Template 2.16.756.5.30.1.1.10.4.42 - DispenseItemEntryContentModule

Template Dispense Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.42 Effective Date valid from 2016‑06‑17

Status Draft Version Label 2017

Name DispenseItemEntryContentModule Display Name Dispense Item Entry Content Module

Description

A Dispense Item belongs to one Dispensation and represents one dispensed medication. It contains the dispensed medicinal product including information such as product code, brand name and packaging information.

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.42

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Associated with

Associated with 1 concept

Id	Name	Data Set
chdachpharm-dataelement-4	Arzneimittel/Herstellung

Used by / Uses

Used by 0 transactions and 4 templates, Uses 9 templates

Used by	as	Name	Version
2.16.756.5.30.1.1.10.3.11	Containment	Dispense Section Content Module (2017)	2016‑06‑06
2.16.756.5.30.1.1.10.1.5		eAbgabe (2017)	2016‑05‑21
2.16.756.5.30.1.1.10.3.9	Containment	eCurrentMedication Section Content Module (2017)	2016‑05‑21
2.16.756.5.30.1.1.10.1.3		eCurrentMedication (2017)	2016‑05‑13
Uses	as	Name	Version
2.16.756.5.30.1.1.10.4.33	Containment	Manufactured Material Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.45	Containment	MTP Reference Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.47	Containment	PRE Reference Entry Content Module (2017)	DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3	Containment	IHE Patient Medication Instructions (2014)	DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.4.1	Containment	IHE Internal Reference Entry (2014)	DYNAMIC
2.16.756.5.30.1.1.10.4.41	Containment	Treatment Reason Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.35	Include	Dosage Instructions CH P1 (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.36	Include	Dosage Instructions CH P2 (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.2	Containment	Annotation Comments (2017)	DYNAMIC

Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.4 (2016‑01‑08 11:13:04)

Example

<supply classCode="SPLY" moodCode="EVN">  <templateId root=" 2.16.756.5.30.1.1.10.4.42"/>  <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/>  <id root="2.16.756.5.30.1.1.1.1" extension="5712fffe-20c6-11e6-b67b-9e71128cae77"/> <text> <reference value="#dis.1"/> </text> <quantity unit="1" value="1"/> <product> <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="C09AA05" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="ramipril"> <originalText> <reference value="#dis.1.ingredient"/> </originalText> </code> <name>TRIATEC Tabl 2.5 mg</name> <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">  <pharm:code code="7680538751228" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="TRIATEC Tabl 2.5 mg 100 Stk"/>  <pharm:name>TRIATEC Tabl 2.5 mg</pharm:name> <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/> <pharm:capacityQuantity value="20"/> </pharm:containerPackagedMedicine> </pharm:asContent> <pharm:ingredient classCode="ACTI"> <pharm:quantity> <pharm:numerator unit="mg" value="2.5" xsi:type="pharm:PQ"/> <pharm:denominator value="1" xsi:type="pharm:PQ"/> </pharm:quantity> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="C09AA05" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="ramipril"/> <pharm:name>Ramipril</pharm:name> </pharm:ingredient> </pharm:ingredient> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <id root="2.16.756.5.30.1.1.1.1" extension="17931678-20b4-11e6-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> <reference typeCode="XCRPT"> <externalDocument> <id root="2.16.756.5.30.1.1.1.1" extension="658ab5ea-1f63-11e6-b6ba-3e1d05defe78"/> </externalDocument> </reference> </consumable> </substanceAdministration> </entryRelationship>  <entryRelationship typeCode="COMP"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.6"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/> <effectiveTime xsi:type="IVL_TS"> <low value="20111129"/> </effectiveTime> <effectiveTime xsi:type="EIVL_TS" operator="A"> <event code="ACM"/> </effectiveTime> <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/> <doseQuantity> <center value="0.5"/> </doseQuantity> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <substanceAdministration moodCode="INT" classCode="SBADM"> <templateId root="2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11"/> <text> <reference value="#dis.1.dosageintakemode"/> </text> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/> <templateId root="2.16.840.1.113883.10.20.1.40"/> <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/> <text> <reference value="#dis.1.note"/> </text> <statusCode code="completed"/> </act> </entryRelationship></supply>

