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Template Prescription Item Entry Content Module 2019‑09‑11 17:05:49

Id2.16.756.5.30.1.1.10.4.43Effective Date2019‑09‑11 17:05:49
Statusdraft DraftVersion Label2021
NamePrescriptionItemEntryContentModuleDisplay NamePrescription 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.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.43
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 4 templates, Uses 16 templates
Used by as NameVersion
2.16.756.5.30.1.1.10.3.10Containmentdraft Prescription Section Content Module (2017)2016‑06‑06
2.16.756.5.30.1.1.10.3.44Containmentdraft Medication List Section Content Module (2021)2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.4.44Includedraft Pharmaceutical Advice Item Entry Content Module (2020)2016‑06‑25
2.16.756.5.30.1.1.10.4.44Includedraft Pharmaceutical Advice Item Entry Content Module (2022)2022‑06‑30 15:10:57
Uses as NameVersion
1.3.6.1.4.1.19376.1.5.3.1.4.3Containmentdraft IHE Patient Medication Instructions (2014)DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.3.1Containmentdraft Fulfillment Instructions (2020)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.9.1Containmentpending IHE Substitution Permission Content Module (2017)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.15Containmentdraft IHE Renewal Period Content Module (2021)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.16Containmentpending IHE Validation Step Entry Content Module (2020)DYNAMIC
2.16.756.5.30.1.1.10.4.33Includedraft Manufactured Material Entry Content Module (2020)DYNAMIC
2.16.756.5.30.1.1.10.4.35Includedraft Dosage Instructions Start/Stop, Frequency, Dose (2021)DYNAMIC
2.16.756.5.30.1.1.10.4.36Includedraft Dosage Instructions Related Components (2021)DYNAMIC
2.16.756.5.30.1.1.10.4.38Containmentpending Prescribed Quantity Entry Content Module (2017)DYNAMIC
2.16.756.5.30.1.1.10.4.41Containmentdraft Treatment Reason Entry Content Module (2017)DYNAMIC
2.16.756.5.30.1.1.10.4.45Containmentdraft MTP Reference Entry Content Module (2022)DYNAMIC
2.16.756.5.30.1.1.10.4.52Containmentdraft Dosage Instructions Non Structured Entry Content Module (2017)DYNAMIC
2.16.756.5.30.1.1.10.4.82Containmentdraft Annotation Comments (2016)DYNAMIC
2.16.756.5.30.1.1.10.9.1Includedraft Narrative Text Reference With Content (2021)DYNAMIC
2.16.756.5.30.1.1.10.9.23Includeactive Author (2020)DYNAMIC
2.16.756.5.30.1.1.10.10Containmentdraft Medication In Reserve Entry Content Module (2022)DYNAMIC
Example
Example
<substanceAdministration classCode="SBADM" moodCode="INT">
  <!-- IHE PHARM PRE Required element indicating the Medication Treatment
Plan entry content module -->
  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.2"/>  <!-- CCD -->
  <templateId root="2.16.840.1.113883.10.20.1.24"/>  <!-- PCC Medication Entry Content Module -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7"/>  <!-- CH-PHARM Prescription Item Entry Content Module -->
  <templateId root="2.16.756.5.30.1.1.10.4.43"/>  <!-- A normal substanceAdministration act that may not contain any
subordinate substanceAdministration acts. -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ID of pre item, PCC TF2 6.3.4.16.6 -->
  <id root="D41D72BA-2100-11E6-B67B-9E71128CAE77"/>  <text>
    <reference value="#pre.1"/>  </text>  <statusCode code="completed"/>  <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>  <!-- 3 Monate -> 90 Tage * 1 Tablette / 30 Tablette -> 3 Packungen,
repeatNumber=2 -->
  <repeatNumber value="2"/>  <routeCode code="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use"/>  <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="2.16.756.5.30.1.1.10.4.33"/>        <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>        <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>        <asContent classCode="CONT">
          <containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
            <code code="7680500440334" codeSystem="2.51.1.1" codeSystemName="GTIN" displayName="NORVASC Tabl 10 mg"/>            <name>NORVASC Tabl 10 mg</name>            <formCode code="10219000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Tablet"/>            <capacityQuantity value="30"/>          </containerPackagedMedicine>        </asContent>        <ingredient classCode="ACTI">
