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ref Template  Pharmaceutical Advice Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.44 Effective Date valid from 2016‑06‑25
Status draft Draft Version Label 2017
Name PharmaceuticalAdviceItemEntryContentModule Display Name Pharmaceutical Advice Item Entry Content Module
Description
A Pharmaceutical Advice Item belongs to one Pharmaceutical Advice and represents the validation outcome or management command regarding the referenced Medication Treatment Plan-, Prescription- or Dispense Item (e.g., change, cancel, etc.).
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.44
Label IHE PHARM PADV 6.3.4.3
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 3 concepts
Id Name Data Set
chdachpharm-dataelement-67 Typ des Kommentars
chdachpharm-dataelement-21 Kommentar
chdachpharm-dataelement-36 eMedicationComment: Kommentar zur Medikation
Used by / Uses
Used by 0 transactions and 4 templates, Uses 8 templates
Used by as Name Version
2.16.756.5.30.1.1.10.3.12 Containment draft Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link draft eMedicationComment (2017) 2016‑05‑21
2.16.756.5.30.1.1.10.3.9 Containment draft eCurrentMedication Section Content Module (2017) 2016‑05‑21
2.16.756.5.30.1.1.10.1.3 link draft eCurrentMedication (2017) 2016‑05‑13
Uses as Name Version
2.16.756.5.30.1.1.10.4.45 Containment draft MTP Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.47 Containment draft PRE Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.46 Containment draft DIS Reference Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.34 Containment draft Medication Treatment Plan Item Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.43 Containment draft Prescription Item Entry Content Module (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.35 Include draft Dosage Instructions CH P1 (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.36 Include draft Dosage Instructions CH P2 (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment draft Annotation Comments (2017) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.3 (DYNAMIC)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <!-- IHE PHARM PADV -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.3"/>  <!-- CH-PHARM-PharmaceuticalAdviceItemEntryContentModule -->
  <templateId root="2.16.756.5.30.1.1.10.4.44"/>  <id root="2.16.756.5.30.1.1.1.1" extension="9cdbaef6-2971-11e6-b67b-9e71128cae77"/>  <!-- medication will be canceled -->
  <code code="CANCEL" codeSystem="1.3.6.1.4.1.19376.1.9.2.1" codeSystemName="IHE Pharmaceutical Advice Status List"/>  <text>
    <reference value="#padv.1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime value="20120204140000+0100"/>  <value xsi:type="CD" code="VAL" codeSystem="2.16.756.5.30.1.127.77.4.11.3" codeSystemName="eMedicationCommentType" displayName="Validierungsentscheid"/>  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <!-- reference to eCurrent Medication MTP Item Step 1 (not step 2) -->
      <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>
      </consumable>
    </substanceAdministration>
  </entryRelationship>
  <!-- One or more Pharmaceutical Advice Concern entries -->
  <entryRelationship typeCode="REFR" inversionInd="false">
    <act classCode="ACT" moodCode="EVN">
      <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="2.16.756.5.30.1.1.1.1" extension="9cdbaef6-2971-11e6-b67b-9e71128cae77"/>      <code nullFlavor="NA"/>      <text>
        <reference value="#padv1.comment"/>      </text>
      <statusCode code="completed"/>      <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"/>          <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>          <text>
            <reference value="#padv.1.typ"/>          </text>
          <statusCode code="completed"/>          <effectiveTime>
