Template 2.16.756.5.30.1.1.10.4.43 - PrescriptionItemEntryContentModule

Template Prescription Item Entry Content Module

Id 2.16.756.5.30.1.1.10.4.43 Effective Date valid from 2016‑06‑25

Status Draft Version Label 2017

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 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 7 templates, Uses 12 templates

Used by	as	Name	Version
2.16.756.5.30.1.1.10.3.10	Containment	Prescription Section Content Module (2017)	2016‑06‑06
2.16.756.5.30.1.1.10.1.4		eRezept (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
2.16.756.5.30.1.1.10.4.44	Containment	Pharmaceutical Advice Item Entry Content Module (2017)	2016‑06‑25
2.16.756.5.30.1.1.10.3.12		Pharmaceutical Advice Section Content Module (2017)	2016‑06‑06
2.16.756.5.30.1.1.10.1.6		eMedicationComment (2017)	2016‑05‑21
Uses	as	Name	Version
2.16.756.5.30.1.1.10.4.35	Include	Dosage Instructions CH P1 (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.33	Containment	Manufactured Material Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.2.37	Include	name (2017)	DYNAMIC
2.16.756.5.30.1.1.10.2.34	Include	representedOrganisationPart (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.36	Include	Dosage Instructions CH P2 (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.45	Containment	MTP 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
2.16.756.5.30.1.1.10.4.38	Containment	Prescribed Quantity Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.52	Containment	Dosage Instructions Non Structured Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.37	Containment	Dosage Intake Mode Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.39	Containment	Substitution Permission Entry Content Module (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.2	Containment	Annotation Comments (2017)	DYNAMIC

Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.7 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.2 (2016‑01‑08 13:04:49)

Example

<substanceAdministration classCode="SBADM" moodCode="INT">  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.2" assigningAuthorityName="IHE PHARM"/>  <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="HL7 CCD"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7" assigningAuthorityName="IHE PCC"/>  <templateId root="2.16.756.5.30.1.1.10.4.43"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <id root="6c968b1a-21ee-11e6-b67b-9e71128cae77"/> <text> <reference value="#pre.1"/> </text> <statusCode code="completed"/> <effectiveTime xsi:type="IVL_TS"> <low value="20120204"/> </effectiveTime> <effectiveTime xsi:type="SXPR_TS" operator="A"> <comp xsi:type="EIVL_TS"> <event code="ACM"/> </comp> <comp xsi:type="EIVL_TS" operator="I"> <event code="ACV"/> </comp> </effectiveTime>  <repeatNumber value="2"/> <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/> <doseQuantity> <center value="0.5"/> </doseQuantity> <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="2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.2"/>  <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> <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="7680500440334" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="NORVASC Tabl 10 mg"/>  <pharm:name>NORVASC Tabl 10 mg</pharm:name> <pharm:formCode code="TAB" codeSystem="2.16.840.1.113883.5.85" displayName="Tablet"/> <pharm:capacityQuantity value="30"/> </pharm:containerPackagedMedicine> </pharm:asContent> <pharm:ingredient classCode="ACTI"> <pharm:quantity> <pharm:numerator unit="mg" value="10" xsi:type="pharm:PQ"/> <pharm:denominator value="1" xsi:type="pharm:PQ"/> </pharm:quantity> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine"/> <pharm:name>amlodipine</pharm:name> </pharm:ingredient> </pharm:ingredient> </manufacturedMaterial> </manufacturedProduct> </consumable> <entryRelationship typeCode="COMP"> <supply moodCode="RQO" classCode="SPLY"> <independentInd value="false"/> <quantity unit="1" value="1"/> </supply> </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="#mtp.1.dosageintakemode"/> </text> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <id root="068e887c-2270-11e6-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="074da900-2103-11e6-b67b-9e71128cae77"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship></substanceAdministration>

Item DT Card Conf Description Label

hl7:substanceAdministration (Prescri…

@classCode cs 1 … 1 F SBADM

@moodCode cs 1 … 1 F INT

Associated with concepts:

chdachpharm-dataelement-4

Arzneimittel/Herstellung

hl7:templateId II 1 … 1 M IHE PHARM PRE (Prescri…

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.9.1.3.2

hl7:templateId II 1 … 1 M CCD (Prescri…

@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 (Prescri…

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.7

hl7:templateId II 1 … 1 M CH-PHARM Prescription Item Entry Content Module (Prescri…

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.43

Choice

1 …

Elements to choose from:

hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']

hl7:templateId II 0 … 1 A normal substanceAdministration act that may not contain any subordinate substanceAdministration acts. (Prescri…

@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 split dose information in subordinate substanceAdministration acts. (Prescri…

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.9

hl7:id 1 … * M This ID represents the Prescription 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 (Prescri…

hl7:text 1 … 1 M IHE PHARM PRE 6.3.4.2.3.6

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. IHE PHARM PRE 6.3.4.2.3.6

hl7:statusCode 1 … 1 M IHE PHARM PRE 6.3.4.2.3.7

@code 1 … 1 F completed

Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions CH P1 (DYNAMIC)

hl7:effectiveTime IVL_TS 0 … 1 (Prescri…

where [@xsi:type='IVL_TS' and ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']]

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". (Prescri…

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

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). (Prescri…

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

@operator cs 1 … 1 F A

hl7:event CS 1 … 1 M (Prescri…

@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 (Prescri…

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 … * M (Prescri…

where [@xsi:type='EIVL_TS']