          <quantity>
            <numerator unit="mg" value="10" type="pharm:PQ"/>            <denominator value="1" type="pharm:PQ"/>          </quantity>          <ingredient classCode="MMAT" determinerCode="KIND">
            <code code="C08CA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="ATC WHO" displayName="amlodipine"/>            <name>amlodipine</name>          </ingredient>        </ingredient>      </manufacturedMaterial>    </manufacturedProduct>  </consumable>  <entryRelationship typeCode="RSON">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.41"/>      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem" codeSystemName="LOINC"/>      <text>
        <reference value="#pre.1.reason"/>      </text>      <statusCode code="completed"/>    </observation>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <substanceAdministration moodCode="INT" classCode="SBADM">
      <templateId root="2.16.756.5.30.1.1.10.4.37"/>      <text>
        <reference value="#pre.1.dosageintakemode"/>      </text>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <supply moodCode="RQO" classCode="SPLY">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.8"/>      <independentInd value="false"/>      <quantity unit="1" value="1"/>    </supply>  </entryRelationship>  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.10"/>      <templateId root="2.16.756.5.30.1.1.10.4.45"/>      <id root="5712FFFE-20C6-11E6-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="5712FFFE-20C6-11E6-B67B-9E71128CAE77"/>        </externalDocument>      </reference>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.2"/>      <templateId root="2.16.840.1.113883.10.20.1.40"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>      <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>      <text>
        <reference value="#pre.1.note"/>      </text>      <statusCode code="completed"/>    </act>  </entryRelationship></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
Prescription Item Entry Additional Template ID6.3.dots.3.3
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FINT
hl7:templateId
II1 … 1MCH-PHARM Prescription Item Entry Content Module6.3.dots.3.3
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.43
hl7:templateId
II1 … 1MPrescription Item Entry TemplateID6.3.dots.3.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.2
hl7:templateId
II1 … 1MIHE PHARM Dosage Instructions6.3.dots.3.8
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.6
hl7:templateId
II1 … 1MCCD6.3.dots.3.3
@root
uid1 … 1F2.16.840.1.113883.10.20.1.24
hl7:templateId
II1 … 1MPCC Medication Entry Content Module6.3.dots.3.3
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.7
Choice1 … 
Prescription Item Entry Additional Template ID
Elements to choose from:
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
  • hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']
hl7:templateId
II0 … 1A normal substanceAdministration act that may not contain any subordinate substanceAdministration acts.6.3.dots.3.3
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.7.1
hl7:templateId
II0 … 1A substanceAdministration act that records tapered dose information in subordinate.6.3.dots.3.3
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.8
hl7:templateId
II0 … 1A substanceAdministration act that records split dose information in subordinate substanceAdministration acts.6.3.dots.3.3
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.9
hl7:id
1 … 1MThis ID represents the Prescription Item ID and SHALL be present.6.3.dots.3.4
hl7:text
1 … 1MNarrative Text6.3.dots.3.6
hl7:reference
1 … 1MThis 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.6.3.dots.3.6
hl7:statusCode
1 … 1M6.3.dots.3.7
@code
1 … 1Fcompleted
Included from 2.16.756.5.30.1.1.10.4.35 Dosage Instructions Start/Stop, Frequency, Dose (DYNAMIC)
hl7:effectiveTime
IVL_TS.CH.TZ0 … 1Dosage Instructions PCC 6.3.4.16.10 - Start and Stop6.3.dots.3.8
where [@xsi:type='IVL_TS']
hl7:low
TS.CH.TZ1 … 1RStart of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK".6.3.dots.3.8
@nullFlavor
cs0 … 1FUNK
@value
ts0 … 1 
 Schematron assertrolered error 
 test(not(@nullFlavor) and @value) or (@nullFlavor and not(@value)) 
 MessageEither @value or @nullFlavor attribute shall be set. 
