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# Template Dosage Instructions Start/Stop, Frequency, Dose

Id | 2.16.756.5.30.1.1.10.4.35 ref ch-pharm- | Effective Date | 2019‑08‑27 16:30:05
Status | Draft | Version Label | 2021
Name | DosageInstructionsStartStopFrequency | Display Name | Dosage Instructions Start/Stop, Frequency, Dose
Description
Dosage Instructions are a set of data elements which together represent the dosage instructions to a medication such as duration of treatment, medication frequency, dose quantity, route of administration, etc. Dosage Instructions may be provided structured and/or narrative. This entry describes structured dosage instructions.
Classification | Template type not specified
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 16 concepts
Id | Name | Dataset
--- | --- | ---
cdachemed-dataelement-100 | Verabreichungsweg * | Dataset 1
cdachemed-dataelement-102 | Anwendungsdauer * | Dataset 1
cdachemed-dataelement-105 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-106 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-107 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-157 | Wiederholter Bezug pro Arzneimittel 2022 | Dataset 1
cdachemed-dataelement-161 | Anwendungsschema * 2022 | Dataset 1
cdachemed-dataelement-162 | Verabreichungsweg * 2022 | Dataset 1
cdachemed-dataelement-164 | Anwendungsdauer * 2022 | Dataset 1
cdachemed-dataelement-31 | Wiederholter Bezug pro Arzneimittel * | Dataset 1
cdachemed-dataelement-34 | Verabreichungsweg * | Dataset 1
cdachemed-dataelement-36 | Anwendungsdauer * | Dataset 1
cdachemed-dataelement-55 | Wiederholter Bezug pro Arzneimittel * | Dataset 1
cdachemed-dataelement-59 | Verarbreichungsweg * | Dataset 1
cdachemed-dataelement-61 | Anwendungsdauer * | Dataset 1
cdachemed-dataelement-96 | Wiederholter Bezug pro Arzneimittel * | Dataset 1
Used by / Uses |
Used by 6 transactions and 16 templates, Uses 0 templates
Used by | as | Name | Version
--- | --- | --- | ---
cdachemed-transaction-4 | Transaction | Medication Prescription document | 2018‑04‑04 15:33:29
cdachemed-transaction-9 | Transaction | Medication Treatment Plan document | 2019‑12‑12 14:11:31
cdachemed-transaction-5 | Transaction | Medication Dispense document | 2018‑04‑04 15:35:51
cdachemed-transaction-6 | Transaction | Pharmaceutical Advice document | 2018‑04‑04 15:36:35
cdachemed-transaction-7 | Transaction | Medication List document | 2018‑04‑04 15:37:19
cdachemed-transaction-8 | Transaction | Medication Card document (2022) | 2018‑04‑04 15:42:50
2.16.756.5.30.1.1.10.4.34 | Include | Medication Treatment Plan Item Entry Content Module (2021) | 2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.3.13 |  | Medication Treatment Plan Section Content Module (2017) | 2017‑05‑01 12:51:36
2.16.756.5.30.1.1.10.1.7 |  | Medication Treatment Plan document (2020) | 2017‑04‑12 13:57:31
2.16.756.5.30.1.1.10.3.44 |  | Medication List Section Content Module (2021) | 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 |  | Medication List document (2020) | 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.3.9 |  | Medication Card Section Content Module (2022) | 2022‑03‑04 12:34:31
2.16.756.5.30.1.1.10.1.3 |  | Medication Card document (2022) | 2016‑05‑13
2.16.756.5.30.1.1.10.4.44 |  | Pharmaceutical Advice Item Entry Content Module (2022) | 2022‑06‑30 15:10:57
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 |  | Pharmaceutical Advice document (2020) | 2016‑05‑21
2.16.756.5.30.1.1.10.4.42 | Include | Dispense Item Entry Content Module (2021) | 2016‑06‑17
2.16.756.5.30.1.1.10.3.11 |  | Dispense Section Content Module (2017) | 2016‑06‑06
2.16.756.5.30.1.1.10.1.5 |  | Medication Dispense document (2020) | 2016‑05‑21
2.16.756.5.30.1.1.10.4.43 | Include | Prescription Item Entry Content Module (2021) | 2019‑09‑11 17:05:49
2.16.756.5.30.1.1.10.3.10 |  | Prescription Section Content Module (2017) | 2016‑06‑06
2.16.756.5.30.1.1.10.1.4 |  | Medication Prescription document (2020) | 2016‑05‑21
Example |
Dosis Option 1
<!-- 0.5x morgens ab 20111129 --> <snip> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/> <!-- ... --> <effectiveTime type="IVL_TS"> <low value="20111129"/> </effectiveTime> <effectiveTime operator="A" type="EIVL_TS"> <event code="ACM"/> </effectiveTime> <!-- ... --> <doseQuantity> <center value="0.5"/> </doseQuantity></snip>
