Item | DT | Card | Conf | Description | Label |
---|
cda:substanceAdministration
| | | | | HL7Ivity |
@classCode
| cs | 1 … 1 | F | SBADM |
@moodCode
| cs | 1 … 1 | R | |
| CONF | @moodCode shall be "ENV" | or | @moodCode shall be "INT" |
|
hl7:templateId
| II | 1 … 1 | M | | HL7Ivity |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.9.10.1.6.52 |
cda:id
| II | 1 … * | R | | HL7Ivity |
cda:code
| | 0 … 1 | | | HL7Ivity |
cda:statusCode
| CS | 1 … 1 | M | | HL7Ivity |
cda:effectiveTime
| IVL_TS | 1 … 1 | R | | HL7Ivity |
where [not(@operator='A')] | |
| |
cda:low
| | 0 … 1 | R | | HL7Ivity |
cda:high
| | 0 … 1 | | | HL7Ivity |
cda:repeatNumber
| | 0 … 1 | | | HL7Ivity |
cda:routeCode
| | 0 … 1 | R | | HL7Ivity |
| |
cda:approachSiteCode
| CD | 0 … 1 | | | HL7Ivity |
| CONF | |
cda:doseQuantity
| | | NP | | HL7Ivity |
cda:rateQuantity
| | | NP | | HL7Ivity |
cda:maxDoseQuantity
| RTO_PQ_PQ | 0 … 1 | | | HL7Ivity |
cda:administrationUnitCode
| CE | 0 … 1 | | administrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, “metric drop (C48491)” would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value. | HL7Ivity |
| CONF | |
cda:consumable
| | 1 … 1 | M | Contains 2.16.840.1.113883.2.9.10.1.6.53 VPS Informazioni Farmaci (DYNAMIC) | HL7Ivity |
cda:performer
| | 0 … 1 | | Contains 2.16.840.1.113883.2.9.10.1.6.44 CDA Performer (Body) (DYNAMIC) | HL7Ivity |
| |
cda:author
| | 0 … * | R | Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) | HL7Ivity |
| |
hl7:entryRelationship
| | 0 … * | C | Unless medications are unknown or known absent, at least one subordinated <substanceAdministration> has to be present to convey information about dosages (dose, frequency of intakes,..). Subordinated <substanceAdministration> elements can be also used either to handle split dosing, or to support combination medications. | HL7Ivity |
@typeCode
| cs | 1 … 1 | F | COMP |
| Constraint | At least one subordinate <substanceAdministration> element SHALL be present unless medications are unknown or known absent.
|
hl7:sequenceNumber
| INT | 0 … 1 | | | HL7Ivity |
hl7:substanceAdministration
| | 1 … 1 | R | | HL7Ivity |
@classCode
| cs | 1 … 1 | F | SBADM |
@moodCode
| cs | 1 … 1 | R | If the statement refers to a prescribed medication then a <substanceAdministration> intent (moodCode='INT') is used; otherwise, to record medications which are stated to have taken, the moodCode shall be set to 'EVN'. |
| CONF | |
| Constraint | The moodCode of this subordinate <substanceAdministration> SHALL be the same of the parent <substanceAdministration> .
|
hl7:statusCode
| CS | 1 … 1 | M | | HL7Ivity |
| Constraint | The statusCode of this subordinate <substanceAdministration> SHALL be the same of that of the parent <substanceAdministration>.