hl7:high
TS.CH.TZ1 … 1REnd of Treatment. If End of Treatment is unknown this element SHALL be set to null flavor "UNK".6.3.dots.3.8
@nullFlavor
cs0 … 1FUNK
@value
ts0 … 1 
 Schematron assertrolered error 
 test(not(@nullFlavor) and @value) or (@nullFlavor and not(@value)) 
 MessageEither @value or @nullFlavor attribute shall be set. 
hl7:effectiveTime
EIVL_TS0 … 1Dosage 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.dots.3.8
where [@operator='A' and @xsi:type='EIVL_TS']
@operator
cs1 … 1FA
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 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_TS0 … 1Dosage Instructions PCC 6.3.4.16.12 - Frequency: Multiple events within a day with the same dosage6.3.dots.3.8
where [@operator='A' and @xsi:type='SXPR_TS']
@operator
cs1 … 1FA
@xsi:type
cs1 … 1FSXPR_TS
hl7:comp
1 … *M6.3.dots.3.8
where [@xsi:type='EIVL_TS']
@xsi:type
cs1 … 1FEIVL_TS
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 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 … *M6.3.dots.3.8
where [@operator='I' and @xsi:type='EIVL_TS']
@operator
cs1 … 1FI
@xsi:type
cs1 … 1FEIVL_TS
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 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 … 1Number 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.dots.3.9
@value
cs0 … 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
cs0 … 1FNI
 The NI null flavor means that unlimited repeats/refills are allowed.
 Schematron assertrolered error 
 testnot(@value) or @value >= 0 
 MessageThe value shall not be negative 
 Schematron assertrolered error 
 test(not(@value) and @nullFlavor) or (@value and not(@nullFlavor)) 
 MessageEither the @value or @nullFlavor attribute shall be set 
hl7:routeCode
CE (required)0 … 1Dosadotsency
 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
CD0 … *Dosadotsency
hl7:doseQuantity
IVL_PQ0 … 1Dosadotsency
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real1 … 1R
hl7:rateQuantity
IVL_PQ0 … 1Dosadotsency
hl7:consumable
1 … 1R6.3.dots3.10
hl7:manufacturedProduct
1 … 1M6.3.dots3.10
hl7:templateId
II1 … 1M6.3.dots.3.1
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.2']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.7.2
hl7:templateId
II1 … 1M6.3.dots.3.1
where [@root='2.16.840.1.113883.10.20.1.53']
@root
uid1 … 1F2.16.840.1.113883.10.20.1.53
Included1 … 1M from 2.16.756.5.30.1.1.10.4.33 Manufactured Material Entry Content Module (DYNAMIC)
hl7:manufacturedMaterial
1 … 1MManudotsdule
@classCode
cs0 … 1FMMAT
@determinerCode
cs0 … 1FKIND
hl7:templateId
II1 … 1MCH-PHARM Manufactured Material Content ModuleManudotsdule
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.33
hl7:templateId
II1 … 1MManudotsdule
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.1
hl7:code
CE1 … 1R Must support. The element SHALL be present and describes the code of the medication package (GTIN) or the drug classification (WHO ATC). The @nullFlavor "NA" for magistral preparations is currently disallowed.Manudotsdule
@nullFlavor
cs0NPNP/not present
@code
cs1 … 1R
@codeSystem
oid1 … 1RGTIN (2.51.1.1) or ATC (2.16.840.1.113883.6.73).
