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Template MedikationD 2019‑03‑14 13:36:21

Id2.16.840.1.113883.3.1937.777.24.10.41Effective Date2019‑03‑14 13:36:21
Statusdraft DraftVersion Labelv2019
NameMedicationStatementDDisplay NameMedikationD
Descriptionde-DE Medikations-Eintrag (Medication Statement)
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.777.24.10.41
Labelmedspmp
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 16 concepts
IdNameData Set
mide-dataelement-624draft Duration of intake draft MI Dataset
mide-dataelement-623draft Stop time for medication draft MI Dataset
mide-dataelement-622draft Start time for medication draft MI Dataset
mide-dataelement-621draft Duration of drug treatment draft MI Dataset
mide-dataelement-646draft Date of entry draft MI Dataset
mide-dataelement-648cancelled Name draft MI Dataset
mide-dataelement-650cancelled Address draft MI Dataset
mide-dataelement-651cancelled Street draft MI Dataset
mide-dataelement-652cancelled Postal code draft MI Dataset
mide-dataelement-653cancelled City draft MI Dataset
mide-dataelement-649draft Name of organisation draft MI Dataset
mide-dataelement-608draft de-DE Medikation draft MI Dataset
mide-dataelement-643draft Reason for treatment draft MI Dataset
mide-dataelement-638draft Method of use draft MI Dataset
mide-dataelement-642draft Note draft MI Dataset
mide-dataelement-647draft author/informant of the entry draft MI Dataset
Used by / Uses
Used by 0 transactions and 0 templates, Uses 10 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.777.24.10.35Containmentdraft Einzeldosierungen B (mpp 2018)DYNAMIC
2.16.840.1.113883.3.1937.777.24.10.40Includedraft CDA OrganizationCDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.42Containmentdraft MedikamentBDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.47Includedraft CDA Author (Body)BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.64Includedraft Einnahmedauer BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.70Containmentdraft Dosierung Freitext BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.71Containmentdraft Patienteninstruktionen BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.72Containmentdraft Grund für Medikation BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.73Containmentdraft Bezug zur Therapie-Intention BDYNAMIC
2.16.840.1.113883.3.1937.777.24.10.75Includedraft RelatedEntity B (Body)DYNAMIC
RelationshipAdaptation: template 1.2.276.0.76.10.4022 Medikation (2018‑11‑01)
ref
pmp-

Specialization: template 1.2.276.0.76.10.4022 Medikation (2017‑06‑04)
ref
pmp-

Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4022"/>  <id root="1.2.3.999"/>  <code code="DRUG" codeSystem="2.16.840.1.113883.5.4"/>  <text>
    <reference value="#med-1"/>  </text>  <statusCode code="active"/>  <effectiveTime xsi:type="IVL_TS">
    <!-- Einnahmeperiode, optional -->
  </effectiveTime>  <!-- Art der Anwendung -->
  <routeCode code="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use" codeSystemName="EDQM"/>  <consumable typeCode="CSM">
    <!-- Arzneimittel/Wirkstoff/Rezeptur -->
  </consumable>  <precondition>
    <!-- z. B. Bedarfsmedikation -->
  </precondition>  <author>
    <!-- Autor des Medikationseintrags: verschreibender Gesundheitsdienstleister -->
  </author>  <participant typeCode="AUT">
    <!-- Selbstmedikation (Quelle: Patient) -->
  </participant>  <participant typeCode="VRF">
    <!-- Hauskomet Pflegearzt (Kurator) -->
  </participant>  <informant typeCode="INF">
    <!-- Informant dieser Information ist eine Kontaktperson/Angehöriger des Patienten -->
  </informant>  <entryRelationship typeCode="COMP">
    <!-- Einnahme: z. B. morgens, mittags, abends, nachts (template 2.16.840.1.113883.3.1937.777.27.10.8) -->
    <!-- oder 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
 
