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# Template Pharmaceutical Advice Concern Entry Content Module

Id | 2.16.756.5.30.1.1.10.4.81 ref ch-pharm- | Effective Date | 2016‑01‑11 11:13:04
Status | Draft | Version Label | 2017
Name | PharmaceuticalAdviceConcernEntryContentModule | Display Name | Pharmaceutical Advice Concern Entry Content Module
Description
A Pharmaceutical Advice Concern Item belongs to one Pharmaceutical Advice Item and represents the information to concerns (e.g., problems, allergies, etc.) which the Medication Treatment Plan-, Prescription-, Dispense- or Administration Item referenced by the underlying Pharmaceutical Advice Item causes.
Context | Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.81
Label | CH‑PHARM
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Used by / Uses |
Used by 2 transactions and 5 templates, Uses 7 templates
Used by | as | Name | Version
--- | --- | --- | ---
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
2.16.756.5.30.1.1.10.4.44 | Containment | 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
2.16.756.5.30.1.1.10.3.44 |  | 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
Uses | as | Name | Version
2.16.756.5.30.1.1.10.9.1 | Include | Narrative Text Reference With Content (2021) | DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.5 | Containment | IHE Problem Entry (2016) | DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.6 | Containment | IHE Allergies And Intolerances Entry (2016) | DYNAMIC
2.16.756.5.30.1.1.10.4.45 | Include | MTP Reference Entry Content Module (2022) | DYNAMIC
2.16.756.5.30.1.1.10.4.47 | Include | PRE Reference Entry Content Module (2017) | DYNAMIC
2.16.756.5.30.1.1.10.4.46 | Include | DIS Reference Entry Content Module (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.1 | Containment | IHE Severity Entry (2016) | DYNAMIC
Relationship | Specialization: template 1.3.6.1.4.1.19376.1.9.1.3.5 IHE Pharmaceutical Advice Concern Entry Content Module (DYNAMIC) ref ch-pharm-
Example |
Example
<act classCode="ACT" moodCode="EVN"> <templateId root="2.16.756.5.30.1.1.10.4.81"/> <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="9CDBAEF6-2971-11E6-B67B-9E71128CAE77"/> <code nullFlavor="NA"/> <text> <reference value="#padv1"/> </text> <statusCode code="active"/> <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"/> <id root="1CDBAEF6-3456-11E6-B67B-9E71128CAE77"/> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <text> <reference value="#padv1"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20120204140000+0100"/> </effectiveTime> <value xsi:type="CD"> <originalText> <reference value="#padv1"/> </originalText> </value> </observation> </entryRelationship></act>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:act |  |  |  |  | CH‑PHARM
@classCode |  | 1 … 1 | F | ACT
@moodCode |  | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M | CH-PHARM Pharmaceutical Advice Concern Entry TemplateID | CH‑PHARM
where [@root='2.16.756.5.30.1.1.10.4.81'] |
@root |  | 1 … 1 | F | 2.16.756.5.30.1.1.10.4.81
hl7:templateId | II | 1 … 1 | M | Pharmaceutical Advice Concern Entry TemplateID | 6.3..3.2
where [@root='2.16.840.1.113883.10.20.1.27'] |
@root |  | 1 … 1 | F | 2.16.840.1.113883.10.20.1.27
hl7:templateId | II | 1 … 1 | M | Reference to Pharmaceutical Advice Item ID | 6.3..3.2
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'] |
@root |  | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId | II | 1 … 1 | M |  | 6.3..3.2
where [@root='1.3.6.1.4.1.19376.1.9.1.3.5'] |
@root |  | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.1.3.5
hl7:id | II | 1 … 1 | R | Pharmaceutical Advice Concern ID | 6.3..3.3
hl7:code | CD | 1 … 1 | R | Code | 6.3..3.4
@nullFlavor |  | 1 … 1 | F | NA
Included | 0 … 1 |  | from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC) An optional narrative description of the concern
hl7:text | ED | 0 … 1 | R | It shall contain both the narrative text content and a reference to the human readable part of the item. This human readable part may contain a simple text to redirect the reader to the PDF document (e.g. "See PDF version included"). There shall be a single non-blank text node (i.e. the text shall be completely before or after the reference, see examples). The text shall be raw (i.e. no markup shall be used). | CH‑PHARM
hl7:reference | TEL | 1 … 1 | M | The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] | CH‑PHARM
@value | st | 1 … 1 | R | Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
| Schematron assert | role | error |
| test | starts-with(@value,'#') |
| Message | The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding element. |
| Variable let | Name | idvalue |
| Value | substring-after(@value,'#') |
| Schematron assert | role | error |
| test | ancestor::hl7:structuredBody//*[@ID=$idvalue] |
| Message | No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). |
| Variable let | Name | textBefore |
| Value | normalize-space(text()[1]) |
| Variable let | Name | textAfter |
| Value | normalize-space(text()[2]) |
| Schematron assert | role | error |
| test | (not($textBefore) and $textAfter) or ($textBefore and not($textAfter)) |
| Message | The text content shall be included before or after the reference. |
hl7:statusCode | CS | 1 … 1 | M | Status Code | 6.3..3.6
@code | CONF | 1 … 1 | F | active
hl7:effectiveTime |  | 1 … 1 | M | Effective Time | 6.3..3.7
Choice | 1 … * |  | Problems determined Elements to choose from: hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC)
hl7:entryRelationship |  |  |  | Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC) | 6.3..3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]] |
@typeCode |  | 1 … 1 | F | SUBJ
hl7:entryRelationship |  |  |  | Contains 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC) | 6.3..3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]] |
@typeCode |  | 1 … 1 | F | SUBJ
hl7:entryRelationship |  | 0 … 1 |  | External Medication Treatment Plan-, Prescription- or Dispense Item triggering the concern | 6.3..3.9
where [@typeCode='REFR'] |
@typeCode |  | 1 … 1 | F | REFR
@inversionInd |  | 0 … 1 | F | false
Choice | 0 … 1 |  | Elements to choose from: hl7:substanceAdministration included from template 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC) hl7:substanceAdministration included from template 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC) hl7:supply included from template 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC)
Included |  |  | from 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration |  |  |  | Reference to Medication Treatment Plan Item General Specification | 6.3..3.1
@classCode | cs | 1 … 1 | F | SBADM
@moodCode | cs | 1 … 1 | R | The moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN.
