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draft Template  Pharmaceutical Advice Concern Entry Content Module

Id 2.16.756.5.30.1.1.10.4.81
ref
ch-pharm-
 		Effective Date 2016‑01‑11 11:13:04
Status draft Draft Version Label 2017
Name PharmaceuticalAdviceConcernEntryContentModule Display Name Pharmaceutical Advice Concern Entry Content Module
Description
A Pharmaceutical Advice Concern Item belongs to one Pharmaceutical Advice Item and represents the information to concerns (e.g., problems, allergies, etc.) which the Medication Treatment Plan-, Prescription-, Dispense- or Administration Item referenced by the underlying Pharmaceutical Advice Item causes.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.81
Label CH‑PHARM
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 5 templates, Uses 7 templates
Used by as Name Version
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
2.16.756.5.30.1.1.10.4.44 Containment 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
2.16.756.5.30.1.1.10.3.44 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
Uses as Name Version
2.16.756.5.30.1.1.10.9.1 Include draft Narrative Text Reference With Content (2021) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.5 Containment pending IHE Problem Entry (2016) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.6 Containment pending IHE Allergies And Intolerances Entry (2016) DYNAMIC
2.16.756.5.30.1.1.10.4.45 Include draft MTP Reference Entry Content Module (2022) DYNAMIC
2.16.756.5.30.1.1.10.4.47 Include pending PRE Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.46 Include pending DIS Reference Entry Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.1 Containment pending IHE Severity Entry (2016) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.5 IHE Pharmaceutical Advice Concern Entry Content Module (DYNAMIC)
ref
ch-pharm-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.81"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.5"/>  <id root="9CDBAEF6-2971-11E6-B67B-9E71128CAE77"/>  <code nullFlavor="NA"/>  <text>
    <reference value="#padv1"/>  </text>  <statusCode code="active"/>  <effectiveTime>
    <low value="20120204140000+0100"/>  </effectiveTime>  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation classCode="OBS" moodCode="EVN" negationInd=" false">
      <templateId root="2.16.840.1.113883.10.20.1.28"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>      <id root="1CDBAEF6-3456-11E6-B67B-9E71128CAE77"/>      <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>      <text>
        <reference value="#padv1"/>      </text>      <statusCode code="completed"/>      <effectiveTime>
        <low value="20120204140000+0100"/>      </effectiveTime>      <value xsi:type="CD">
        <originalText>
          <reference value="#padv1"/>        </originalText>      </value>    </observation>  </entryRelationship></act>
Item DT Card Conf Description Label
hl7:act
 		CH-PHARM
@classCode
 		1 … 1 F ACT
@moodCode
 		1 … 1 F EVN
hl7:templateId
 		II 1 … 1 M CH-PHARM Pharmaceutical Advice Concern Entry TemplateID CH‑PHARM
where [@root='2.16.756.5.30.1.1.10.4.81']
@root
 		1 … 1 F 2.16.756.5.30.1.1.10.4.81
hl7:templateId
 		II 1 … 1 M Pharmaceutical Advice Concern Entry TemplateID 6.3.dots.3.2
where [@root='2.16.840.1.113883.10.20.1.27']
@root
 		1 … 1 F 2.16.840.1.113883.10.20.1.27
hl7:templateId
 		II 1 … 1 M Reference to Pharmaceutical Advice Item ID 6.3.dots.3.2
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1']
@root
 		1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId
 		II 1 … 1 M 6.3.dots.3.2
where [@root='1.3.6.1.4.1.19376.1.9.1.3.5']
@root
 		1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.5
hl7:id
 		II 1 … 1 R Pharmaceutical Advice Concern ID 6.3.dots.3.3
hl7:code
 		CD 1 … 1 R Code 6.3.dots.3.4
@nullFlavor
 		1 … 1 F NA
Included 0 … 1 from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
An optional narrative description of the concern
hl7:text
 		ED 0 … 1 R It shall contain both the narrative text content and a reference to the human readable part of the item. This human readable part may contain a simple text to redirect the reader to the PDF document (e.g. "See PDF version included").
There shall be a single non-blank text node (i.e. the text shall be completely before or after the reference, see examples). The text shall be raw (i.e. no markup shall be used). 		CH-PHARM
hl7:reference
 		TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx']
CH-PHARM
@value
 		st 1 … 1 R
Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
  Variable let Name textBefore  
  Value normalize-space(text()[1])  
  Variable let Name textAfter  
  Value normalize-space(text()[2])  
  Schematron assert role red error  
  test (not($textBefore) and $textAfter) or ($textBefore and not($textAfter))  
  Message The text content shall be included before or after the reference.  
hl7:statusCode
 		CS 1 … 1 M Status Code 6.3.dots.3.6
@code
 		CONF 1 … 1 F active
hl7:effectiveTime
 		1 … 1 M Effective Time 6.3.dots.3.7
Choice 1 … *
Problems determined
Elements to choose from:
  • hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)
  • hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC)
hl7:entryRelationship
 		Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) 6.3.dots.3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]]
@typeCode
 		1 … 1 F SUBJ
hl7:entryRelationship
 		Contains 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC) 6.3.dots.3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]]
@typeCode
 		1 … 1 F SUBJ
hl7:entryRelationship
 		0 … 1 External Medication Treatment Plan-, Prescription- or Dispense Item triggering the concern 6.3.dots.3.9
where [@typeCode='REFR']
@typeCode
 		1 … 1 F REFR
@inversionInd
 		0 … 1 F false
Choice 0 … 1 Elements to choose from:
Included from 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration
 		Reference to Medication Treatment Plan Item General Specification 6.3.dots.3.1
@classCode
 		cs 1 … 1 F SBADM
@moodCode
 		cs 1 … 1 R The moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN.
hl7:templateId
 		II 1 … 1 M Reference to Medication Treatment Plan Item General Specification Template ID 6.3.dots.3.2
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.10
hl7:templateId
 		II 1 … 1 M CH-PHARM template ID 6.3.dots.3.1
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.45
hl7:id
 		1 … 1 M Reference to Medication Treatment Plan Item ID 6.3.dots.3.3
hl7:code
 		CD 1 … 1 M Reference to Medication Treatment Plan Item code 6.3.dots.3.4
@code
 		CONF 1 … 1 F MTPItem
@codeSystem
 		1 … 1 F 1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable
 		1 … 1 M 6.3.dots.3.1
hl7:manufacturedProduct
 		1 … 1 M 6.3.dots.3.1
hl7:manufacturedMaterial
 		1 … 1 R 6.3.dots.3.1
@nullFlavor
 		cs 1 … 1 F NA
hl7:author
 		0 … 1 Author of the referenced item 6.3.dots.3.5
hl7:reference
 		0 … 1 ID of parent container of referenced item 6.3.dots.3.7
@typeCode
 		cs 1 … 1 F XCRPT
hl7:externalDocument
 		1 … 1 M 6.3.dots.3.7
hl7:id
 		1 … 1 M 6.3.dots.3.7
  Schematron assert role red error  
  test @moodCode = 'EVN' or @moodCode = 'INT'  
  Message The moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN.  
Included from 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration
 		Reference to Prescription Item General Specification 6.3.dots.3.1
@classCode
 		cs 1 … 1 F SBADM
@moodCode
 		cs 1 … 1 F INT
hl7:templateId
 		II 1 … 1 M Reference to Prescription Item Template ID 6.3.dots.3.2
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.11
hl7:templateId
 		II 1 … 1 M 6.3.dots.3.1
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.47
hl7:id
 		1 … 1 M Reference to Prescription Item ID 6.3.dots.3.3
 