Item DT Card Conf Description Label

hl7:supply (DispenseItemEntryContentModule)

Associated with concepts:

chdachpharm-dataelement-4

Arzneimittel/Herstellung

hl7:templateId II 1 … 1 M CH‑PHARM‑DispenseItemEntryContentModule

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.42

hl7:templateId II 1 … 1 M IHE PARM DIS 6.3.4.5.1

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.4

hl7:templateId II 1 … 1 M IHE PARM DIS 6.3.4.5.1

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7.3

hl7:templateId II 1 … 1 M IHE PARM DIS 6.3.4.5.1

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.34

hl7:id II 1 … 1 M This ID represents the Supply Item ID and SHALL be present. ID created by the software which created it or @root='2.16.756.5.30.1.1.3.5.1' with a GUID as @extension IHE PARM DIS 6.3.4.5.3.3

hl7:code CD 0 … 1 IHE PARM DIS 6.3.4.5.3.4

CONF

The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.7 DispenseSupplyType (DYNAMIC)

hl7:text 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. IHE PARM DIS 6.3.4.5.3.5

hl7:reference 1 … 1 M IHE PARM DIS 6.3.4.5.3.5

hl7:quantity 1 … 1 M The supply entry SHALL be present and indicate the quantity supplied, see IHE PARM DIS 6.3.4.5.3.7 for the different cases. IHE PARM DIS 6.3.4.5.3.7

hl7:product 1 … 1 M (DispenseItemEntryContentModule)

hl7:manufacturedProduct 1 … 1 M Contains 2.16.756.5.30.1.1.10.4.33 Manufactured Material Entry Content Module (DYNAMIC) (DispenseItemEntryContentModule)

where [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']] [hl7:templateId [@root='2.16.840.1.113883.10.20.1.53']]

hl7:templateId II 1 … 1 M (DispenseItemEntryContentModule)

@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 (DispenseItemEntryContentModule)

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.53

hl7:entryRelationship 0 … 1 If the dispense 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) IHE PARM DIS 6.3.4.5.3.12

where [@typeCode='REFR']

@typeCode cs 1 … 1 F REFR

hl7:entryRelationship 0 … 1 The reference to the Prescription Item this dispense is related to SHALL be present
Contains 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC) IHE PARM DIS 6.3.4.5.3.13

where [@typeCode='REFR']

@typeCode cs 1 … 1 F REFR

hl7:entryRelationship 0 … 1 Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC) (DispenseItemEntryContentModule)

where [@typeCode='SUBJ']

@typeCode cs 1 … 1 F SUBJ

@inversionInd bl 1 … 1 F true

hl7:entryRelationship 0 … 1 IHE DIS Reason. Referencing to the Treatment Reason Entry Content Module below (required by IHE PHARM)
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.4.1 IHE Internal Reference Entry (DYNAMIC) (DispenseItemEntryContentModule)

where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.4.1]]]

@typeCode cs 1 … 1 F RSON

hl7:entryRelationship 0 … 1 Contains 2.16.756.5.30.1.1.10.4.41 Treatment Reason Entry Content Module (DYNAMIC) (DispenseItemEntryContentModule)

where [hl7:observation]

@typeCode cs 1 … 1 F RSON

hl7:entryRelationship 0 … 1 (DispenseItemEntryContentModule)

where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.6']]]

@typeCode cs 1 … 1 F COMP

hl7:substanceAdministration (DispenseItemEntryContentModule)

@moodCode cs 1 … 1 F INT

hl7:id 1 … 1 M (DispenseItemEntryContentModule)

hl7:templateId II 1 … 1 M (DispenseItemEntryContentModule)

@root uid 1 … 1 F 2.16.756.5.30.1.127.77.4.10.21

hl7:templateId II 1 … 1 M (DispenseItemEntryContentModule)

