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draft Template  Prescription Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.43
ref
ch-pharm-
 		Effective Date 2019‑09‑11 17:05:49
Other versions this id:
Status draft Draft Version Label 2021
Name PrescriptionItemEntryContentModule Display Name Prescription Item Entry Content Module
Description
A Prescription Item belongs to one prescription and represents one prescribed medication. It may be associated with one or more observations. Prescription Item is the atomic entity for logistics, distribution and billing. It contains the prescribed medicine and dosage information as well as other information to the prescribed item such as patient- and fulfillment instructions and substitution handling.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.43
Classification CDA Entry Level Template
Open/Closed Closed (only defined elements are allowed)
Associated with
Associated with 6 concepts
Id Name Data Set
cdachemed-dataelement-15 draft Arzneimittel draft Dataset 1
cdachemed-dataelement-21 draft Anzahl Packungen draft Dataset 1
cdachemed-dataelement-23 draft Dosierung draft Dataset 1
cdachemed-dataelement-35 draft Kommentar * draft Dataset 1
cdachemed-dataelement-37 draft Substituierbarkeit * draft Dataset 1
cdachemed-dataelement-38 draft Referenz zu Medication Treatment Plan document * draft Dataset 1
Used by / Uses
Used by 3 transactions and 8 templates, Uses 16 templates
Used by as Name Version
cdachemed-transaction-4 Transaction draft Medication Prescription document 2018‑04‑04 15:33:29
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 Include draft Pharmaceutical Advice Item Entry Content Module (2022) 2022‑06‑30 15:10:57
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
2.16.756.5.30.1.1.10.4.44 Include draft Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
2.16.756.5.30.1.1.10.3.10 Containment 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
Uses as Name Version
2.16.756.5.30.1.1.10.4.35 Include draft Dosage Instructions Start/Stop, Frequency, Dose (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.33 Include draft Manufactured Material Entry Content Module (2020) DYNAMIC
2.16.756.5.30.1.1.10.9.23 Include active Author (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.36 Include draft Dosage Instructions Related Components (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.41 Containment draft Treatment Reason Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.45 Containment draft MTP Reference Entry Content Module (2022) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.16 Containment pending IHE Validation Step Entry Content Module (2020) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3 Containment draft IHE Patient Medication Instructions (2014) DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Containment draft Fulfillment Instructions (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.38 Containment pending Prescribed Quantity Entry Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.9.1 Containment pending IHE Substitution Permission Content Module (2017) DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.15 Containment draft IHE Renewal Period Content Module (2021) DYNAMIC
2.16.756.5.30.1.1.10.4.52 Containment draft Dosage Instructions Non Structured Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.82 Containment draft Annotation Comments (2016) DYNAMIC
2.16.756.5.30.1.1.10.10 Containment draft Medication In Reserve Entry Content Module (2022) DYNAMIC
2.16.756.5.30.1.1.10.9.1 Include draft Narrative Text Reference With Content (2021) DYNAMIC
Example
Example
<substanceAdministration classCode="SBADM" moodCode="INT">
  <!-- IHE PHARM PRE Required element indicating the Medication Treatment
Plan entry content module -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.2"/>  <!-- 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-PHARM Prescription Item Entry Content Module -->
  <templateId root="2.16.756.5.30.1.1.10.4.43"/>  <!-- A normal substanceAdministration act that may not contain any
subordinate substanceAdministration acts. -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ID of pre item, PCC TF2 6.3.4.16.6 -->
  <id root="D41D72BA-2100-11E6-B67B-9E71128CAE77"/>  <text>
    <reference value="#pre.1"/>  </text>  <statusCode code="completed"/>  <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>  <!-- 3 Monate -> 90 Tage * 1 Tablette / 30 Tablette -> 3 Packungen,
repeatNumber=2 -->
  <repeatNumber value="2"/>  <routeCode code="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use"/>  <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">
        <templateId root="2.16.756.5.30.1.1.10.4.33"/>        <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/>        <code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine">
          <originalText>
            <reference value="#pre.1.ingredient"/>          </originalText>        </code>        <name>NORVASC Tabl 10 mg</name>        <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>        <asContent classCode="CONT">
          <containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
            <code code="7680500440334" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="NORVASC Tabl 10 mg"/>            <name>NORVASC Tabl 10 mg</name>            <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>            <capacityQuantity value="30"/>          </containerPackagedMedicine>        </asContent>        <ingredient classCode="ACTI">
          <quantity>
            <numerator unit="mg" value="10" type="pharm:PQ"/>            <denominator value="1" type="pharm:PQ"/>          </quantity>          <ingredient classCode="MMAT" determinerCode="KIND">
            <code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine"/>            <name>amlodipine</name>          </ingredient>        </ingredient>      </manufacturedMaterial>    </manufacturedProduct>  </consumable>  <entryRelationship typeCode="RSON">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.41"/>      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem" codeSystemName="LOINC"/>      <text>
        <reference value="#pre.1.reason"/>      </text>      <statusCode code="completed"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <substanceAdministration moodCode="INT" classCode="SBADM">
      <templateId root="2.16.756.5.30.1.1.10.4.37"/>      <text>
        <reference value="#pre.1.dosageintakemode"/>      </text>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <supply moodCode="RQO" classCode="SPLY">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.8"/>      <independentInd value="false"/>      <quantity unit="1" value="1"/>    </supply>  </entryRelationship>  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.10"/>      <templateId root="2.16.756.5.30.1.1.10.4.45"/>      <id root="5712FFFE-20C6-11E6-B67B-9E71128CAE77"/>      <code code="MTPItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2" displayName="Medication Treatment Plan Item" codeSystemName="IHE Pharmacy Item Type List"/>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>      <reference typeCode="XCRPT">
        <externalDocument>
          <id root="5712FFFE-20C6-11E6-B67B-9E71128CAE77"/>        </externalDocument>      </reference>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.2"/>      <templateId root="2.16.840.1.113883.10.20.1.40"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>      <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>      <text>
        <reference value="#pre.1.note"/>      </text>      <statusCode code="completed"/>    </act>  </entryRelationship></substanceAdministration>
Item DT Card Conf Description Label
hl7:substanceAdministration
 		Prescription Item Entry Additional Template ID 6.3.dots.3.3
 