 CONF
@codeSystem shall be "2.51.1.1"
or
@codeSystem shall be "2.16.840.1.113883.6.73"
hl7:originalText
ED0 … 1Manudotsdule
hl7:reference
TEL1 … 1RManudotsdule
@nullFlavor
cs0 … 1FNA
 Schematron assertrolered error 
 test(@code and @codeSystem) or (@nullFlavor='NA') 
 MessageEither a code with its code system or nullFlavor='NA' is required. 
hl7:name
EN1 … 1R Must support. The element SHALL contain the name of the medication.IHE PHARM PRE 6.3.4.1.3.4
@nullFlavor
cs0NPNP/not present
pharm:formCode
CE0 … 1This code represents the pharmaceutical dose form (e.g., tablet, capsule, liquid) and SHOULD be present, if not implied by the product.Manudotsdule
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.3 Pharmaceutical Dose Form (EDQM) (DYNAMIC)
hl7:lotNumberText
ST0 … 1IHE PHARM PRE 6.3.4.1.3.6
pharm:expirationTime
TS.CH.TZ0 … 1IHE PHARM PRE 6.3.4.1.3.7
@value
1 … 1R
pharm:asContent
0 … 1IHE PHARM PRE 6.3.4.1.3.8
@classCode
cs1 … 1FCONT
pharm:containerPackagedMedicine
1 … 1Mpackaging of the medicationIHE PHARM PRE 6.3.4.1.3.8
@classCode
cs1 … 1FCONT
@determinerCode
cs1 … 1FINSTANCE
pharm:code
CE0 … 1 Must support. In case the medicine describes a product, the GTIN code of the medication package SHOULD be specified. If set, it shall be the same as the hl7:code.IHE PHARM PRE 6.3.4.1.3.8
 Variable letNamegtin 
 Value./@code 
 Schematron assertrolered error 
 testnot(../../../hl7:code[@codeSystem = '2.51.1.1']) or ../../../hl7:code[@code = $gtin] 
 MessageIf set, the GTIN shall be the same as the medication product. 
pharm:name
TN0 … 1 Must support. In case the package describes a product, and the package has a brand name, it SHOULD be described.IHE PHARM PRE 6.3.4.1.3.8
pharm:formCode
CE0 … 1
IHE PHARM PRE 6.3.4.1.3.8
pharm:capacityQuantity
PQ0 … 1 Must support. The element SHOULD be present and describes the capacity of the packaging.IHE PHARM PRE 6.3.4.1.3.8
@nullFlavor
cs0NPNP/not present
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
1 … 1R
pharm:ingredient
0 … *One or more active ingredients SHOULD be represented with this structure.Manudotsdule
@classCode
cs1 … 1FACTI
pharm:quantity
RTO_PQ_PQ0 … 1The medication strength is represented as the ratio of the active ingredient(s) to a unit of medicationManudotsdule
hl7:numerator
PQ1 … 1MManudotsdule
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real1 … 1R
hl7:denominator
PQ1 … 1MManudotsdule
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real1 … 1R
pharm:ingredient
1 … 1RIngredients SHALL be coded with SNOMED CT.Manudotsdule
@classCode
cs1 … 1FMMAT
@determinerCode
cs1 … 1FKIND
pharm:code
CE0 … 1Manudotsdule
@code
cs1 … 1R
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.82 ActivePharmaceuticalIngredient (DYNAMIC)
@codeSystem
oid1 … 1F2.16.840.1.113883.6.96
@codeSystemName
st1 … 1FSNOMED CT
pharm:name
TN1 … 1RManudotsdule
Included0 … 1 from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
Prescriber
hl7:author
0 … 1RInformation about the author of a CDA document, section or entry. An author MAY be a person or a device.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.9.23
hl7:functionCode
CE0 … 1CDA‑CH V2
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
TS.CH.TZ1 … 1RTimestamp of the authorship.CDA‑CH V2
hl7:assignedAuthor
1 … 1RCDA‑CH V2
 Schematron assertrolered error 
 testnot(assignedAuthoringDevice/softwareName) or (representedOrganization) 
 MessageFor device authors the element representedOrganization is REQUIRED. 
hl7:id
II1 … 1R The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared. 		CDA‑CH V2
@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN.
@extension
st0 … 1 The GS1 GLN.
