PlannedMedicationActivityV2

Template Planned Medication Activity (V2) 2014‑06‑09

2.16.840.1.113883.10.20.22.4.42

ref

ccda-

Gültigkeit ab

2014‑06‑09

Status

Entwurf

Versions-Label

2.1

Name

PlannedMedicationActivityV2

Bezeichnung

Planned Medication Activity (V2)

Beschreibung

This template represents planned medication activities. The priority of the medication activity to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the medication activity is intended to take place. The authorTime indicates when the documentation of the plan occurred.

Kontext

Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.42

Klassifikation

CDA Entry Level Template

Offen/Geschlossen

Offen (auch andere als die definierten Elemente sind erlaubt)

Benutzt von / Benutzt

Benutzt von 10 Transactions und 24 Templates, Benutzt 6 Templates

Benutzt von	als	Name	Version
2.16.840.1.113883.3.1937.99.3.4.27	Transaktion	Operative Note (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.31	Transaktion	Transfer Summary (V2)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25	Transaktion	Discharge Summary (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29	Transaktion	Progress Note (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26	Transaktion	History and Physical (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22	Transaktion	Consultation Note (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.28	Transaktion	Procedure Note (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23	Transaktion	Continuity of Care Document (CCD) (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30	Transaktion	Referral Note (V2)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21	Transaktion	Care Plan (V2)	2015‑08‑01
2.16.840.1.113883.3.1937.99.61.8.10.3.2	Containment	Plan of Care Section	2014‑02‑04 13:11:29
2.16.840.1.113883.3.1937.99.61.17.10.2		SHN StructuredBody	2015‑05‑09 11:18:02
2.16.840.1.113883.3.1937.99.61.17.10.3		SHN component	2015‑05‑09 11:28:46
2.16.840.1.113883.3.1937.99.61.18.10.6		Выписной эпикриз	2015‑06‑06 14:32:25
2.16.840.1.113883.3.1937.99.61.21.10.20	Containment	NH MI (fake) Recommendation (2.1)	2019‑07‑25 23:56:49
2.16.840.1.113883.3.1937.99.61.26.10.122	Containment	Nutrition Recommendation (2.1)	2019‑04‑29 09:01:33
2.16.840.1.113883.3.1937.99.61.28.10.3		CDA de Consulta (1)	2017‑04‑22 23:20:01
2.16.840.1.113883.10.20.21.2.3		Interventions Section (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.2		Continuity of Care Document (CCD) (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.3		History and Physical (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.4		Consultation Note (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.6		Procedure Note (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.7		Operative Note (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.8		Discharge Summary (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.9		Progress Note (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.13		Transfer Summary (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.14		Referral Note (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.15		Care Plan (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.10		Plan of Treatment Section (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.2.10	Containment	Plan of Treatment Section (V2) (2.1)	2019‑03‑16 08:54:08
2.16.840.1.113883.10.20.22.2.101		BC CDA Referral Note (V2) (2.1)	2019‑04‑06 02:03:17
2.16.840.1.113883.10.20.22.4.130	Containment	Nutrition Recommendation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.131		Intervention Act (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.146	Containment	Planned Intervention Act (V2) (2.1)	2015‑08‑01
Benutzt	als	Name	Version
2.16.840.1.113883.10.20.22.4.19	Containment	Indication (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.20	Containment	Instruction (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.23	Containment	Medication Information (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.25	Containment	Precondition for Substance Administration (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.119	Containment	Author Participation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.143	Containment	Priority Preference (2.1)	2015‑08‑13

Beziehung

Spezialisierung: Template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)

ref

ad1bbr-

Version: Template 2.16.840.1.113883.10.20.22.4.42 Plan of Care Activity Substance Administration (2013‑01‑31)

ref

ccda-

Item

Kard

Konf

Beschreibung

Label

cda:substanceAdministration

PlantyV2

@classCode

1 … 1

SBADM

CONF8572

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8572).

@moodCode

1 … 1

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2011-09-30 (CONF:1098-8573).

CONF8573

CONF

Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.24 Plan of Care moodCode (SubstanceAdministration/Supply) (DYNAMIC)

cda:templateId

1 … 1

C-CDA R1.1 templateId root without an extension

CONF2936

@root

uid

1 … 1

2.16.840.1.113883.10.20.22.4.42

cda:templateId

1 … 1

SHALL contain exactly one [1..1] templateId (CONF:1098-30465) such that it

CONF0465

@root

uid

1 … 1

2.16.840.1.113883.10.20.22.4.42

CONF0466

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.42" (CONF:1098-30466).