target
cdachemed-dataelement-15 draft Arzneimittel draft Dataset 1
@classCode
 		cs 1 … 1 F SBADM
@moodCode
 		cs 1 … 1 F INT
hl7:templateId
 		II 1 … 1 M CH-PHARM Prescription Item Entry Content Module 6.3.dots.3.3
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.43
hl7:templateId
 		II 1 … 1 M Prescription Item Entry TemplateID 6.3.dots.3.2
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.2
hl7:templateId
 		II 1 … 1 M IHE PHARM Dosage Instructions 6.3.dots.3.8
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.6
hl7:templateId
 		II 1 … 1 M CCD 6.3.dots.3.3
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.24
hl7:templateId
 		II 1 … 1 M PCC Medication Entry Content Module 6.3.dots.3.3
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7
Choice 1 … 
Prescription Item Entry Additional Template ID
Elements to choose from:
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']
hl7:templateId
 		II 0 … 1 A normal substanceAdministration act that may not contain any subordinate substanceAdministration acts. 6.3.dots.3.3
where [@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 A substanceAdministration act that records tapered dose information in subordinate. 6.3.dots.3.3
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.8
hl7:templateId
 		II 0 … 1 A substanceAdministration act that records split dose information in subordinate substanceAdministration acts. 6.3.dots.3.3
where [@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 This ID represents the Prescription Item ID and SHALL be present. 6.3.dots.3.4
hl7:text
 		1 … 1 M Narrative Text 6.3.dots.3.6
hl7:reference
 		1 … 1 M 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 dispensed. 6.3.dots.3.6
hl7:statusCode
 		1 … 1 M 6.3.dots.3.7
@code
 		1 … 1 F completed
Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions Start/Stop, Frequency, Dose (DYNAMIC)
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-102 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-164 final Anwendungsdauer * 2022 draft Dataset 1
cdachemed-dataelement-36 draft Anwendungsdauer * draft Dataset 1
cdachemed-dataelement-61 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-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 final Anwendungsschema * 2022 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-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 final Anwendungsschema * 2022 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 (changed MTP, changed/recommended PRE) items ; forbidden in DIS and PADV (changed dosage instructions) items. 6.3.dots.3.9
 
target
cdachemed-dataelement-157 final Wiederholter Bezug pro Arzneimittel 2022 draft Dataset 1
cdachemed-dataelement-31 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-55 draft Wiederholter Bezug pro Arzneimittel * draft Dataset 1
cdachemed-dataelement-96 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 6.3.dots.3.3
 