Example |
Dosage Option 2
<!-- 1 morgens, 1 abends ab 20120204 --> <snip> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/> <!-- ... --> <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></snip>
Example |
Dosage Option 3
<!-- 1 morgens, 0.5 abends ab 20120204 --> <snip> <!-- Split dosing --> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.9"/> <effectiveTime type="IVL_TS"> <low value="20120204"/> </effectiveTime> <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <entryRelationship typeCode="COMP"> <!-- morgens 1 stück --> <sequenceNumber value="1"/> <substanceAdministration classCode="SBADM" moodCode="INT"> <effectiveTime type="EIVL_TS"> <event code="ACM"/> </effectiveTime> <doseQuantity> <center value="1"/> </doseQuantity> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <!-- abends 0.5 stück --> <sequenceNumber value="2"/> <substanceAdministration classCode="SBADM" moodCode="INT"> <effectiveTime type="EIVL_TS"> <event code="ACV"/> </effectiveTime> <doseQuantity> <center value="0.5"/> </doseQuantity> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship></snip>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:effectiveTime | IVL_TS.CH.TZ | 0 … 1 |  | Dosage Instructions PCC 6.3.4.16.10 - Start and Stop | 6.3..3.8
where [@xsi:type='IVL_TS'] |
cdachemed-dataelement-102 | Anwendungsdauer * | Dataset 1
cdachemed-dataelement-164 | Anwendungsdauer * 2022 | Dataset 1
cdachemed-dataelement-36 | Anwendungsdauer * | Dataset 1
cdachemed-dataelement-61 | Anwendungsdauer * | 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..3.8
@nullFlavor | cs | 0 … 1 | F | UNK
@value | ts | 0 … 1 |  |
| Schematron assert | role | 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..3.8
@nullFlavor | cs | 0 … 1 | F | UNK
@value | ts | 0 … 1 |  |
| Schematron assert | role | 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..3.8
where [@operator='A' and @xsi:type='EIVL_TS'] |
cdachemed-dataelement-105 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-106 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-107 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-161 | Anwendungsschema * 2022 | Dataset 1
@operator | cs | 1 … 1 | F | A
hl7:event | CS | 1 … 1 | M |  | 6.3..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..3.8
where [@operator='A' and @xsi:type='SXPR_TS'] |
cdachemed-dataelement-105 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-106 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-107 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-161 | Anwendungsschema * 2022 | Dataset 1
@operator | cs | 1 … 1 | F | A
@xsi:type | cs | 1 … 1 | F | SXPR_TS
hl7:comp |  | 1 … * | M |  | 6.3..3.8
where [@xsi:type='EIVL_TS'] |
@xsi:type | cs | 1 … 1 | F | EIVL_TS
hl7:event | CS | 1 … 1 | M |  | 6.3..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..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..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..3.9
cdachemed-dataelement-157 | Wiederholter Bezug pro Arzneimittel 2022 | Dataset 1
cdachemed-dataelement-31 | Wiederholter Bezug pro Arzneimittel * | Dataset 1
cdachemed-dataelement-55 | Wiederholter Bezug pro Arzneimittel * | Dataset 1
cdachemed-dataelement-96 | Wiederholter Bezug pro Arzneimittel * | 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 | error |
| test | not(@value) or @value >= 0 |
| Message | The value shall not be negative |
| Schematron assert | role | 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 |  |  |
cdachemed-dataelement-100 | Verabreichungsweg * | Dataset 1
cdachemed-dataelement-162 | Verabreichungsweg * 2022 | Dataset 1
cdachemed-dataelement-34 | Verabreichungsweg * | Dataset 1
cdachemed-dataelement-59 | Verarbreichungsweg * | 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 … * |  |  |
hl7:doseQuantity | IVL_PQ | 0 … 1 |  |  |
cdachemed-dataelement-105 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-106 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-107 | Anwendungsschema * | Dataset 1
cdachemed-dataelement-161 | Anwendungsschema * 2022 | 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 |  |  |