target
mide-dataelement-608draft de-DE Medikation draft MI Dataset
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Mmedspmp
@root
uid1 … 1F2.16.840.1.113883.3.1937.777.24.10.41
hl7:id
II0 … *Rmedspmp
hl7:code
CV1 … 1Mmedspmp
@code
CONF1 … 1FDRUG
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:text
ED1 … 1Mmedspmp
 
target
mide-dataelement-642draft Note draft MI Dataset
hl7:reference
TEL1 … 1Mmedspmp
@value
1 … 1Rde-DE #med-{generierteID}, z.B.: #med-1
hl7:statusCode
CS1 … 1Rmedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.25 ActStatusActiveCompletedAbortedSuspended (DYNAMIC)
Included0 … 1R from 2.16.840.1.113883.3.1937.777.24.10.64 Einnahmedauer B (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 bisEinndotsuerB
where [hl7:lowor
hl7:high]
 
target
mide-dataelement-621draft Duration of drug treatment draft MI Dataset
@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 value="UNK"/></effectiveTime>
 Example
Dauermedikation
<effectiveTime xsi:type="IVL_TS">
  <low value="20130321"/>  <high value="NA"/></effectiveTime>
hl7:low
TS.DATE.MIN1 … 1REinndotsuerB
 
target
mide-dataelement-622draft Start time for medication draft MI Dataset
hl7:high
TS.DATE.MIN0 … 1REinndotsuerB
 
target
mide-dataelement-623draft Stop time for medication draft MI Dataset
hl7:effectiveTime
IVL_TS … 1Cde-DE Zeitelement zur Dokumentation der Einnahmedauer, hier DauerEinndotsuerB
where [hl7:width]
 
target
mide-dataelement-624draft Duration of intake draft MI Dataset
 Example
Einnahme für zwei Wochen
<effectiveTime xsi:type="IVL_TS">
  <width value="2" unit="wk"/></effectiveTime>
hl7:width
PQ1 … 1REinndotsuerB
@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 … 1CEinndotsuerB
where [@nullFlavor='NI']
@nullFlavor
cs1 … 1FNI
 Example
Keine Informationen über die Einnahmedauer
<effectiveTime nullFlavor="NI"/>
hl7:routeCode
CE0 … 1Rde-DE Art der Anwendung der Arzneimedspmp
 
target
mide-dataelement-638draft Method of use draft MI Dataset
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.26 EDQMRouteofAdministration (DYNAMIC)
hl7:maxDoseQuantity
RTO_PQ_PQ0 … 1Rmedspmp
hl7:consumable
1 … 1Mde-DE Arzneimittel/Wirkstoff/Rezeptur
Contains 2.16.840.1.113883.3.1937.777.24.10.42 MedikamentB (DYNAMIC)		medspmp
Choice0 … 1
de-DE Autor/Informant, entweder:
  • Selbstmedikation (Quelle: Patient)
  • Informant dieser Information ist eine Kontaktperson/Angehöriger des Patienten
  • verschreibender Gesundheitsdienstleister
Elements to choose from:
  • hl7:author
  • hl7:informant[hl7:relatedEntity]
  • hl7:participant[@typeCode='AUT']
hl7:author
de-DE Autor dieser Information ist ein Gesundheitsdienstleistermedspmp
 
target
mide-dataelement-647draft author/informant of the entry draft MI Dataset
 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 2.16.840.1.113883.3.1937.777.24.10.47 CDA Author (Body)B (DYNAMIC)
@typeCode
cs0 … 1FAUT
@contextControlCode
cs0 … 1FOP
hl7:functionCode
CE0 … 1CDAAdotsodyB
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
TS1 … 1RCDAAdotsodyB
 
target
mide-dataelement-646draft Date of entry draft MI Dataset
hl7:author
STCDAAdotsodyB
 