target
cdachemed-dataelement-100 draft Verabreichungsweg * draft Dataset 1
cdachemed-dataelement-162 final Verabreichungsweg * 2022 draft Dataset 1
cdachemed-dataelement-34 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 … * 6.3.dots.3.3
hl7:doseQuantity
 		IVL_PQ 0 … 1 6.3.dots.3.3
 
target
cdachemed-dataelement-105 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-106 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-107 draft Anwendungsschema * draft Dataset 1
cdachemed-dataelement-161 final Anwendungsschema * 2022 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 6.3.dots.3.3
hl7:consumable
 		1 … 1 R 6.3.dots3.10
hl7:manufacturedProduct
 		1 … 1 M 6.3.dots3.10
hl7:templateId
 		II 1 … 1 M 6.3.dots.3.1
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']
@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 6.3.dots.3.1
where [@root='2.16.840.1.113883.10.20.1.53']
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.53
Included 1 … 1 M from 2.16.756.5.30.1.1.10.4.33 Manufactured Material Entry Content Module (DYNAMIC)
hl7:manufacturedMaterial
 		1 … 1 M 6.3.dots3.10
@classCode
 		cs 0 … 1 F MMAT
@determinerCode
 		cs 0 … 1 F KIND
hl7:templateId
 		II 1 … 1 M CH-PHARM Manufactured Material Content Module 6.3.dots3.10
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.33
hl7:templateId
 		II 1 … 1 M 6.3.dots3.10
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.1
hl7:code
 		CE 1 … 1 R Must support. The element SHALL be present and describes the code of the medication package (GTIN) or the drug classification (WHO ATC). The @nullFlavor "NA" for magistral preparations is currently disallowed. 6.3.dots3.10
 
target
cdachemed-dataelement-158 final GTIN * 2022 draft Dataset 1
cdachemed-dataelement-32 draft GTIN * draft Dataset 1
cdachemed-dataelement-56 draft GTIN * draft Dataset 1
cdachemed-dataelement-97 draft GTIN * draft Dataset 1
@nullFlavor
 		cs 0 NP NP/not present
@code
 		cs 1 … 1 R
@codeSystem
 		oid 1 … 1 R GTIN (2.51.1.1) or ATC (2.16.840.1.113883.6.73).
  CONF
@codeSystem shall be "2.51.1.1"
or
@codeSystem shall be "2.16.840.1.113883.6.73"
hl7:originalText
 		ED 0 … 1 6.3.dots3.10
hl7:reference
 		TEL 1 … 1 R 6.3.dots3.10
@nullFlavor
 		cs 0 … 1 F NA
  Schematron assert role red error  
  test (@code and @codeSystem) or (@nullFlavor='NA')  
  Message Either a code with its code system or nullFlavor='NA' is required.  
hl7:name
 		EN 1 … 1 R Must support. The element SHALL contain the name of the medication. IHE PHARM PRE 6.3.4.1.3.4
 
target
cdachemed-dataelement-152 final Präparatenname 2022 draft Dataset 1
cdachemed-dataelement-16 draft Präparatenname draft Dataset 1
cdachemed-dataelement-50 draft Präparatenname draft Dataset 1
cdachemed-dataelement-89 draft Präparatenname draft Dataset 1
@nullFlavor
 		cs 0 NP NP/not present
pharm:formCode
 		CE 0 … 1 This code represents the pharmaceutical dose form (e.g., tablet, capsule, liquid) and SHOULD be present, if not implied by the product. 6.3.dots3.10
 
target
cdachemed-dataelement-155 final galenische Form 2022 draft Dataset 1
cdachemed-dataelement-19 draft galenische Form draft Dataset 1
cdachemed-dataelement-53 draft galenische Form draft Dataset 1
cdachemed-dataelement-92 draft galenische Form draft Dataset 1
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.3 Pharmaceutical Dose Form (EDQM) (DYNAMIC)
hl7:lotNumberText
 		ST 0 … 1 IHE PHARM PRE 6.3.4.1.3.6
 
