosequantity">Tbl</td>          <td ID="pre.1.packageform">10 mg/TblaTabl</td>          <td ID="pre.1.repeat">Dauerrezept 3 Monate</td>          <td ID="pre.1.dosageintakemode">Morgens und abends je 1 Tablette nehmen</td>          <td ID="pre.1.packagesize">30</td>          <td ID="pre.1.dosagemorning">1</td>          <td ID="pre.1.dosagelunch">0</td>          <td ID="pre.1.dosageevening">1</td>          <td ID="pre.1.dosagenight">0</td>          <td ID="pre.1.routecode">oral</td>          <td ID="pre.1.note"/>          <td ID="pre.1.datefromto"/>          <td ID="pre.1.subst"/>        </tr>
      </tbody>
    </table>
  </text>
  <entry>
    <!-- ... -->
  </entry>
</section>
Item DT Card Conf Description Label
hl7:section
(Predotsule)
hl7:templateId
II 1 … 1 M IHE PHARM PRE 6.3.3.1
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.2.1
hl7:templateId
II 1 … 1 M CH‑PHARM PRE
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.3.10
hl7:id
II 1 … 1 M IHE PHARM PRE 6.3.3.1.2
hl7:code
CE 1 … 1 M IHE PHARM PRE 6.3.3.1
@code
CONF 1 … 1 F 57828-6
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@displayName
1 … 1 F PRESCRIPTIONS
@codeSystemName
1 … 1 F LOINC
hl7:title
ST 1 … 1 M CH‑PHARM PRE
  CONF
element content shall be "Arzneimittelverordnung"
-or-
element content shall be "Prescription médicamenteuse"
-or-
element content shall be "Prescrizione di droga"
-or-
element content shall be "Prescription for medication"
hl7:text
SD.TEXT 1 … 1 M (Predotsule)
Included 0 … 1 from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
hl7:author
0 … 1 R Information about the author of a CDA document, section or entry. An author MAY be a person or a device. CDA‑CH V2
hl7:templateId
II 1 … 1 M CDA‑CH V2
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.9.23
hl7:functionCode
CE 1 … 1 R

The functionCode MUST be taken from the Swiss EPR Value-Set for author roles. See FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), Appendix 3: Metadata, Section 2.1.

If the desired functionCode is not available in the Swiss EPR Value-Set for author roles, nullFlavor='NAV' MUST be used. In this case, the originalText element MUST contain the description of the role.

Translations to other vocabularies are allowed.

CDA‑CH V2
@nullFlavor
st 0 … 1 F NAV
@code
cs 0 … 1  
@codeSystem
oid 0 … 1 F 2.16.840.1.113883.6.96
@codeSystemName
st 0 … 1 F SNOMED CT
@displayName
st 0 … 1  
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.1.3 EprAuthorRole (DYNAMIC)
  Example
Patient
<functionCode code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Patient"/>
  Example
Nurse
<functionCode code="106292003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Professional nurse"/>
  Example
Home helper
<functionCode nullFlavor="NAV">
  <originalText>Home helper</originalText></functionCode>
  Example
Laboratory technician
<functionCode nullFlavor="NAV">
  <originalText>Laboratory technician</originalText>  <translation code="3212" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO-08" displayName="Medical and pathology laboratory technicians"/></functionCode>
  Schematron assert role red error  
  test (@code and @codeSystem) or (@nullFlavor='NAV')  
  Message Either a code with its code system or nullFlavor='NAV' is required.  
  Schematron assert role red error  
  test not(@nullFlavor) or (hl7:originalText)  
  Message Other Caregivers description MUST be declared in the originalText element in case of nullFlavor.  
hl7:translation
0 … * A translation of the code to another coding system (e.g. ISCO-08: 2.16.840.1.113883.2.9.6.2.7) CDA‑CH V2
@code
cs 1 … 1 R
@codeSystem
oid 1 … 1 R
@codeSystemName
st 1 … 1 R
@displayName
st 1 … 1 R
hl7:time
TS.CH.TZ 1 … 1 R Timestamp of the authorship. CDA‑CH V2
hl7:assignedAuthor
1 … 1 R CDA‑CH V2
  Schematron assert role red error  
  test not(assignedAuthoringDevice/softwareName) or (representedOrganization)  
  Message For device authors the element representedOrganization is REQUIRED.  
hl7:id
II 1 … 1 R The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared.
CDA‑CH V2
@nullFlavor
cs 0 … 1 F NAV
  Temporarily unknown, will be filled later.
@root
cs 0 … 1 F 2.51.1.3
  OID for GS1 GLN.
@extension
st 0 … 1   The GS1 GLN.
  Schematron assert role red error  
  test (@root='2.51.1.3' and @extension) or (@nullFlavor='NAV')  
  Message Either the GS1 GLN or nullFlavor='NAV' is REQUIRED  
hl7:id
II 0 … * Other ids are allowed. CDA‑CH V2
@root
cs 1 … 1 R The OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
@extension
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:addr
AD 0 … * The author's address.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑CH V2
hl7:telecom
TEL 0 … * The author's means of communication (phone, eMail, ...). CDA‑CH V2
Choice 1 … 1 Elements to choose from:
hl7:assignedPerson
0 … 1 The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
hl7:assignedAuthoringDevice
0 … 1 The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
CDA‑CH V2
hl7:representedOrganization
0 … 1 The author's organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
CDA‑CH V2
hl7:entry
1 … * R Contains 2.16.756.5.30.1.1.10.4.43 Prescription Item Entry Content Module (DYNAMIC) (Predotsule)
treeblank where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.43'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId [@root='2.16.840.1.113883.10.20.1.24'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7']]]