|
| CONF | |
| Example | <statusCode code="active"/> |
hl7:effectiveTime
| | 1 … 1 | R | This required element describes the frequency of intakes. If not known it shall be valued with the nullflavor "UNK"
| HL7Ivity |
| |
| Example | Once (known date) <effectiveTime value="20170404"/> |
| Example | Unknown <effectiveTime nullFlavor="UNK"/> |
| Example | Every 4 hours <effectiveTime xsi:type="PIVL_TS" institutionSpecified="false"> <period value="4" unit="h"/></effectiveTime> |
| Example | Twice a day <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true"> <period value="12" unit="h"/></effectiveTime> |
| Example | After meal <effectiveTime xsi:type="EIVL_TS"> <event code="PC" codeSystem="2.16.840.1.113883.5.139"/></effectiveTime> |
| Example | One hour before breakfast <effectiveTime xsi:type="EIVL_TS"> <event code="ACM" codeSystem="2.16.840.1.113883.5.139"/> <offset> <low value="1" unit="h"/> </offset></effectiveTime> |
Choice | 0 … 1 | | Elements to choose from:- hl7:doseQuantity
- hl7:rateQuantity
|
hl7:doseQuantity
| IVL_PQ | 0 … 1 | R | The <doseQuantity> describes the amount of the medication given (the dosage).
If a dose range is given (e.g., 1-2 tablets, or 325-750mg), then the <low> and <high> bounds are specified in their respective elements; otherwise only one physical quantity is specified (e.g. 2 drops)
The dose can be in some known and measurable unit, such as grams, milligrams,or described in "administration" units (unit of presentation, such as capsules).
If the dose is in countable items (tablets, caplets, "eaches"), then the unit could be omitted or valorized using the UCUM annotations for describing the type of countable items (e.g. .{tablet}, {puff},..).
The unit attribute – when expresses unit of measures- shall be derived from the UCUM code system.
The used elements should contain a <translation> element that provides a <reference> to the <originalText> found in the narrative body of the document.
| HL7Ivity |
| |
@unit
| cs | 0 … 1 | | |
| CONF | |
| Example | Not pre-coordinated consumable <doseQuantity value="25" unit="mg"/> |
| Example | Pre-coordinated consumable - Dose Range <doseQuantity> <low value="1" unit="{tablet}"/> <high value="2" unit="{tablet}"/></doseQuantity> |
| Example | Pre-coordinated consumable <doseQuantity value="2" unit="{puff}"/> |
| Example | Pre-coordinated consumable with text reference <!-- TO BE CHECKED --> <doseQuantity value="2" unit="{puff}"> <translation> <originalText> <reference value="#text-ref-1"/> </originalText> </translation></doseQuantity> |
| Example | Textual dosage <!-- TO BE CHECKED --> <doseQuantity> <translation> <originalText> <reference value="#text-ref-1"/> </originalText> </translation></doseQuantity> |
hl7:rateQuantity
| IVL_PQ | 0 … 1 | R | | HL7Ivity |
| |
@unit
| cs | 0 … 1 | | |
| CONF | |
hl7:maxDoseQuantity
| RTO_PQ_PQ | 0 … 1 | | | HL7Ivity |
hl7:consumable
| | 1 … 1 | R | | HL7Ivity |
hl7:manufacturedProduct
| | 1 … 1 | R | | HL7Ivity |
hl7:manufacturedMaterial
| | 1 … 1 | R | | HL7Ivity |
@nullFlavor
| cs | 1 … 1 | F | NA |
cda:entryRelationship
| | 0 … * | | (it-IT) Prescrizione a cui questa somministrazione fa riferimento | HL7Ivity |
@typeCode
| cs | 1 … 1 | F | REFR |
| Constraint | (it-IT) Presente solo se il moodCode="EVN" |
cda:substanceAdministration
| | | | | HL7Ivity |
@classCode
| cs | 1 … 1 | F | SBADM |
@moodCode
| cs | 1 … 1 | R | |
| CONF | |
cda:id
| II | 1 … * | R | | HL7Ivity |
cda:statusCode
| CS | 0 … 1 | R | | HL7Ivity |
cda:effectiveTime
| IVL_TS | 0 … 1 | R | | HL7Ivity |
cda:low
| | 0 … 1 | R | | HL7Ivity |
cda:high
| | 0 … 1 | | | HL7Ivity |
cda:consumable
| | 1 … 1 | M | Contains 2.16.840.1.113883.2.9.10.1.6.53 VPS Informazioni Farmaci (DYNAMIC) | HL7Ivity |
cda:author
| | 0 … * | R | Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) | HL7Ivity |
| |