 Schematron assertrolered error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is REQUIRED 
hl7:id
II0 … *Other ids are allowed.CDA‑CH V2
@root
cs1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
@extension
st0 … 1 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:addr
AD0 … *The author's address.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)		CDA‑CH V2
hl7:telecom
TEL0 … *The author's means of communication (phone, eMail, ...).CDA‑CH V2
Choice1 … 1Elements to choose from:
hl7:assignedPerson
0 … 1The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)		CDA‑CH V2
hl7:assignedAuthoringDevice
0 … 1The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)		CDA‑CH V2
hl7:representedOrganization
0 … 1The author's organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)		CDA‑CH V2
Included0 … 1 from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
Community Prescription document author
hl7:author
0 … 1RInformation about the author of a CDA document, section or entry. An author MAY be a person or a device.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.9.23
hl7:functionCode
CE0 … 1CDA‑CH V2
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
TS.CH.TZ1 … 1RTimestamp of the authorship.CDA‑CH V2
hl7:assignedAuthor
1 … 1RCDA‑CH V2
 Schematron assertrolered error 
 testnot(assignedAuthoringDevice/softwareName) or (representedOrganization) 
 MessageFor device authors the element representedOrganization is REQUIRED. 
hl7:id
II1 … 1R The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared. 		CDA‑CH V2
@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN.
@extension
st0 … 1 The GS1 GLN.
 Schematron assertrolered error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is REQUIRED 
hl7:id
II0 … *Other ids are allowed.CDA‑CH V2
@root
cs1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
@extension
st0 … 1 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:addr
AD0 … *The author's address.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)		CDA‑CH V2
hl7:telecom
TEL0 … *The author's means of communication (phone, eMail, ...).CDA‑CH V2
Choice1 … 1Elements to choose from:
hl7:assignedPerson
0 … 1The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)		CDA‑CH V2
hl7:assignedAuthoringDevice
0 … 1The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)		CDA‑CH V2
hl7:representedOrganization
0 … 1The author's organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)		CDA‑CH V2
Included from 2.16.756.5.30.1.1.10.4.36 Dosage Instructions Related Components (DYNAMIC)
hl7:entryRelationship
0 … *Dosage Instructions PCC 6.3.4.16.20 - Related componentsIHE PCC 6.3.4.16.20
where [@typeCode='COMP' and hl7:substanceAdministration and (../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.8'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.10'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] or ../hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.11']) and not(hl7:substanceAdministration/hl7:templateId)]
@typeCode
cs1 … 1FCOMP
hl7:sequenceNumber
INT1 … 1MIHE PCC 6.3.4.16.20
hl7:substanceAdministration
1 … 1MFor split, tapered or conditional dosing, the subordinate component shall specify only the changed <frequency> and/or <doseAmount> elements.
IHE PCC 6.3.4.16.20
@moodCode
cs1 … 1RINT for an intent or EVN for an event.
@classCode
cs1 … 1FSBADM
hl7:effectiveTime
EIVL_TS0 … 1timing purposeIHE PCC 6.3.4.16.20
where [@xsi:type='EIVL_TS']
@xsi:type
cs1 … 1FEIVL_TS
hl7:event
CS1 … 1MIHE PCC 6.3.4.16.20
@code
cs1 … 1R
 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
IVL_PQ0 … 1IHE PCC 6.3.4.16.20
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
cs1 … 1R
hl7:rateQuantity
IVL_PQ0 … 1IHE PCC 6.3.4.16.20
hl7:consumable
1 … 1MIHE PCC 6.3.4.16.20
hl7:manufacturedProduct
1 … 1MIHE PCC 6.3.4.16.20
hl7:manufacturedMaterial
1 … 1RIHE PCC 6.3.4.16.20
@nullFlavor
cs1 … 1FNA
hl7:entryRelationship
0 … 1Treatment Reason as text
Contains 2.16.756.5.30.1.1.10.4.41 Treatment Reason Entry Content Module (DYNAMIC)		6.3.dots.3.3
where [hl7:observation]
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … 1Reference to Medication Treatment Plan Item. 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)		6.3.dots3.14
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.45']]]
@typeCode
cs1 … 1FREFR
hl7:entryRelationship
0 … 1Validation Step
Contains 1.3.6.1.4.1.19376.1.9.1.3.16 IHE Validation Step Entry Content Module (DYNAMIC)		6.3.dots3.16