            <low value="20120204140000+0100"/>          </effectiveTime>
          <value xsi:type="CD">
            <originalText>
              <reference value="#padv.1.typ"/>            </originalText>
          </value>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="SUBJ" inversionInd="true">
        <observation classCode="OBS" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.1.55"/>          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/>          <code code="SEV" displayName="Severity" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>          <text>
            <reference value="#padv.1.classificaton"/>          </text>
          <statusCode code="completed"/>          <!-- Schweregrad H: kritisch, rot M: gelb, relevant L: grün -->
          <value xsi:type="CD" code="H" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="ObservationValue"/>        </observation>
      </entryRelationship>
    </act>
  </entryRelationship>
</observation>
Item DT Card Conf Description Label
hl7:observation
IHE PHARM PADV 6.3.4.3
@moodCode
cs 1 … 1 F EVN
  target Associated with concepts:
chdachpharm-dataelement-36 eMedicationComment: Kommentar zur Medikation
hl7:templateId
II 1 … 1 M IHE PHARM PADV IHE PHARM PADV 6.3.4.3
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.3
hl7:templateId
II 1 … 1 M CH-PHARM-PharmaceuticalAdviceItemEntryContentModule IHE PHARM PADV 6.3.4.3
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.44
hl7:id
II 1 … * M IHE PHARM PADV 6.3.4.3.3.3
hl7:code
CD 1 … 1 M IHE PHARM PADV 6.3.3.2
  CONF
@code shall be "OK"
@codeSystem shall be "1.3.6.1.4.1.19376.1.9.2.1"
or
@code shall be "CHANGE"
@codeSystem shall be "1.3.6.1.4.1.19376.1.9.2.1"
or
@code shall be "CANCEL"
@codeSystem shall be "1.3.6.1.4.1.19376.1.9.2.1"
or
@code shall be "SUSPEND"
@codeSystem shall be "1.3.6.1.4.1.19376.1.9.2.1"
or
@code shall be "REFUSE"
@codeSystem shall be "1.3.6.1.4.1.19376.1.9.2.1"
hl7:text
1 … 1 M IHE PHARM PADV 6.3.4.3.3.5
hl7:reference
1 … 1 M IHE PHARM PADV 6.3.4.3.3.5
  target Associated with concepts:
chdachpharm-dataelement-21 Kommentar
hl7:statusCode
CS 1 … 1 M IHE PHARM PADV 6.3.4.3.3.6
  CONF
@code shall be "active"
or
@code shall be "completed"
hl7:effectiveTime
0 … 1 IHE PHARM PADV 6.3.4.3
@value
1 … 1 R
hl7:value
0 … 1 IHE PHARM PADV 6.3.4.3
  CONF
@code shall be "VAL"
@codeSystem shall be "1.3.6.1.4.1.12559.11.22.1.9.56"
or
@code shall be "INT"
@codeSystem shall be "1.3.6.1.4.1.12559.11.22.1.9.56"
or
@code shall be "BEO"
@codeSystem shall be "1.3.6.1.4.1.12559.11.22.1.9.56"
or
@code shall be "MED"
@codeSystem shall be "1.3.6.1.4.1.12559.11.22.1.9.56"
  target Associated with concepts:
chdachpharm-dataelement-67 Typ des Kommentars
Choice 0 … 1
referenced Medication Treatment Plan-, Prescription- or Dispense Item to which this Pharmaceutical Advice is related to
Elements to choose from:
  • hl7:entryRelationship[@typeCode='REFR'] containing template 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC)
  • hl7:entryRelationship[@typeCode='REFR'] containing template 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC)
  • hl7:entryRelationship[@typeCode='REFR'] containing template 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC)
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC) IHE PHARM PADV 6.3.4.3.3.9, 10, 11
treeblank treeblank where [@typeCode='REFR']
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC) IHE PHARM PADV 6.3.4.3.3.9, 10, 11
treeblank treeblank where [@typeCode='REFR']
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC) IHE PHARM PADV 6.3.4.3.3.9, 10, 11
treeblank treeblank where [@typeCode='REFR']
@typeCode
cs 1 … 1 F REFR
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.34 Medication Treatment Plan Item Entry Content Module (DYNAMIC) IHE PHARM PADV 6.3.4.3.3.13
treeblank where [hl7:substanceAdministration/hl7:templateId/@root='1.3.6.1.4.1.19376.1.9.1.3.7']