@xsi:type cs 1 … 1 F EIVL_TS

hl7:event CS 1 … 1 M (Prescri…

@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 (Prescri…

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 (Prescri…

@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 (Prescri…

Associated with concepts:

chdachpharm-dataelement-44

Wiederholter Bezug pro Arzneimittel

hl7:routeCode 0 … 1 (Prescri…

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 (Prescri…

hl7:rateQuantity 0 … 1 (Prescri…

hl7:consumable 1 … 1 IHE PHARM PRE 6.3.4.2.3.10

hl7:manufacturedProduct 1 … 1 Contains 2.16.756.5.30.1.1.10.4.33 Manufactured Material Entry Content Module (DYNAMIC) IHE PHARM PRE 6.3.4.2.3.10

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 IHE PHARM PRE 6.3.4.2.3.10

@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 IHE PHARM PRE 6.3.4.2.3.10

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.53

hl7:author 0 … 1 In the case that the Prescription Item is used within a Prescription document according to the Pharmacy Prescription (PRE) Profile this element SHALL NOT be present. IHE PHARM PRE 6.3.4.2.3.11

hl7:functionCode CE 0 … 1 IHE PHARM PRE 6.3.4.2.3.11

hl7:time TS 1 … 1 R IHE PHARM PRE 6.3.4.2.3.11

hl7:assignedAuthor 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

@classCode cs 0 … 1 F ASSIGNED

hl7:id II 1 … * R The GLN identifier for the health care professional SHOULD be provided. IHE PHARM PRE 6.3.4.2.3.11

Example <id root="2.51.1.3" extension="7601000000000"/>

hl7:code CE 0 … 1 IHE PHARM PRE 6.3.4.2.3.11

hl7:addr AD 0 … * IHE PHARM PRE 6.3.4.2.3.11

hl7:telecom TEL 0 … * IHE PHARM PRE 6.3.4.2.3.11

hl7:assignedPerson 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

Included M from 2.16.756.5.30.1.1.10.2.37 name (DYNAMIC)

hl7:name PN 1 … * M IHE PHARM PRE 6.3.4.2.3.11

hl7:given ENXP 1 … * M IHE PHARM PRE 6.3.4.2.3.11

Associated with concepts:

chdachpharm-dataelement-8

Vorname

hl7:family ENXP 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

Associated with concepts:

chdachpharm-dataelement-7

Name

hl7:representedOrganization 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

Included from 2.16.756.5.30.1.1.10.2.34 representedOrganisationPart (DYNAMIC)

hl7:id II 1 … * R IHE PHARM PRE 6.3.4.2.3.11

hl7:name ON 1 … * R IHE PHARM PRE 6.3.4.2.3.11

hl7:addr AD 1 … 1 R IHE PHARM PRE 6.3.4.2.3.11

hl7:streetAddressLine ADXP 1 … * M IHE PHARM PRE 6.3.4.2.3.11

Associated with concepts:

chdachpharm-dataelement-16

Adresse

hl7:postalCode ADXP 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

Associated with concepts:

chdachpharm-dataelement-17

PLZ

hl7:city ADXP 1 … 1 M IHE PHARM PRE 6.3.4.2.3.11

Associated with concepts:

chdachpharm-dataelement-18

Ort

hl7:telecom TEL 1 … * R IHE PHARM PRE 6.3.4.2.3.11

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 (Prescri…

where [@typeCode='COMP' and hl7:substanceAdministration and ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] and not(hl7:substanceAdministration/hl7:templateId)]

@typeCode cs 1 … 1 F COMP

Associated with concepts:

chdachpharm-dataelement-50

Dosierung

hl7:sequenceNumber INT 1 … 1 M (Prescri…

hl7:substanceAdministration 0 … 1 R (Prescri…

hl7:effectiveTime EIVL_TS 0 … 1 timing purpose (Prescri…

where [@xsi:type='EIVL_TS']

@xsi:type cs 1 … 1 F EIVL_TS

hl7:event CS 1 … 1 M (Prescri…

@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 (Prescri…

hl7:rateQuantity 0 … 1 (Prescri…

hl7:consumable 0 … 1 (Prescri…

hl7:manufacturedProduct 0 … 1 R (Prescri…

hl7:manufacturedMaterial 0 … 1 (Prescri…

@nullFlavor cs 1 … 1 F NA

hl7:entryRelationship 0 … 1 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) (Prescri…

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) IHE PHARM PRE 6.3.4.2.3.14

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 Contains 2.16.756.5.30.1.1.10.4.38 Prescribed Quantity Entry Content Module (DYNAMIC) IHE PHARM PRE 6.3.4.2.3.16

where [hl7:supply]

@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) (Prescri…

where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.10']]]

@typeCode cs 1 … 1 F COMP

hl7:entryRelationship 0 … 1 Contains 2.16.756.5.30.1.1.10.4.37 Dosage Intake Mode Entry Content Module (DYNAMIC) (Prescri…

where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.1.1.3.10.2.10.10.4.11']]]

@typeCode cs 1 … 1 F COMP

hl7:entryRelationship 0 … 1 Contains 2.16.756.5.30.1.1.10.4.39 Substitution Permission Entry Content Module (DYNAMIC) (Prescri…

where [hl7:supply]

@typeCode cs 1 … 1 F COMP

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

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 … * 6.3.4.2.…

@typeCode 1 … 1 F XCRPT

hl7:externalDocument 1 … 1 6.3.4.2.…

hl7:id 1 … * 6.3.4.2.…

Template Prescription Item Entry Content Module