@extension

1 … 1

2014-06-09

CONF2557

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32557).

cda:id

1 … *

SHALL contain at least one [1..*] id (CONF:1098-8575).

CONF8575

cda:statusCode

1 … 1

SHALL contain exactly one [1..1] statusCode (CONF:1098-32087).

CONF2087

@code

CONF

1 … 1

active

Auswahl

1 …

Note: This effectiveTime represents either the medication duration (i.e., the time the medication should be started and stopped) or the timestamp when the single-administration should occur.

Elemente in der Auswahl:

cda:effectiveTime[@value]
cda:effectiveTime[cda:low]

cda:effectiveTime

0 … 1

CONF0468

wo [@value]

@value

1 … 1

SHOULD contain exactly one [1..1] @value; Note: indicates a single-administration timestamp

CONF2944

cda:effectiveTime

IVL_TS

0 … 1

CONF0468

wo [cda:low]

cda:low

1 … 1

SHOULD contain exactly one [1..1] low; Note: indicates when medication started

CONF2948

cda:high

0 … 1

MAY contain zero or one [0..1] high; Note: indicates when medication stopped

CONF2949

cda:effectiveTime

1 … 1

SHOULD contain exactly one [1..1] effectiveTime

CONF2943

wo [@xsi:type='PIVL_TS' or @xsi:type='EIVL_TS']

@operator

1 … 1

CONF2943

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-32945).

@xsi:type

1 … 1

SHALL contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-32946).

CONF2943

CONF

@xsi:type muss "PIVL_TS" sein

oder

@xsi:type muss "EIVL_TS" sein

cda:repeatNumber

0 … 1

MAY contain zero or one [0..1] repeatNumber (CONF:1098-32066).

In a Planned Medication Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.

CONF2066

cda:routeCode

0 … 1

MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-32067).

CONF2067

CONF

Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.3221.8.7 Medication Route FDA (DYNAMIC)

hl7:translation

0 … *

The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32952).

CONF2952

CONF

Der Wert von @code muss gewählt werden aus dem Value Set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 Medication Route (DYNAMIC)

cda:approachSiteCode

0 … *

MAY contain zero or more [0..*] approachSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32078).

CONF2078

CONF

Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)

cda:doseQuantity

0 … 1

MAY contain zero or one [0..1] doseQuantity (CONF:1098-32068).

CONF2068

@unit

0 … 1

The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32133).

CONF2133

CONF

Der Wert von @unit muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.12839 UnitsOfMeasureCaseSensitive (DYNAMIC)

cda:rateQuantity

0 … 1

MAY contain zero or one [0..1] rateQuantity (CONF:1098-32079).

CONF2079

@unit

0 … 1

The rateQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32134).

CONF2134

CONF

Der Wert von @unit muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.12839 UnitsOfMeasureCaseSensitive (DYNAMIC)

cda:maxDoseQuantity

0 … 1

MAY contain zero or one [0..1] maxDoseQuantity (CONF:1098-32080).

CONF2080

cda:administrationUnitCode

0 … 1

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1098-32081).

CONF2081

CONF

Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113762.1.4.1021.30 Administration Unit Dose Form (DYNAMIC)

cda:consumable

1 … 1

Beinhaltet 2.16.840.1.113883.10.20.22.4.23 Medication Information (V2) (2014‑06‑09)

CONF2082

cda:performer

0 … *

MAY contain zero or more [0..*] performer (CONF:1098-30470).

The clinician who is expected to perform the medication activity could be identified using substanceAdministration/performer.

CONF0470

cda:author

0 … 1

SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32046).

The author in a planned medication activity represents the clinician who is requesting or planning the medication activity.

Beinhaltet 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)

CONF2046

cda:entryRelationship

0 … *

The following entryRelationship represents the priority that a patient or a provider places on the planned medication activity.
Beinhaltet 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13)

CONF1104

@typeCode

1 … 1

REFR

CONF1105

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31105).

cda:entryRelationship

0 … *

The following entryRelationship represents the indication for the planned medication activity.
Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)

CONF2069

@typeCode

1 … 1

RSON

CONF2070

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32070).

cda:entryRelationship

0 … *

The following entryRelationship captures any instructions associated with the planned medication activity.
Beinhaltet 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09)

CONF2072

@typeCode

1 … 1

SUBJ

CONF2073

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32073).

cda:precondition

0 … *

Beinhaltet 2.16.840.1.113883.10.20.22.4.25 Precondition for Substance Administration (V2) (2014‑06‑09)

CONF2084

@typeCode

1 … 1

PRCN

CONF2085

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" Precondition (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32085).

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Template Planned Medication Activity (V2) 2014‑06‑09