target
cdachemed-dataelement-104 draft Lotnummer * draft Dataset 1
pharm:expirationTime
 		TS.CH.TZ 0 … 1 IHE PHARM PRE 6.3.4.1.3.7
@value
 		1 … 1 R
pharm:asContent
 		0 … 1 IHE PHARM PRE 6.3.4.1.3.8
@classCode
 		cs 1 … 1 F CONT
pharm:containerPackagedMedicine
 		1 … 1 M packaging of the medication IHE PHARM PRE 6.3.4.1.3.8
@classCode
 		cs 1 … 1 F CONT
@determinerCode
 		cs 1 … 1 F INSTANCE
pharm:code
 		CE 0 … 1 Must support. In case the medicine describes a product, the GTIN code of the medication package SHOULD be specified. If set, it shall be the same as the hl7:code. IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-158 final GTIN * 2022 draft Dataset 1
cdachemed-dataelement-32 draft GTIN * draft Dataset 1
cdachemed-dataelement-56 draft GTIN * draft Dataset 1
cdachemed-dataelement-97 draft GTIN * draft Dataset 1
  Variable let Name gtin  
  Value ./@code  
  Schematron assert role red error  
  test not(../../../hl7:code[@codeSystem = '2.51.1.1']) or ../../../hl7:code[@code = $gtin]  
  Message If set, the GTIN shall be the same as the medication product.  
pharm:name
 		TN 0 … 1 Must support. In case the package describes a product, and the package has a brand name, it SHOULD be described. IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-152 final Präparatenname 2022 draft Dataset 1
cdachemed-dataelement-16 draft Präparatenname draft Dataset 1
cdachemed-dataelement-50 draft Präparatenname draft Dataset 1
cdachemed-dataelement-89 draft Präparatenname draft Dataset 1
pharm:formCode
 		CE 0 … 1
IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-155 final galenische Form 2022 draft Dataset 1
cdachemed-dataelement-19 draft galenische Form draft Dataset 1
cdachemed-dataelement-53 draft galenische Form draft Dataset 1
cdachemed-dataelement-92 draft galenische Form draft Dataset 1
pharm:capacityQuantity
 		PQ 0 … 1 Must support. The element SHOULD be present and describes the capacity of the packaging. IHE PHARM PRE 6.3.4.1.3.8
 
target
cdachemed-dataelement-22 draft Packungsgrösse draft Dataset 1
cdachemed-dataelement-95 draft Packungsgrösse draft Dataset 1
@nullFlavor
 		cs 0 NP NP/not present
@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
 		1 … 1 R
pharm:ingredient
 		0 … * One or more active ingredients SHOULD be represented with this structure. 6.3.dots3.10
@classCode
 		cs 1 … 1 F ACTI
pharm:quantity
 		RTO_PQ_PQ 0 … 1 The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication 6.3.dots3.10
 
target
cdachemed-dataelement-156 final Dosis pro Einheit 2022 draft Dataset 1
cdachemed-dataelement-20 draft Dosis pro Einheit draft Dataset 1
cdachemed-dataelement-54 draft Dosis pro Einheit draft Dataset 1
cdachemed-dataelement-93 draft Dosis pro Einheit draft Dataset 1
hl7:numerator
 		PQ 1 … 1 M 6.3.dots3.10
@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:denominator
 		PQ 1 … 1 M 6.3.dots3.10
@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
pharm:ingredient
 		1 … 1 R Ingredients SHALL be coded with SNOMED CT. 6.3.dots3.10
@classCode
 		cs 1 … 1 F MMAT
@determinerCode
 		cs 1 … 1 F KIND
pharm:code
 		CE 0 … 1 6.3.dots3.10
 
target
cdachemed-dataelement-159 final Wirkstoff-Code (SNOMED CT) * 2022 draft Dataset 1
cdachemed-dataelement-33 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
cdachemed-dataelement-57 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
cdachemed-dataelement-98 draft Wirkstoff-Code (SNOMED CT) * draft Dataset 1
@code
 		cs 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.82 ActivePharmaceuticalIngredient (DYNAMIC)
@codeSystem
 		oid 1 … 1 F 2.16.840.1.113883.6.96
@codeSystemName
 		st 1 … 1 F SNOMED CT
pharm:name
 		TN 1 … 1 R 6.3.dots3.10
 
target
cdachemed-dataelement-153 final Wirkstoffname 2022 draft Dataset 1
cdachemed-dataelement-17 draft Wirkstoffname draft Dataset 1
cdachemed-dataelement-51 draft Wirkstoffname draft Dataset 1
cdachemed-dataelement-90 draft Wirkstoffname draft Dataset 1
Included 0 … 1 from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
Prescriber
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
 
