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ref Template  Medication Card Section Content Module

Id 2.16.756.5.30.1.1.10.3.9
ref
ch-pharm-
 		Effective Date 2016‑05‑21
Status draft Draft Version Label 2017
Name MedicationCardSectionContentModule Display Name Medication Card Section Content Module
Description
The Meciation Card Section includes the current and planned medication of a patient. See IHE Pharmacy PML Suppl. It includes entries for Medication Treatment Plan Items as described in the Medication Treatment Plan Item Entry Content Module. See also IHE Pharmacy MTP Suppl. Other entries like Prescription, Dispense and Pharmaceutical Advise entries which are allowd in a PML section are not allowed in the eCurrentMedication section.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.9
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
2.16.756.5.30.1.1.10.1.3 Containment draft Medication Card document (2017) 2016‑05‑13
Uses as Name Version
2.16.756.5.30.1.1.10.9.23 Include active Author (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.34 Containment draft Medication Treatment Plan Item Entry Content Module (2017) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.2.5 (2018‑01‑10 08:39:19)
Example
Example
<section>
  <!-- CH-PHARM Medication Card Section Content Module -->
  <templateId root="2.16.756.5.30.1.1.10.3.9"/>  <!-- IHE PHARM PML -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.2.5"/>  <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use"/>  <title>Medikationsliste</title>  <text>
    <!-- ... -->
  </text>  <entry>
    <!-- ... -->
  </entry></section>
Example
Example
<section>
  <!-- CH-PHARM Medication Card Section -->
  <templateId root="2.16.756.5.30.1.1.10.3.9"/>  <!-- IHE PHARM PML -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.2.5"/>  <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use"/>  <title>Medikamentenliste</title>  <text>
    <table>
      <thead>
        <tr>
          <th>Präpartename</th>          <th>Wirkstoffname</th>          <th>Galenische Form</th>          <th>Dosis pro Einheit</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>Behandlungsgrund</th>        </tr>      </thead>      <tbody>
        <tr ID="mtpc.1">
          <td ID="mtpc.1.brandedmedication">Beloc Zok</td>          <td ID="mtpc.1.ingredient">Metoprolol</td>          <td ID="mtpc.1.packageform"> Ret Tbl</td>          <td ID="mtpc.1.dosequantity">2.5 mg</td>          <td ID="mtpc.1.dosageintakemode">Morgens 1 und abends 1/2 Tablette nehmen</td>          <td ID="mtpc.1.dosagemorning">1</td>          <td ID="mtpc.1.dosagelunch">0</td>          <td ID="mtpc.1.dosageevening">0.5</td>          <td ID="mtpc.1.dosagenight">0</td>          <td ID="mtpc.1.routecode">oral</td>          <td ID="mtpc.1.note">-</td>          <td ID="mtpc.1.datefromto"/>          <td ID="mtpc.1.reason">Bluthochdruck</td>        </tr>        <tr ID="mtpc.2">
          <td ID="mtpc.2.brandedmedication">Norvasc</td>          <td ID="mtpc.2.ingredient">Amlodipin</td>          <td ID="mtpc.2.packageform">Tbl</td>          <td ID="mtpc.2.dosequantity">10 mg</td>          <td ID="mtpc.2.dosageintakemode">Morgens 1 und 1 Tablette nehmen</td>          <td ID="mtpc.2.dosagemorning">1</td>          <td ID="mtpc.2.dosagelunch">0</td>          <td ID="mtpc.2.dosageevening">1</td>          <td ID="mtpc.2.dosagenight">0</td>          <td ID="mtpc.2.routecode">oral</td>          <td ID="mtpc.2.note"/>          <td ID="mtpc.2.datefromto">-</td>          <td ID="mtpc.2.reason">Bluthochdruck</td>        </tr>      </tbody>    </table>  </text>  <entry>
    <!-- ... -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 (Meddotsule)
hl7:templateId
 II 1 … 1 M CH-PHARM Medication Card Section Content Module (Meddotsule)
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.9
hl7:templateId
 II 1 … 1 M IHE PHARM PML (Meddotsule)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.2.5
hl7:id
 II 0 … 1 (Meddotsule)
hl7:code
 CE 0 … 1 (Meddotsule)
@code
 CONF 0 … 1 F 10160-0
@codeSystem
 0 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@codeSystemName
 0 … 1 F LOINC
@displayName
 0 … 1 F History of medication use
hl7:title
 ST 1 … 1 M (Meddotsule)
  CONF
element content shall be "Medikamentenliste"
-or-
element content shall be "Liste de médicaments"
-or-
element content shall be "Lista farmaci"
-or-
element content shall be "Medication List"
hl7:text
 SD.TEXT 1 … 1 M (Meddotsule)
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
 0 … * Contains 2.16.756.5.30.1.1.10.4.34 Medication Treatment Plan Item Entry Content Module (DYNAMIC) (Meddotsule)
treeblank where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.34'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.7'] 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']]]