where [hl7:substanceAdministration [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.16']]]
@typeCode
cs1 … 1FREFR
hl7:entryRelationship
0 … 1Patient Medication Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC)		IHE PHARM PRE 6.3.4.2.3.17
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3']]]
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … 1Fulfillment Instructions
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Fulfillment Instructions (DYNAMIC)		6.3.dots3.17
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.3.1']]]
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:act
6.3.dots3.17
hl7:templateId
II1 … 1M6.3.dots3.17
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.3.1
hl7:entryRelationship
0 … 1Amount of units of the consumable to dispense
Contains 2.16.756.5.30.1.1.10.4.38 Prescribed Quantity Entry Content Module (DYNAMIC)		6.3.dots3.19
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.8']]]
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Substitution permission
Contains 1.3.6.1.4.1.19376.1.9.1.3.9.1 IHE Substitution Permission Content Module (DYNAMIC)		6.3.dots3.20
where [hl7:act [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.9.1']]]
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Renewal Period
Contains 1.3.6.1.4.1.19376.1.9.1.3.15 IHE Renewal Period Content Module (DYNAMIC)		6.3.dots3.21
where [hl7:supply [hl7:templateId [@root='1.3.6.1.4.1.19376.1.9.1.3.15']]]
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Contains 2.16.756.5.30.1.1.10.4.52 Dosage Instructions Non Structured Entry Content Module (DYNAMIC)6.3.dots.3.3
where [hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.52']]]
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Contains 2.16.756.5.30.1.1.10.4.82 Annotation Comments (DYNAMIC)6.3.dots.3.3
where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.2']]]
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1If absent, the medication is a regular one.
Contains 2.16.756.5.30.1.1.10.10 Medication In Reserve Entry Content Module (DYNAMIC)		6.3.dots.3.3
where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.10']]]
@typeCode
cs1 … 1FCOMP
hl7:reference
0 … *6.3.dots3.22
@typeCode
cs1 … 1FXCRPT
hl7:externalDocument
1 … 1R6.3.dots3.22
hl7:id
1 … *R6.3.dots3.22
hl7:precondition
0 … 1Precondition Criterion6.3.dots3.23
hl7:criterion
1 … 1R6.3.dots3.23
IncludedR from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
hl7:text
ED1 … 1RIt 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).		Narrdotstent
hl7:reference
TEL1 … 1MThe reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx']
Narrdotstent
@value
st1 … 1R
Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
 Schematron assertrolered error 
 teststarts-with(@value,'#') 
 MessageThe @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding element. 
 Variable letNameidvalue 
 Valuesubstring-after(@value,'#') 
 Schematron assertrolered error 
 testancestor::hl7:structuredBody//*[@ID=$idvalue] 
 MessageNo narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). 
 Variable letNametextBefore 
 Valuenormalize-space(text()[1]) 
 Variable letNametextAfter 
 Valuenormalize-space(text()[2]) 
 Schematron assertrolered error 
 test(not($textBefore) and $textAfter) or ($textBefore and not($textAfter)) 
 MessageThe text content shall be included before or after the reference. 
 Schematron assertrolered error 
 testhl7:repeatNumber 
 MessageThe 'hl7:repeatNumber' is mandatory in PRE items. 
 Schematron assertrolered error 
 test(hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] and hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]] and not(hl7:effectiveTime) and not(hl7:routeCode) and not(hl7:approachSiteCode) and not(hl7:doseQuantity) and not(hl7:rateQuantity)) or (hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] and hl7:effectiveTime and hl7:doseQuantity and not(hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]])) or not(hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']) 
 MessageEither the narrative dosage instructions or the structured ones shall be provided in normal dose regime. 
 Schematron assertrolered error 
 testhl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] or (not(hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1']) and not(hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]])) 
 MessageThe narrative dosage instructions shall only appear in normal dose regime.