Your browser does not appear to support JavaScript. You may want to try one of the following:
You may want to try one of the following:
If the above does not work, try reloading the page yourself. Note that you will lose any unsaved changes:
shift
control
Show details
Hide details
This form has to be reloaded. This most likely happened because your session has expired, which might take to the login page. (If you think that you shouldn't see this message and that the problem persists, please contact support.)
-
Fixed
The substanceAdministration in 'Changed Medication Treatment Plan Item' is empty. It should probably contain/inherit from/extend the 'Medication Treatment Plan Item Entry Content Module'.There also is an issue with the IHE Pharm PADV profile numbering: starting with 'Reference to Pharmaceutical Advice Concerns', there is an offset of 1 in the section reference. E.g. 'Changed Medication Treatment Plan Item' is described in section 6.3.4.3.12, not .11.
The definition of the substanceAdministration in "Changed or Recommended Prescription Items" is inherited from "IHE Prescription Item Entry Content Module" and is different than the definition given in "Prescription Item Entry Content Module". The latter should probably be used here.
In the template, the hl7:entryRelationship "Changed Medication Treatment Plan Item" has a cardinality of 0…*. According to IHE PHARM PADV §6.3.4.3.3.12, it should be 0…1:(1) Only one element SHALL be present, if the status of the Pharmaceutical Advice (<code> Element) is set to “CHANGE” and a reference to a Medication Treatment Plan Item is given.(2) In all other cases this element SHALL NOT be present.-
(PharmaceuticalAdviceItemEntryContentModule)/d265989e15-true-d266227e0: 'substanceAdministration' is defined as closed, and this element 'templateId' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.7'] (rule-reference: d265989e15-true-d266227e0)
Currently, a PADV CHANGE can replace a single PRE entry to multiple new ones. When doing so, a single MTP item entry further leads to multiple prescriptions, what should be prohibited. It's not allowed to change an MTP entry by a combination of others.
The aggregator will forbid it, at least in the first iteration.
Consequences of status quo are confusion for integration, and risks of information discontinuities in clinical practice.
Propositions:
1. Template Pharmaceutical Advice Item Entry Content Module : the element entryRelationship/organizer/component has its description clarified to indicate the cardinality is 1..1 in a PADV CHANGE but the cardinality isn’t modified (in a PADV OK, we might still use it to recommend substituting this medication by a combination of others). A Schematron rule can be created to assert the cardinality.
2. When a single medication is to be substituted by multiple medications, a PADV CANCEL is issued and a MTP document is created for each new medication.
Drafted by HUG and CARA.
(PrescriptionItemEntryContentModule)/d141e5821-true-d234733e0: 'component' is defined as closed, and this element 'seperatableInd' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']] (rule-reference: d141e5821-true-d234733e0)
<!-- Checking undefined contents for template/element @isClosed="true". Match context that we did not already match --><rule fpi="RUL-QQQ" context="*[hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']]]/*[not(@xsi:nil = 'true')][not(self::hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']])]" id="d141e5821-true-d234733e0"> <assert role="error" see="http://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.43" test="not(.)">(PrescriptionItemEntryContentModule)/d141e5821-true-d234733e0: '<value-of select="name(..)"/>' is defined as closed, and this element '<name/>' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']] (rule-reference: d141e5821-true-d234733e0)</assert> </rule>