target
cdachemed-dataelement-2 final Autorin/Autor 2022 draft Dataset 1
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 0 … 1 CDA‑CH V2
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
 		TS.CH.TZ 1 … 1 R Timestamp of the authorship. CDA‑CH V2
 
target
cdachemed-dataelement-108 final Abgabedatum * (Medication Dispense) in section.author.time 2022 draft Dataset 1
cdachemed-dataelement-115 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-116 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-117 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-42 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-71 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-84 final Timestamp Authorship 2022 draft Dataset 1
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
 
target
cdachemed-dataelement-7 final Identifier 2022 draft Dataset 1
@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
 
target
cdachemed-dataelement-3 final Name 2022 draft Dataset 1
cdachemed-dataelement-6 final First names 2022 draft Dataset 1
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
 
target
cdachemed-dataelement-8 final Health facility 2022 draft Dataset 1
Included 0 … 1 from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
Community Prescription document author
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
 
target
cdachemed-dataelement-2 final Autorin/Autor 2022 draft Dataset 1
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 0 … 1 CDA‑CH V2
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
 		TS.CH.TZ 1 … 1 R Timestamp of the authorship. CDA‑CH V2
 
target
cdachemed-dataelement-108 final Abgabedatum * (Medication Dispense) in section.author.time 2022 draft Dataset 1
cdachemed-dataelement-115 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-116 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-117 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-42 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-71 final Timestamp Authorship 2022 draft Dataset 1
cdachemed-dataelement-84 final Timestamp Authorship 2022 draft Dataset 1
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
 
target
cdachemed-dataelement-7 final Identifier 2022 draft Dataset 1
@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
 
target
cdachemed-dataelement-3 final Name 2022 draft Dataset 1
cdachemed-dataelement-6 final First names 2022 draft Dataset 1
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
 
target
cdachemed-dataelement-8 final Health facility 2022 draft Dataset 1
Included from 2.16.756.5.30.1.1.10.4.36 Dosage Instructions Related Components (DYNAMIC)
hl7:entryRelationship
 		0 … * Dosage Instructions PCC 6.3.4.16.20 - Related components IHE PCC 6.3.4.16.20
where [@typeCode='COMP' and hl7:substanceAdministration and (../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.10'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.11']) and not(hl7:substanceAdministration/hl7:templateId)]
@typeCode
 		cs 1 … 1 F COMP
hl7:sequenceNumber
 		INT 1 … 1 M IHE PCC 6.3.4.16.20
hl7:substanceAdministration
 		1 … 1 M For split, tapered or conditional dosing, the subordinate component shall specify only the changed <frequency> and/or <doseAmount> elements.
 IHE PCC 6.3.4.16.20
@moodCode
 		cs 1 … 1 R INT for an intent or EVN for an event.
@classCode
 		cs 1 … 1 F SBADM
hl7:effectiveTime
 		EIVL_TS 0 … 1 timing purpose IHE PCC 6.3.4.16.20
where [@xsi:type='EIVL_TS']
@xsi:type
 		cs 1 … 1 F EIVL_TS
hl7:event
 		CS 1 … 1 M IHE PCC 6.3.4.16.20
@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:doseQuantity
 		IVL_PQ 0 … 1 IHE PCC 6.3.4.16.20
@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
 		cs 1 … 1 R
hl7:rateQuantity
 		IVL_PQ 0 … 1 IHE PCC 6.3.4.16.20
hl7:consumable
 		1 … 1 M IHE PCC 6.3.4.16.20
hl7:manufacturedProduct
 		1 … 1 M IHE PCC 6.3.4.16.20
hl7:manufacturedMaterial
 		1 … 1 R IHE PCC 6.3.4.16.20
@nullFlavor
 		cs 1 … 1 F NA
hl7:entryRelationship
 		0 … 1 Treatment Reason as text
Contains 2.16.756.5.30.1.1.10.4.41 Treatment Reason Entry Content Module (DYNAMIC) 		6.3.dots.3.3
where [hl7:observation]
@typeCode
 		cs 1 … 1 F RSON
hl7:entryRelationship
 		0 … 1 Reference to Medication Treatment Plan Item. If the Prescription Item is related to a Medication Treatment Plan Item, the reference to it SHALL be present.
Contains 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC) 		6.3.dots3.14
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.45']]]
 
