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draft Template  Dosage Instructions Start/Stop, Frequency, Dose

Id 2.16.756.5.30.1.1.10.4.35
ref
ch-pharm-
 		Effective Date 2019‑08‑27 16:30:05
Other versions this id:
Status draft Draft Version Label 2021
Name DosageInstructionsStartStopFrequency Display Name Dosage Instructions Start/Stop, Frequency, Dose
Description
Dosage Instructions are a set of data elements which together represent the dosage instructions to a medication such as duration of treatment, medication frequency, dose quantity, route of administration, etc. Dosage Instructions may be provided structured and/or narrative. This entry describes structured dosage instructions.
Classification Template type not specified
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 16 concepts
Id Name Data Set
cdachemed-dataelement-96 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-61 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-100 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-31 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-157 draft Wiederholter Bezug pro Arzneimittel draft Dataset 1
cdachemed-dataelement-34 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-164 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-55 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-162 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-59 draft Verarbreichungsweg * draft Dataset 1
cdachemed-dataelement-102 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-36 draft Anwendungsdauer * draft Dataset 1
Used by / Uses
Used by 6 transactions and 18 templates, Uses 0 templates
Used by as Name Version
cdachemed-transaction-4 Transaction draft Medication Prescription document 2018‑04‑04 15:33:29
cdachemed-transaction-9 Transaction draft Medication Treatment Plan document 2019‑12‑12 14:11:31
cdachemed-transaction-5 Transaction draft Medication Dispense document 2018‑04‑04 15:35:51
cdachemed-transaction-6 Transaction draft Pharmaceutical Advice document 2018‑04‑04 15:36:35
cdachemed-transaction-7 Transaction draft Medication List document 2018‑04‑04 15:37:19
cdachemed-transaction-8 Transaction draft Medication Card document 2018‑04‑04 15:42:50
2.16.756.5.30.1.1.10.4.34 Include draft Medication Treatment Plan Item Entry Content Module (2021) 2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.3.13 link draft Medication Treatment Plan Section Content Module (2017) 2017‑05‑01 12:51:36
2.16.756.5.30.1.1.10.1.7 link draft Medication Treatment Plan document (2020) 2017‑04‑12 13:57:31
2.16.756.5.30.1.1.10.3.44 link draft Medication List Section Content Module (2021) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link draft Medication List document (2020) 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.3.9 link draft Medication Card Section Content Module (2021) 2016‑05‑21
2.16.756.5.30.1.1.10.1.3 link draft Medication Card document (2020) 2016‑05‑13
2.16.756.5.30.1.1.10.4.44 link draft Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
2.16.756.5.30.1.1.10.3.12 link draft Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link draft Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.4.34 Include cancelled Medication Treatment Plan Item Entry Content Module (2017) 2016‑06‑13
2.16.756.5.30.1.1.10.4.42 Include draft Dispense Item Entry Content Module (2021) 2016‑06‑17
2.16.756.5.30.1.1.10.3.11 link draft Dispense Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.5 link draft Medication Dispense document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.4.43 Include draft Prescription Item Entry Content Module (2021) 2019‑09‑11 17:05:49
2.16.756.5.30.1.1.10.3.10 link draft Prescription Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.4 link draft Medication Prescription document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.4.43 Include cancelled Prescription Item Entry Content Module (2017) 2016‑06‑25
Example
Dosis Option 1
<!-- 0.5x morgens ab 20111129 -->
<snip>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ... -->
  <effectiveTime type="IVL_TS">
    <low value="20111129"/>  </effectiveTime>  <effectiveTime operator="A" type="EIVL_TS">
    <event code="ACM"/>  </effectiveTime>  <!-- ... -->
  <doseQuantity>
    <center value="0.5"/>  </doseQuantity></snip>
Example
Dosage Option 2
<!-- 1 morgens, 1 abends ab 20120204 -->
<snip>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ... -->
  <effectiveTime type="IVL_TS">
    <low value="20120204"/>  </effectiveTime>  <effectiveTime type="SXPR_TS" operator="A">
    <comp type="EIVL_TS">
      <event code="ACM"/>    </comp>    <comp type="EIVL_TS" operator="I">
      <event code="ACV"/>    </comp>  </effectiveTime></snip>
Example
Dosage Option 3
<!-- 1 morgens, 0.5 abends ab 20120204 -->
<snip>
  <!-- Split dosing -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.9"/>  <effectiveTime type="IVL_TS">
    <low value="20120204"/>  </effectiveTime>  <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/>  <consumable>
    <manufacturedProduct>
      <manufacturedMaterial nullFlavor="NA"/>    </manufacturedProduct>  </consumable>  <entryRelationship typeCode="COMP">
    <!-- morgens 1 stück -->
    <sequenceNumber value="1"/>    <substanceAdministration classCode="SBADM" moodCode="INT">
      <effectiveTime 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 type="EIVL_TS">
        <event code="ACV"/>      </effectiveTime>      <doseQuantity>
        <center value="0.5"/>      </doseQuantity>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship></snip>
Item DT Card Conf Description Label
hl7:effectiveTime
 		IVL_TS.CH.TZ 0 … 1 Dosage Instructions PCC 6.3.4.16.10 - Start and Stop 6.3.dots.3.8
where [@xsi:type='IVL_TS']
 