hl7:templateId | II | 1 … 1 | M | Reference to Medication Treatment Plan Item General Specification Template ID | 6.3..3.2
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.1.3.10
hl7:templateId | II | 1 … 1 | M | CH-PHARM template ID | 6.3..3.1
@root | uid | 1 … 1 | F | 2.16.756.5.30.1.1.10.4.45
hl7:id |  | 1 … 1 | M | Reference to Medication Treatment Plan Item ID | 6.3..3.3
hl7:code | CD | 1 … 1 | M | Reference to Medication Treatment Plan Item code | 6.3..3.4
@code | CONF | 1 … 1 | F | MTPItem
@codeSystem | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable |  | 1 … 1 | M |  | 6.3..3.1
hl7:manufacturedProduct |  | 1 … 1 | M |  | 6.3..3.1
hl7:manufacturedMaterial |  | 1 … 1 | R |  | 6.3..3.1
@nullFlavor | cs | 1 … 1 | F | NA
hl7:author |  | 0 … 1 |  | Author of the referenced item | 6.3..3.5
hl7:reference |  | 0 … 1 |  | ID of parent container of referenced item | 6.3..3.7
@typeCode | cs | 1 … 1 | F | XCRPT
hl7:externalDocument |  | 1 … 1 | M |  | 6.3..3.7
hl7:id |  | 1 … 1 | M |  | 6.3..3.7
| Schematron assert | role | error |
| test | @moodCode = 'EVN' or @moodCode = 'INT' |
| Message | The moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN. |
Included |  |  | from 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration |  |  |  | Reference to Prescription Item General Specification | 6.3..3.1
@classCode | cs | 1 … 1 | F | SBADM
@moodCode | cs | 1 … 1 | F | INT
hl7:templateId | II | 1 … 1 | M | Reference to Prescription Item Template ID | 6.3..3.2
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.1.3.11
hl7:templateId | II | 1 … 1 | M |  | 6.3..3.1
@root | uid | 1 … 1 | F | 2.16.756.5.30.1.1.10.4.47
hl7:id |  | 1 … 1 | M | Reference to Prescription Item ID | 6.3..3.3
cdachemed-dataelement-144 | Referenz zu Medication Prescription document * | Dataset 1
cdachemed-dataelement-88 | Referenz zu Medication Prescription document * | Dataset 1
hl7:code | CD | 1 … 1 | M | Reference to Prescription code | 6.3..3.4
@code | CONF | 1 … 1 | F | PREItem
@codeSystem | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable |  | 1 … 1 | M |  | 6.3..3.1
hl7:manufacturedProduct |  | 1 … 1 | M |  | 6.3..3.1
hl7:manufacturedMaterial |  | 1 … 1 | R |  | 6.3..3.1
@nullFlavor | cs | 1 … 1 | F | NA
hl7:author |  | 0 … 1 |  | Author of the referenced item | 6.3..3.4
hl7:reference |  | 0 … 1 |  | ID of parent container of referenced item | 6.3..3.7
@typeCode | cs | 1 … 1 | F | XCRPT
hl7:externalDocument |  | 1 … 1 | M |  | 6.3..3.7
hl7:id |  | 1 … 1 | M |  | 6.3..3.7
cdachemed-dataelement-144 | Referenz zu Medication Prescription document * | Dataset 1
cdachemed-dataelement-88 | Referenz zu Medication Prescription document * | Dataset 1
Included |  |  | from 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC)
hl7:supply |  |  |  | Reference to Dispense Item General Specification | 6.3..3.1
@classCode | cs | 1 … 1 | F | SPLY
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M |  | 6.3..3.1
@root | uid | 1 … 1 | F | 2.16.756.5.30.1.1.10.4.46
hl7:templateId | II | 1 … 1 | M | Reference to Dispense Item Template ID | 6.3..3.2
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.1.3.12
hl7:id |  | 1 … 1 | M | Reference to Dispense Item ID | 6.3..3.3
cdachemed-dataelement-145 | Referenz zu Medication Dispense document * | Dataset 1
hl7:code | CD | 1 … 1 | M | Reference to Dispense Item code | 6.3..3.4
@code | CONF | 1 … 1 | F | DISItem
@codeSystem | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.2.2
hl7:author |  | 0 … 1 |  | Author of the referenced item | 6.3..3.5
hl7:reference |  | 0 … 1 |  | ID of parent container of referenced item | 6.3..3.7
@typeCode | cs | 1 … 1 | F | XCRPT
hl7:externalDocument |  | 1 … 1 | M |  | 6.3..3.7
hl7:id |  | 1 … 1 | M |  | 6.3..3.7
cdachemed-dataelement-145 | Referenz zu Medication Dispense document * | Dataset 1
hl7:entryRelationship |  | 0 … 1 |  | Severity of the concern concern Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1 IHE Severity Entry (DYNAMIC) | 6.3.3.10
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']]] |
@typeCode |  | 1 … 1 | F | SUBJ
@inversionInd |  | 1 … 1 | F | true