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.6

Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions CH P1 (DYNAMIC)

hl7:effectiveTime IVL_TS 0 … 1 (DispenseItemEntryContentModule)

where [@xsi:type='IVL_TS']

Associated with concepts:

chdachpharm-dataelement-55	Anwendungsdauer
chdachpharm-dataelement-50	Dosierung

hl7:low TS 0 … 1 Start of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". (DispenseItemEntryContentModule)

hl7:high TS 0 … 1 End of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". (DispenseItemEntryContentModule)

hl7:effectiveTime EIVL_TS 0 … 1 Dosage Option 1. 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). (DispenseItemEntryContentModule)

where [@operator='A' and @xsi:type='EIVL_TS']

@operator cs 1 … 1 F A

hl7:event CS 1 … 1 M (DispenseItemEntryContentModule)

@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 Option 2. Multiple events within a day with the same dosage (DispenseItemEntryContentModule)

where [@operator='A' and @xsi:type='SXPR_TS']

@operator cs 1 … 1 F A

@xsi:type cs 1 … 1 F SXPR_TS

hl7:comp 1 … 1 M (DispenseItemEntryContentModule)

where [@xsi:type='EIVL_TS']

@xsi:type cs 1 … 1 F EIVL_TS

hl7:event CS 1 … 1 M (DispenseItemEntryContentModule)

@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 (DispenseItemEntryContentModule)

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 (DispenseItemEntryContentModule)

@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 IVL_INT 0 … 1 (DispenseItemEntryContentModule)

Associated with concepts:

chdachpharm-dataelement-44

Wiederholter Bezug pro Arzneimittel

hl7:routeCode 0 … 1 (DispenseItemEntryContentModule)

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)

Associated with concepts:

chdachpharm-dataelement-52

Verabreichungsweg

hl7:doseQuantity 0 … 1 (DispenseItemEntryContentModule)

hl7:rateQuantity 0 … 1 (DispenseItemEntryContentModule)

hl7:consumable 1 … 1 R (DispenseItemEntryContentModule)

hl7:manufacturedProduct 1 … 1 R (DispenseItemEntryContentModule)

hl7:manufacturedMaterial 1 … 1 R (DispenseItemEntryContentModule)

@nullFlavor cs 1 … 1 F NA

Included from 2.16.756.5.30.1.1.10.4.36 Dosage Instructions CH P2 (DYNAMIC)

hl7:entryRelationship 0 … * Dosage Option 3. Multiple events within a day with different dosage (DispenseItemEntryContentModule)

where [@typeCode='COMP' and hl7:substanceAdministration]

@typeCode cs 1 … 1 F COMP

Associated with concepts:

chdachpharm-dataelement-50

Dosierung

hl7:sequenceNumber INT 1 … 1 M (DispenseItemEntryContentModule)

hl7:substanceAdministration 0 … 1 R (DispenseItemEntryContentModule)

hl7:effectiveTime EIVL_TS 0 … 1 timing purpose (DispenseItemEntryContentModule)

where [@xsi:type='EIVL_TS']

@xsi:type cs 1 … 1 F EIVL_TS

hl7:event CS 1 … 1 M (DispenseItemEntryContentModule)

@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 0 … 1 (DispenseItemEntryContentModule)

hl7:rateQuantity 0 … 1 (DispenseItemEntryContentModule)

hl7:consumable 0 … 1 (DispenseItemEntryContentModule)

hl7:manufacturedProduct 0 … 1 R (DispenseItemEntryContentModule)

hl7:manufacturedMaterial 0 … 1 (DispenseItemEntryContentModule)

@nullFlavor cs 1 … 1 F NA

hl7:entryRelationship 0 … 1 Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC) (DispenseItemEntryContentModule)

where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]

@typeCode cs 1 … 1 F COMP

hl7:reference 0 … * 6.3.4.5.3.18

@typeCode cs 1 … 1 F XCRPT

hl7:externalDocument 1 … 1 6.3.4.5.3.18

hl7:id 1 … * 6.3.4.5.3.18

Template Dispense Item Entry Content Module