target
cdachemed-dataelement-61 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-164 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-102 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-36 draft Anwendungsdauer * draft Dataset 1
hl7:low
 		TS.CH.TZ 1 … 1 R Start of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
@nullFlavor
 		cs 0 … 1 F UNK
@value
 		ts 0 … 1  
  Schematron assert role red error  
  test (not(@nullFlavor) and @value) or (@nullFlavor and not(@value))  
  Message Either @value or @nullFlavor attribute shall be set.  
hl7:high
 		TS.CH.TZ 1 … 1 R End of Treatment. If End of Treatment is unknown this element SHALL be set to null flavor "UNK". 6.3.dots.3.8
@nullFlavor
 		cs 0 … 1 F UNK
@value
 		ts 0 … 1  
  Schematron assert role red error  
  test (not(@nullFlavor) and @value) or (@nullFlavor and not(@value))  
  Message Either @value or @nullFlavor attribute shall be set.  
hl7:effectiveTime
 		EIVL_TS 0 … 1 Dosage Instructions PCC 6.3.4.16.12 - Frequency: 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). 6.3.dots.3.8
where [@operator='A' and @xsi:type='EIVL_TS']
 
target
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
@operator
 		cs 1 … 1 F A
hl7:event
 		CS 1 … 1 M 6.3.dots.3.8
@code
 		cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:effectiveTime
 		SXPR_TS 0 … 1 Dosage Instructions PCC 6.3.4.16.12 - Frequency: Multiple events within a day with the same dosage 6.3.dots.3.8
where [@operator='A' and @xsi:type='SXPR_TS']
 
target
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
@operator
 		cs 1 … 1 F A
@xsi:type
 		cs 1 … 1 F SXPR_TS
hl7:comp
 		1 … * M 6.3.dots.3.8
where [@xsi:type='EIVL_TS']
@xsi:type
 		cs 1 … 1 F EIVL_TS
hl7:event
 		CS 1 … 1 M 6.3.dots.3.8
@code
 		cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:comp
 		1 … * M 6.3.dots.3.8
where [@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 6.3.dots.3.8
@code
 		cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:repeatNumber
 		0 … 1 Number of repeats/refills. Either the @value or @nullFlavor attribute shall be set. It's required in MTP, PRE and PADV items ; forbidden in DIS items. 6.3.dots.3.9
 
target
cdachemed-dataelement-96 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-31 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-157 draft Wiederholter Bezug pro Arzneimittel draft Dataset 1
cdachemed-dataelement-55 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
@value
 		cs 0 … 1   A value of 0 (zero) means that no repeat/refill is allowed, a positive value sets the number of maximum repeats/refills (so the total number of dispenses could equal this value plus one, as the first dispense is not counted). A negative value is forbidden.
@nullFlavor
 		cs 0 … 1 F NI
  The NI null flavor means that unlimited repeats/refills are allowed.
  Schematron assert role red error  
  test not(@value) or @value >= 0  
  Message The value shall not be negative  
  Schematron assert role red error  
  test (not(@value) and @nullFlavor) or (@value and not(@nullFlavor))  
  Message Either the @value or @nullFlavor attribute shall be set  
hl7:routeCode
 		CE (required) 0 … 1 (Dosdotsncy)
 
target
cdachemed-dataelement-100 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-34 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-162 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-59 draft Verarbreichungsweg * draft Dataset 1
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.2 RouteOfAdministration (EDQM) (DYNAMIC)
hl7:approachSiteCode
 		CD 0 … * (Dosdotsncy)
hl7:doseQuantity
 		IVL_PQ 0 … 1 (Dosdotsncy)
 
target
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
@unit
 		cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
 		real 1 … 1 R
hl7:rateQuantity
 		IVL_PQ 0 … 1 (Dosdotsncy)