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ref Template  eMedicationComment

Id 2.16.756.5.30.1.1.10.1.6 Effective Date valid from 2016‑05‑21
Status draft Draft Version Label 2017
Name eMedicationComment Display Name eMedicationComment
Description
The eMedicationComment is a document in which health professionals track important observations (with the explicit consent of the patient), in regards to medication use. These observations are entered in free text. The eMedicationComment does not replace direct interprofessional communication.

Benefits of eMedicationComment
The eCurrentMedication aids interprofessional communication, which aims at a raised standard of interprofessional accountability within the entire treatment chain: Every treating health professional should be increasingly accountable to ensure that all required information is readily available to all subsequent treating health professionals, thus guaranteeing an optimal treatment for the patient.

eMedicationComment Parameters
Parameters recommended by the IPAG for implementation represent the current eMedication "Minimal Data Set" and can be found in the IPAG report. In the ART-DECOR Dataset they are marked with MDS for Minimal Data Set. The remaining parameters are not recommended for implementation at this point in time. The IPAG will continue to revise these.
Source: IPAG eMedikation, 7.6.2017

Relation to IHE Pharmacy
The eMedicationComment is based on the IHE Pharmacy Technical Framework Supplement – Pharmacy Pharmaceutical Advice (PADV).
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.1.6
Classification CDA Document Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
chdachpharm-dataelement-60 Ausstelldatum (Erstellungsdatum)
Used by / Uses
Used by 1 transaction and 0 templates, Uses 11 templates
Used by as Name Version
chdachpharm-transaction-13 Transaction draft eMedicationComment 2016‑07‑01 14:53:38
Uses as Name Version
2.16.756.5.30.1.1.10.2.25 Include draft Realm (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.24 Include active CDA TypeId DYNAMIC
2.16.756.5.30.1.1.10.2.18 Include draft Template Id (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.3 Include active CDA Document Id DYNAMIC
2.16.756.5.30.1.1.10.2.19 Include draft Confidentiality Code (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.22 Include draft Document language (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.31 Include draft recordTarget (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.32 Include draft author (2017) DYNAMIC
2.16.756.5.30.1.1.10.2.3 Include active CDA custodian DYNAMIC
2.16.756.5.30.1.1.10.3.12 Containment draft Pharmaceutical Advice Section Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.3.2 Containment draft Remarks Section (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.2 (DYNAMIC)
Specialization: template 1.3.6.1.4.1.19376.1.9.1.1.2 (DYNAMIC)
Specialization: template 2.16.756.5.30.1.1.1.1 (DYNAMIC)
Example
header
<cda:ClinicalDocument>
  <cda:realmCode code="CHE"/>  <cda:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <!-- IHE PCC -->
  <cda:templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/>  <!-- IHE PHARM PADV -->
  <cda:templateId root="1.3.6.1.4.1.19376.1.9.1.1.2"/>  <!-- CDA-CH -->
  <cda:templateId root="2.16.756.5.30.1.1.1.1" extension="CDA-CH"/>  <!-- CDA-CH-PHARM eMedicationComment -->
  <cda:templateId root="2.16.756.5.30.1.1.10.1.6"/>  <!-- id of this eMedicationComment -->
  <cda:id root="2.16.756.5.30.1.1.10.1.6" extension="8ed02d0a-2971-11e6-b67b-9e71128cae77"/>  <!-- IHE PHARM PADV -->
  <cda:code code="61356-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pharmaceutical advice"/>  <cda:title>Kommentar zur Medikation</cda:title>  <cda:effectiveTime value="20120204140000+0100"/>  <cda:confidentialityCode code="30003" codeSystem="2.16.756.5.30.1.127.3.10.1.5" displayName="Medical data"/>  <cda:languageCode code="de-CH"/>  <!-- snip -->
</cda:ClinicalDocument>
Item DT Card Conf Description Label
hl7:ClinicalDocument
 (eMedicationComment)
Included 1 … 1 M from 2.16.756.5.30.1.1.10.2.25 Realm (DYNAMIC)
hl7:realmCode
 CS 1 … 1 M (eMedicationComment)
@code
 CONF 1 … 1 F CHE
Included 1 … 1 M from 2.16.756.5.30.1.1.10.2.24 CDA TypeId (DYNAMIC)
hl7:typeId
 II 1 … 1 M (eMedicationComment)
@root
 uid 1 … 1 F 2.16.840.1.113883.1.3
@extension
 st 1 … 1 F POCD_HD000040
hl7:templateId
 II 1 … 1 M (eMedicationComment)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.1.1
  IHE PCC
Included from 2.16.756.5.30.1.1.10.2.18 Template Id (DYNAMIC)
hl7:templateId
 II 1 … 1 R (eMedicationComment)
@extension
 st 1 … 1 F CDA-CH
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.1.1
hl7:templateId
 II 1 … 1 M (eMedicationComment)
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.1.6
  CDA-CH-PHARM eMedicationComment
hl7:templateId
 II 1 … 1 M (eMedicationComment)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.1.2
  IHE PHARM PADV
Included 1 … 1 M from 2.16.756.5.30.1.1.10.9.3 CDA Document Id (DYNAMIC)
hl7:id