target
cdachemed-dataelement-38 draft Referenz zu Medication Treatment Plan document * draft Dataset 1
@typeCode
 		cs 1 … 1 F REFR
hl7:entryRelationship
 		0 … 1 Validation Step
Contains 1.3.6.1.4.1.19376.1.9.1.3.16 IHE Validation Step Entry Content Module (DYNAMIC) 		6.3.dots3.16
where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.16']]]
@typeCode
 		cs 1 … 1 F REFR
hl7:entryRelationship
 		0 … 1 Patient Medication Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC) 		IHE PHARM PRE 6.3.4.2.3.17
where [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 Fulfillment Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Fulfillment Instructions (DYNAMIC) 		6.3.dots3.17
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3.1']]]
@typeCode
 		cs 1 … 1 F SUBJ
@inversionInd
 		bl 1 … 1 F true
hl7:act
 		6.3.dots3.17
hl7:templateId
 		II 1 … 1 M 6.3.dots3.17
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.3.1
hl7:entryRelationship
 		0 … 1 Amount of units of the consumable to dispense
Contains 2.16.756.5.30.1.1.10.4.38 Prescribed Quantity Entry Content Module (DYNAMIC) 		6.3.dots3.19
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.8']]]
 
target
cdachemed-dataelement-21 draft Anzahl Packungen draft Dataset 1
@typeCode
 		cs 1 … 1 F COMP
hl7:entryRelationship
 		0 … * Substitution permission
Contains 1.3.6.1.4.1.19376.1.9.1.3.9.1 IHE Substitution Permission Content Module (DYNAMIC) 		6.3.dots3.20
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.9.1']]]
 
target
cdachemed-dataelement-37 draft Substituierbarkeit * draft Dataset 1
@typeCode
 		cs 1 … 1 F COMP
hl7:entryRelationship
 		0 … 1 Renewal Period
Contains 1.3.6.1.4.1.19376.1.9.1.3.15 IHE Renewal Period Content Module (DYNAMIC) 		6.3.dots3.21
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.15']]]
@typeCode
 		cs 1 … 1 F COMP
hl7:entryRelationship
 		0 … 1 Contains 2.16.756.5.30.1.1.10.4.52 Dosage Instructions Non Structured Entry Content Module (DYNAMIC) 6.3.dots.3.3
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.52']]]
 
target
cdachemed-dataelement-23 draft Dosierung draft Dataset 1
@typeCode
 		cs 1 … 1 F COMP
hl7:entryRelationship
 		0 … 1 Contains 2.16.756.5.30.1.1.10.4.82 Annotation Comments (DYNAMIC) 6.3.dots.3.3
where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
 
target
cdachemed-dataelement-35 draft Kommentar * draft Dataset 1
@typeCode
 		cs 1 … 1 F COMP
hl7:entryRelationship
 		0 … 1 If absent, the medication is a regular one.
Contains 2.16.756.5.30.1.1.10.10 Medication In Reserve Entry Content Module (DYNAMIC) 		6.3.dots.3.3
where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.10']]]
@typeCode
 		cs 1 … 1 F COMP
hl7:reference
 		0 … * 6.3.dots3.22
@typeCode
 		cs 1 … 1 F XCRPT
hl7:externalDocument
 		1 … 1 R 6.3.dots3.22
hl7:id
 		1 … * R 6.3.dots3.22
hl7:precondition
 		0 … 1 Precondition Criterion 6.3.dots3.23
hl7:criterion
 		1 … 1 R 6.3.dots3.23
Included R from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
hl7:text
 		ED 1 … 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). 		6.3.dots3.23
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']
 6.3.dots3.23
@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.  
  Schematron assert role red error  
  test hl7:repeatNumber  
  Message The 'hl7:repeatNumber' is mandatory in PRE items.  
  Schematron assert role red error  
  test (hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] and hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]] and not(hl7:effectiveTime) and not(hl7:routeCode) and not(hl7:approachSiteCode) and not(hl7:doseQuantity) and not(hl7:rateQuantity)) or (hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] and hl7:effectiveTime and hl7:doseQuantity and not(hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]])) or not(hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'])  
  Message Either the narrative dosage instructions or the structured ones shall be provided in normal dose regime.  
  Schematron assert role red error  
  test hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] or (not(hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']) and not(hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]]))  
  Message The narrative dosage instructions shall only appear in normal dose regime.