Template

Show index

Template Medikation 2016‑04‑01

Id1.2.276.0.76.10.4083Effective Date2016‑04‑01
Statusdraft DraftVersion Label
NameMedicationStatementDisplay NameMedikation
Descriptionde-DE Medikation
ContextParent nodes of template element with id 1.2.276.0.76.10.4083
Labelmedspmp
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 10 templates
Uses as NameVersion
1.2.276.0.76.10.4023Containmentdraft Einzeldosierungen (mpp 2018)DYNAMIC
1.2.276.0.76.10.4024Containmentdraft Dosierung FreitextDYNAMIC
1.2.276.0.76.10.4025Containmentdraft MedikamentDYNAMIC
1.2.276.0.76.10.4026Containmentdraft PatienteninstruktionenDYNAMIC
1.2.276.0.76.10.4027Containmentdraft Grund für MedikationDYNAMIC
1.2.276.0.76.10.4028Containmentdraft Bezug zu Verordnung des MedikamentsDYNAMIC
1.2.276.0.76.10.4029Containmentdraft Bezug zu Abgabe des MedikamentsDYNAMIC
1.2.276.0.76.10.90020Includedraft RelatedEntity (Body)DYNAMIC
1.2.276.0.76.10.90023Includedraft EinnahmedauerDYNAMIC
1.2.276.0.76.10.90025Includedraft Author (Body)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 1.2.276.0.76.10.4022 Medikation (2014‑11‑01)
ref
pmp-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4083"/>  <text>
    <reference value="#med-1"/>  </text>  <effectiveTime xsi:type="IVL_TS">
    <!-- Einnahmedauer, optional -->
  </effectiveTime>  <routeCode code="PO" codeSystem="2.16.840.1.113883.5.112" displayName="Swallow, oral"/>  <consumable typeCode="CSM">
    <!-- Arzneimittel/Wirkstoff -->
  </consumable>  <participant typeCode="AUT">
    <!-- Selbstmedikation (Quelle: Patient) / verschreibender Gesundheitsdienstleister -->
  </participant>  <informant typeCode="INF">
    <!-- Informant dieser Information ist eine Kontaktperson/Angehöriger des Patienten -->
  </informant>  <entryRelationship typeCode="COMP">
    <!-- Einnahme: morgens, mittags, abends, nachts (template 1.2.276.0.76.10.4023) -->
    <!-- Freitextliche Dosierinstruktionen (template 1.2.276.0.76.10.4024) -->
  </entryRelationship>  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <!-- Patienteninstruktionen (template 2.16.840.1.113883.10.20.1.49) -->
  </entryRelationship>  <entryRelationship typeCode="RSON">
    <!-- Grund der Einnahme (template 2.16.840.1.113883.10.20.22.4.19) -->
  </entryRelationship></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
0 … *medspmp
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1Mmedspmp
@root
uid1 … 1F1.2.276.0.76.10.4083
hl7:id
II0 … *Rmedspmp
hl7:code
CD0 … 1medspmp
@code
CONF0 … 1FDRUG
@codeSystem
0 … 1F2.16.840.1.113883.5.4
hl7:text
ED1 … 1Mmedspmp
hl7:reference
TEL1 … 1Mmedspmp
@value
1 … 1Rde-DE #med-{generierteID}, z.B.: #med-1
hl7:statusCode
CS0 … 1medspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Included0 … 1R from 1.2.276.0.76.10.90023 Einnahmedauer (DYNAMIC)
Choice0 … 1Elements to choose from:
  • hl7:effectiveTime[hl7:low|hl7:high]
  • hl7:effectiveTime[hl7:width]
  • hl7:effectiveTime[@nullFlavor='NI']
hl7:effectiveTime
IVL_TS … 1Cde-DE Zeitelement zur Dokumentation der Einnahmedauer, hier spezifisches Interval von bisEinndotsauer
where [hl7:lowor
hl7:high]
@xsi:type
0 … 1FIVL_TS
 Example
Intervall bekannt
<effectiveTime xsi:type="IVL_TS">
  <low value="20130321"/>  <high value="20140321"/></effectiveTime>
 Example
unbekanntes Ende-Datum
<effectiveTime xsi:type="IVL_TS">
  <low value="20130321"/>  <high nullFlavor="UNK"/></effectiveTime>
 Example
Dauermedikation
<effectiveTime xsi:type="IVL_TS">
  <low value="20130321"/>  <high nullFlavor="NA"/></effectiveTime>
hl7:low
TS.DATE.MIN1 … 1REinndotsauer
hl7:high
TS.DATE.MIN0 … 1REinndotsauer
hl7:effectiveTime
IVL_TS … 1Cde-DE Zeitelement zur Dokumentation der Einnahmedauer, hier DauerEinndotsauer
where [hl7:width]
 Example
Einnahme für zwei Wochen
<effectiveTime xsi:type="IVL_TS">
  <width value="2" unit="wk"/></effectiveTime>
hl7:width
PQ1 … 1REinndotsauer
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 1.2.276.0.76.11.452 Zeiteinheiten (UCUM) (DYNAMIC)
hl7:effectiveTime
TS … 1CEinndotsauer
where [@nullFlavor='NI']
@nullFlavor
cs1 … 1FNI
 Example
Keine Informationen über die Einnahmedauer
<effectiveTime nullFlavor="NI"/>
hl7:effectiveTime