target
cdachemed-dataelement-144 draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-88 draft Referenz zu Medication Prescription document * draft Dataset 1
hl7:code
 		CD 1 … 1 M Reference to Prescription code 6.3.dots.3.4
@code
 		CONF 1 … 1 F PREItem
@codeSystem
 		1 … 1 F 1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable
 		1 … 1 M 6.3.dots.3.1
hl7:manufacturedProduct
 		1 … 1 M 6.3.dots.3.1
hl7:manufacturedMaterial
 		1 … 1 R 6.3.dots.3.1
@nullFlavor
 		cs 1 … 1 F NA
hl7:author
 		0 … 1 Author of the referenced item 6.3.dots.3.4
hl7:reference
 		0 … 1 ID of parent container of referenced item 6.3.dots.3.7
@typeCode
 		cs 1 … 1 F XCRPT
hl7:externalDocument
 		1 … 1 M 6.3.dots.3.7
hl7:id
 		1 … 1 M 6.3.dots.3.7
 
target
cdachemed-dataelement-144 draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-88 draft Referenz zu Medication Prescription document * draft Dataset 1
Included from 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC)
hl7:supply
 		Reference to Dispense Item General Specification 6.3.dots.3.1
@classCode
 		cs 1 … 1 F SPLY
@moodCode
 		cs 1 … 1 F EVN
hl7:templateId
 		II 1 … 1 M 6.3.dots.3.1
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.46
hl7:templateId
 		II 1 … 1 M Reference to Dispense Item Template ID 6.3.dots.3.2
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.12
hl7:id
 		1 … 1 M Reference to Dispense Item ID 6.3.dots.3.3
 
target
cdachemed-dataelement-145 draft Referenz zu Medication Dispense document * draft Dataset 1
hl7:code
 		CD 1 … 1 M Reference to Dispense Item code 6.3.dots.3.4
@code
 		CONF 1 … 1 F DISItem
@codeSystem
 		1 … 1 F 1.3.6.1.4.1.19376.1.9.2.2
hl7:author
 		0 … 1 Author of the referenced item 6.3.dots.3.5
hl7:reference
 		0 … 1 ID of parent container of referenced item 6.3.dots.3.7
@typeCode
 		cs 1 … 1 F XCRPT
hl7:externalDocument
 		1 … 1 M 6.3.dots.3.7
hl7:id
 		1 … 1 M 6.3.dots.3.7
 
target
cdachemed-dataelement-145 draft Referenz zu Medication Dispense document * draft Dataset 1
hl7:entryRelationship
 		0 … 1 Severity of the concern concern
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1 IHE Severity Entry (DYNAMIC) 		6.3.dots3.10
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']]]
@typeCode
 		1 … 1 F SUBJ
@inversionInd
 		1 … 1 F true