target
mide-dataelement-648cancelled Name draft MI Dataset
hl7:assignedAuthor
1 … 1RCDAAdotsodyB
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … *RCDAAdotsodyB
hl7:code
CE0 … 1CDAAdotsodyB
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *CDAAdotsodyB
hl7:telecom
TEL0 … *CDAAdotsodyB
Choice0 … 1Elements to choose from:
hl7:assignedPerson
Contains 2.16.840.1.113883.3.1937.777.24.10.63 CDA Person B (DYNAMIC)CDAAdotsodyB
hl7:assignedAuthoringDevice
Contains 2.16.840.1.113883.3.1937.777.24.10.74 CDA Device B (DYNAMIC)CDAAdotsodyB
hl7:representedOrganization
0 … 1Contains 2.16.840.1.113883.3.1937.777.24.10.61 CDA Organization F (DYNAMIC)CDAAdotsodyB
Included from 2.16.840.1.113883.3.1937.777.24.10.40 CDA OrganizationC (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotsionC
hl7:name
ON0 … *CDAOdotsionC
 
target
mide-dataelement-649draft Name of organisation draft MI Dataset
hl7:telecom
TEL0 … *CDAOdotsionC
hl7:addr
AD0 … *CDAOdotsionC
 
target
mide-dataelement-650cancelled Address draft MI Dataset
hl7:streetName
STCDAOdotsionC
 
target
mide-dataelement-651cancelled Street draft MI Dataset
hl7:postalCode
STCDAOdotsionC
 
target
mide-dataelement-652cancelled Postal code draft MI Dataset
hl7:city
STCDAOdotsionC
 
target
mide-dataelement-653cancelled City draft MI Dataset
hl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassCDAOdotsionC
hl7:asOrganizationPartOf
0 … 1CDAOdotsionC
@classCode
cs0 … 1FPART
hl7:id
II0 … *RCDAOdotsionC
hl7:code
CE0 … 1CDAOdotsionC
 CONF
shall be drawn from concept domain "RoleCode"
hl7:statusCode
CS0 … 1CDAOdotsionC
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1CDAOdotsionC
hl7:wholeOrganization
0 … 1CDAOdotsionC
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotsionC
hl7:name
ON0 … *CDAOdotsionC
hl7:telecom
TEL0 … *CDAOdotsionC
hl7:addr
AD0 … *CDAOdotsionC
hl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassCDAOdotsionC
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 2.16.840.1.113883.3.1937.777.24.10.75 RelatedEntity B (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 … 1ReladotsodyB
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC)
hl7:addr
AD0 … *ReladotsodyB
hl7:telecom
TEL0 … *ReladotsodyB
hl7:effectiveTime
IVL_TS0 … 1ReladotsodyB
hl7:relatedPerson
0 … 1ReladotsodyB
Included from 2.16.840.1.113883.3.1937.777.24.10.63 CDA Person B (DYNAMIC)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CDAPdotssonB
hl7:participant
de-DE Autor dieser Information ist der Patientmedspmp
where [@typeCode='AUT']
@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:entryRelationship
0 … 5RSubordinate Substance Administration act that records split dose information.
Contains 2.16.840.1.113883.3.1937.777.24.10.35 Einzeldosierungen B (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:sequenceNumber
INT.POS0 … 1de-DE Reihenfolge in der Liste der Dosierungsangabenmedspmp
hl7:entryRelationship
0 … 1Rde-DE Freitextliche Dosierinstruktionen
Contains 2.16.840.1.113883.3.1937.777.24.10.70 Dosierung Freitext B (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:sequenceNumber
INT.POS0 … 1de-DE Reihenfolge in der Liste der Dosierungsangabenmedspmp
hl7:entryRelationship
0 … *Rde-DE Patienteninstruktionen
Contains 2.16.840.1.113883.3.1937.777.24.10.71 Patienteninstruktionen B (DYNAMIC)		medspmp
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … *Rde-DE Grund für die Medikation
Contains 2.16.840.1.113883.3.1937.777.24.10.72 Grund für Medikation B (DYNAMIC)		medspmp
 
target
mide-dataelement-643draft Reason for treatment draft MI Dataset
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … 1Rde-DE Bezug zur medikamentösen Therapie-Intention
Contains 2.16.840.1.113883.3.1937.777.24.10.73 Bezug zur Therapie-Intention B (DYNAMIC)		medspmp
@typeCode
cs1 … 1FREFR