 II 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-59 Referenz-ID des Dokuments
hl7:code
 CE 1 … 1 R (eMedicationComment)
@code
 CONF 1 … 1 F 61356-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@displayName
 1 … 1 F Medication Pharmaceutical Advice
@codeSystemName
 1 … 1 F LOINC
hl7:title
 ST 0 … 1 eMedicationComment (eMedicationComment)
hl7:effectiveTime
 TS.CH.TZ 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-60 Ausstelldatum (Erstellungsdatum)
Included 1 … 1 M from 2.16.756.5.30.1.1.10.2.19 Confidentiality Code (DYNAMIC)
hl7:confidentialityCode
 CE CNE 1 … 1 M (eMedicationComment)
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.1 Swiss Confidentiality Codes (DYNAMIC)
Included 1 … 1 M from 2.16.756.5.30.1.1.10.2.22 Document language (DYNAMIC)
hl7:languageCode
 CS 1 … 1 M (eMedicationComment)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Included 1 … 1 M from 2.16.756.5.30.1.1.10.2.31 recordTarget (DYNAMIC)
hl7:recordTarget
 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-3 Patient
hl7:patientRole
 1 … 1 M (eMedicationComment)
hl7:id
 II 1 … * R Contains the patient identifiers. The OID (root attribute) SHALL be published in the oid registry of switzerland. Identifiers can be from a Master Patient Index (MPI) or internal numbers from institutions. (eMedicationComment)
  Example <id extension="807569999999999930200" root="2.16.756.5.30.4.9.1.1.1000.200.3"/>
hl7:addr
 AD 0 … * (eMedicationComment)
hl7:streetAddressLine
 ADXP 0 … * (eMedicationComment)
hl7:postalCode
 ADXP 0 … * (eMedicationComment)
hl7:city
 ADXP 0 … * (eMedicationComment)
hl7:country
 ADXP 0 … * (eMedicationComment)
hl7:telecom
 TEL 0 … * (eMedicationComment)
hl7:patient
 1 … 1 M (eMedicationComment)
hl7:name
 PN 1 … 1 M (eMedicationComment)
hl7:given
 ENXP 1 … * M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-24 Vorname
hl7:family
 ENXP 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-23 Name
hl7:administrativeGenderCode
 CE 1 … 1 R (eMedicationComment)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
 TS 1 … 1 M The birthday SHALL be provided at least to the birth year. (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-25 Geburtsjahr
chdachpharm-dataelement-26 Geburtsdatum
Included 1 … * from 2.16.756.5.30.1.1.10.2.32 author (DYNAMIC)
hl7:author
 1 … * R (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-2 Behandelnder
hl7:functionCode
 CE 0 … 1 (eMedicationComment)
hl7:time
 TS 1 … 1 R (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-52 Verabreichungsweg
hl7:assignedAuthor
 1 … 1 M (eMedicationComment)
@classCode
 cs 0 … 1 F ASSIGNED
hl7:id
 II 1 … * R The GLN identifier for the health care professional SHOULD be provided. (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-9 GLN-Nr.
  Example <id root="2.51.1.3" extension="7601000000000"/>
hl7:code
 CE 0 … 1 (eMedicationComment)
hl7:addr
 AD 0 … * (eMedicationComment)
hl7:telecom
 TEL 0 … * (eMedicationComment)
hl7:assignedPerson
 1 … 1 M (eMedicationComment)
Included M from 2.16.756.5.30.1.1.10.2.37 name (DYNAMIC)
hl7:name
 PN 1 … * M (eMedicationComment)
hl7:given
 ENXP 1 … * M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-8 Vorname
hl7:family
 ENXP 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-7 Name
hl7:representedOrganization
 1 … 1 M (eMedicationComment)
Included from 2.16.756.5.30.1.1.10.2.34 representedOrganisationPart (DYNAMIC)
hl7:id
 II 1 … * R (eMedicationComment)
hl7:name
 ON 1 … * R (eMedicationComment)
hl7:addr
 AD 1 … 1 R (eMedicationComment)
hl7:streetAddressLine
 ADXP 1 … * M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-16 Adresse
hl7:postalCode
 ADXP 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-17 PLZ
hl7:city
 ADXP 1 … 1 M (eMedicationComment)
  target Associated with concepts:
chdachpharm-dataelement-18 Ort
hl7:telecom
 TEL 1 … * R (eMedicationComment)
Included 1 … 1 R from 2.16.756.5.30.1.1.10.2.3 CDA custodian (DYNAMIC)
hl7:custodian
 1 … 1 R (eMedicationComment)
@typeCode
 cs 0 … 1 F CST
hl7:assignedCustodian
 1 … 1 R (eMedicationComment)
@classCode
 cs 0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
 1 … 1 R (eMedicationComment)
@classCode
 cs 0 … 1 F ORG
@determinerCode
 cs 0 … 1 F INSTANCE
hl7:id
 II 1 … * M (eMedicationComment)
hl7:name
 ON 0 … 1 (eMedicationComment)
hl7:telecom
 TEL 0 … 1 (eMedicationComment)
hl7:addr
 AD 0 … 1 (eMedicationComment)
hl7:component
 1 … 1 R (eMedicationComment)
@contextConductionInd
 bl 1 … 1 R
hl7:structuredBody
 1 … 1 M (eMedicationComment)
hl7:component
 1 … 1 M Contains 2.16.756.5.30.1.1.10.3.12 Pharmaceutical Advice Section Content Module (DYNAMIC) (eMedicationComment)
treeblank treeblank treeblank where [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.127.77.4.10.9']] [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.2.2']] [hl7:templateId [@root='2.16.756.5.30.1.1.10.3.12']]]
hl7:component
 0 … 1 Contains 2.16.756.5.30.1.1.10.3.2 Remarks Section (DYNAMIC) (eMedicationComment)
treeblank treeblank treeblank where [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.1.10.3.2']]]