@typeCode
cs 1 … 1 F REFR
@inversionInd
bl 0 … 1 F false
hl7:entryRelationship
0 … 1 IHE PHARM PADV 6.3.4.3.3.14
treeblank where [hl7:organizer/hl7:component/hl7:substanceAdministration/hl7:templateId/@root='1.3.6.1.4.1.19376.1.9.1.3.2']
@typeCode
cs 1 … 1 F REFR
@inversionInd
bl 0 … 1 F false
hl7:organizer
IHE PHARM PADV 6.3.4.3.3.14
@classCode
cs 1 … 1 F CLUSTER
@moodCode
cs 1 … 1 F EVN
hl7:statusCode
1 … 1 M IHE PHARM PADV 6.3.4.3.3.14
@code
1 … 1 F completed
hl7:component
1 …  R Contains 2.16.756.5.30.1.1.10.4.43 Prescription Item Entry Content Module (DYNAMIC) IHE PHARM PADV 6.3.4.3.3.14
treeblank treeblank treeblank where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.2']] [hl7:templateId [@root='2.16.840.1.113883.10.20.1.24']] [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7']] [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.43']]]
hl7:seperatableInd
1 … 1 M IHE PHARM PADV 6.3.4.3.3.14
@value
1 … 1 F false
hl7:entryRelationship
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
@typeCode
cs 1 … 1 F REFR
@inversionInd
bl 0 … 1 F false
hl7:substanceAdministration
IHE PHARM PADV 6.3.4.3.3.15
@classCode
cs 1 … 1 F SBADM
@moodCode
cs 1 … 1 F INT
hl7:templateId
II 1 … 1 M IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank where [@xsi:type='IVL_TS']
  target 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". IHE PHARM PADV 6.3.4.3.3.15
hl7:high
TS 0 … 1 End of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK". IHE PHARM PADV 6.3.4.3.3.15
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). IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank where [@operator='A' and @xsi:type='EIVL_TS']
@operator
cs 1 … 1 F A
hl7:event
CS 1 … 1 M IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank 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 IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank treeblank where [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank treeblank 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 IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
  target Associated with concepts:
chdachpharm-dataelement-44 Wiederholter Bezug pro Arzneimittel
hl7:routeCode
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
  target Associated with concepts:
chdachpharm-dataelement-52 Verabreichungsweg
hl7:doseQuantity
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
hl7:rateQuantity
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
hl7:consumable
1 … 1 R IHE PHARM PADV 6.3.4.3.3.15
hl7:manufacturedProduct
1 … 1 R IHE PHARM PADV 6.3.4.3.3.15
hl7:manufacturedMaterial
1 … 1 R IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank where [@typeCode='COMP' and hl7:substanceAdministration]
@typeCode
cs 1 … 1 F COMP
  target Associated with concepts:
chdachpharm-dataelement-50 Dosierung
hl7:sequenceNumber
INT 1 … 1 M IHE PHARM PADV 6.3.4.3.3.15
hl7:substanceAdministration
0 … 1 R IHE PHARM PADV 6.3.4.3.3.15
hl7:effectiveTime
EIVL_TS 0 … 1 timing purpose IHE PHARM PADV 6.3.4.3.3.15
treeblank treeblank treeblank treeblank treeblank where [@xsi:type='EIVL_TS']
@xsi:type
cs 1 … 1 F EIVL_TS
hl7:event
CS 1 … 1 M IHE PHARM PADV 6.3.4.3.3.15
@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 IHE PHARM PADV 6.3.4.3.3.15
hl7:rateQuantity
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
hl7:consumable
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
hl7:manufacturedProduct
0 … 1 R IHE PHARM PADV 6.3.4.3.3.15
hl7:manufacturedMaterial
0 … 1 IHE PHARM PADV 6.3.4.3.3.15
@nullFlavor
cs 1 … 1 F NA
hl7:entryRelationship
0 … 1 Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC) IHE PHARM PADV 6.3.4.3
treeblank 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 … * IHE PHARM PADV 6.3.4.3.3.16
@typeCode
cs 1 … 1 F XCRPT
hl7:externalDocument
1 … 1 R IHE PHARM PADV 6.3.4.3.3.16
hl7:id
1 … * M IHE PHARM PADV 6.3.4.3.3.16