SXPR_TS0 … *Rmedspmp
where [hl7:comp]
hl7:doseQuantity
IVL_PQ0 … 1Rmedspmp
hl7:rateQuantity
IVL_PQ0 … 1medspmp
hl7:maxDoseQuantity
RTO_PQ_PQ0 … 1medspmp
hl7:routeCode
CE0 … 1Rde-DE Art der Anwendung der Arzneimedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
 Example<routeCode code="PO" codeSystem="2.16.840.1.113883.5.112" displayName="Swallow, oral"/>
hl7:consumable
1 … 1Mde-DE Arzneimittel/Wirkstoff/Rezeptur
Contains 1.2.276.0.76.10.4025 Medikament (DYNAMIC)		medspmp
Choice0 … 1
de-DE Autor, entweder:
  • Selbstmedikation (Quelle: Patient)
  • verschreibender Gesundheitsdienstleister
Elements to choose from:
  • hl7:author
  • hl7:participant[hl7:participantRole]
hl7:author
de-DE Autor dieser Information ist ein Gesundheitsdienstleistermedspmp
 Example
Autor der Information ist ein Gesundheitsdienstleister
<author>
  <time value="20131221"/>  <assignedAuthor>
    <id root="1.2.276.0.76.4.16" extension="123456701"/>    <assignedPerson>
      <name>
        <given qualifier="IN">Jan H.</given>        <family>Ausarz</family>      </name>    </assignedPerson>  </assignedAuthor></author>
Included from 1.2.276.0.76.10.90025 Author (Body) (DYNAMIC)
@typeCode
cs0 … 1FAUT
@contextControlCode
cs0 … 1FOP
hl7:functionCode
CE0 … 1AuthdotsBody
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
TS1 … 1RAuthdotsBody
hl7:assignedAuthor
1 … 1RAuthdotsBody
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … *RAuthdotsBody
hl7:code
CE0 … 1AuthdotsBody
@codeSystem
CONF0 … 1F2.16.840.1.113883.5.111
hl7:addr
AD0 … *AuthdotsBody
hl7:telecom
TEL0 … *AuthdotsBody
hl7:assignedPerson
0 … 1AuthdotsBody
Included from 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … 1MPersdotsents
hl7:representedOrganization
0 … 1AuthdotsBody
Included from 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *Orgadotsents
hl7:name
ON1 … 1MOrgadotsents
hl7:telecom
TEL0 … *Orgadotsents
hl7:addr
AD0 … 1Orgadotsents
hl7:participant
de-DE Autor dieser Information ist der Patientmedspmp
@typeCode
cs1 … 1FAUT
 Example
Autor der Information ist der Patient
<participant typeCode="AUT">
  <participantRole classCode="PAT"/></participant>
hl7:time
TS0 … 1Rmedspmp
hl7:participantRole
1 … 1Mmedspmp
@classCode
cs1 … 1FPAT
hl7:informant
0 … 1de-DE Informant dieser Information ist eine Kontaktperson/Angehöriger des Patientenmedspmp
@typeCode
cs0 … 1FINF
@contextControlCode
cs0 … 1FOP
 Example
Informant dieser Information ist eine Kontaktperson/Angehöriger des Patienten
<informant>
  <relatedEntity classCode="CON">
    <relatedPerson classCode="PSN" determinerCode="INSTANCE">
      <name> ... </name>    </relatedPerson>  </relatedEntity></informant>
hl7:relatedEntity
1 … 1Mmedspmp
Included from 1.2.276.0.76.10.90020 RelatedEntity (Body) (DYNAMIC)
@classCode
cs1 … 1R
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19316 RoleClassMutualRelationship (DYNAMIC)
hl7:code
CE0 … 1ReladotsBody
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC)
hl7:addr
AD0 … *ReladotsBody
hl7:telecom
TEL0 … *ReladotsBody
hl7:effectiveTime
IVL_TS0 … 1ReladotsBody
hl7:relatedPerson
0 … 1ReladotsBody
Included from 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … 1MPersdotsents
hl7:entryRelationship
0 … 5RSplit Dosing: a <substanceAdministration> act that records split dose information in subordinate <substanceAdministration> acts.
Contains 1.2.276.0.76.10.4023 Einzeldosierungen (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Rde-DE Freitextliche Dosierinstruktionen
Contains 1.2.276.0.76.10.4024 Dosierung Freitext (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Rde-DE Patienteninstruktionen
Contains 1.2.276.0.76.10.4026 Patienteninstruktionen (DYNAMIC)		medspmp
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … *Rde-DE Grund für die Medikation
Contains 1.2.276.0.76.10.4027 Grund für Medikation (DYNAMIC)		medspmp
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Verordnung
Contains 1.2.276.0.76.10.4028 Bezug zu Verordnung des Medikaments (DYNAMIC)		medspmp
@typeCode
cs1 … 1FREFR
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Abgabe
Contains 1.2.276.0.76.10.4029 Bezug zu Abgabe des Medikaments (DYNAMIC)		medspmp
@typeCode
cs1 … 1FREFR