Templates

Show index

Template Medikation 2018‑11‑01

Id1.2.276.0.76.10.4022
ref
pmp-
Effective Date2018‑11‑01
Statusdraft DraftVersion Labelv2019
NameMedicationStatementDisplay NameMedikation
Descriptionde-DE Medikations-Eintrag (Medication Statement)
ContextParent nodes of template element with id 1.2.276.0.76.10.4022
Labelmedspmp
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 20 templates, Uses 9 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.12.4.2Transactiondraft de-DE Erzeugung-Live-Daten-Dokument2017‑01‑23 14:46:04
2.16.840.1.113883.3.1937.777.54.4.2Transactiondraft de-DE CDA-Dokument Einweisungsbrief2020‑07‑10 20:14:25
2.16.840.1.113883.2.6.60.10.41Transactiondraft de-DE CDA-Dokument Arztbrief Plus2017‑02‑01
2.16.840.1.113883.2.6.60.12.4.4Transactiondraft de-DE Erzeugung-Überleitungsdokument2017‑03‑09 12:24:04
1.2.276.0.76.10.1020linkdraft Arztbrief Plus (v3.00)2017‑02‑01
1.2.276.0.76.10.1022linkdraft Live-Daten-CDA Dokument2017‑01‑23
1.2.276.0.76.10.1023linkdraft Überleitungs-CDA Dokument2017‑03‑14
1.2.276.0.76.10.1034linkdraft eEinweisungsbrief (v1.0)2020‑06‑18
1.2.276.0.76.10.3029Containmentdraft Medikation bei Einweisung (Historie)2017‑02‑01
1.2.276.0.76.10.3030Containmentdraft Verabreichte Medikation während des Aufenthalts2017‑02‑01
1.2.276.0.76.10.3031Containmentdraft Medikation bei Entlassung2017‑02‑01
1.2.276.0.76.10.3066Containmentdraft Einweisungsmedikation2015‑12‑29
1.2.276.0.76.10.3085Containmentdraft Medikation2017‑04‑24
1.2.276.0.76.10.3088linkdraft Pflegerische Maßnahmen2017‑04‑24
1.2.276.0.76.10.3157Includedraft Aktuelle Medikation2020‑03‑26 20:49:29
1.2.276.0.76.10.4214linkdraft Sekretmanagement Gruppe Entry2017‑05‑16
1.2.276.0.76.10.4218Containmentdraft Inhalationen2017‑05‑16
1.2.276.0.76.10.4261Containmentdraft Medikation Gruppierung2017‑07‑05
2.16.840.1.113883.2.6.60.12.10.102Containmentcancelled Entlassmedikation2017‑05‑31 15:54:33
2.16.840.1.113883.2.6.60.12.10.113linkdraft Überleitungs-CDA (ambulant-stationär)2018‑04‑04 17:10:48
2.16.840.1.113883.3.1937.777.36.10.40Containmentdraft Produkte (0.9)2019‑05‑27 13:50:36
2.16.840.1.113883.3.1937.777.36.10.59Containmentdraft Diagnostik- oder Therapiemaßnahme - Procedure (0.9)2019‑06‑04 09:59:01
2.16.840.1.113883.3.1937.777.36.10.61Containmentdraft Schmerzmanagement (0.9)2019‑06‑04 10:25:36
2.16.840.1.113883.3.1937.777.36.10.66Containmentdraft Debridement (0.9)2019‑06‑04 11:10:28
Uses as NameVersion
1.2.276.0.76.10.4023Containmentdraft Einzeldosierungen (mpp 2018)DYNAMIC
1.2.276.0.76.10.4024Containmentdraft Dosierung FreitextDYNAMIC
1.2.276.0.76.10.4025ContainmentDYNAMIC
1.2.276.0.76.10.4026ContainmentDYNAMIC
1.2.276.0.76.10.4027ContainmentDYNAMIC
1.2.276.0.76.10.4296ContainmentDYNAMIC
1.2.276.0.76.10.90020Includedraft RelatedEntity (Body)DYNAMIC
1.2.276.0.76.10.90023IncludeDYNAMIC
1.2.276.0.76.10.90025Includedraft Author (Body)DYNAMIC
RelationshipSpecialization: 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
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Mmedspmp
@root
uid1 … 1F1.2.276.0.76.10.4022
hl7:id
II0 … *Rmedspmp
hl7:code
CV1 … 1Mmedspmp
@code
CONF1 … 1FDRUG
@codeSystem
1 … 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
CS1 … 1Rmedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.25 (DYNAMIC)
Included0 … 1R from 1.2.276.0.76.10.90023 (DYNAMIC)
 Include
alertError: Cannot find template "1.2.276.0.76.10.90023" (DYNAMIC)
hl7:routeCode
CE0 … 1Rde-DE Art der Anwendung der Arzneimedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.26 (DYNAMIC)
hl7:maxDoseQuantity
RTO_PQ_PQ0 … 1Rmedspmp
hl7:consumable
1 … 1Mde-DE Arzneimittel/Wirkstoff/Rezeptur
Contains
alertError: Cannot find template "1.2.276.0.76.10.4025" (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
 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: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: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 1.2.276.0.76.10.4023 Einzeldosierungen (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 1.2.276.0.76.10.4024 Dosierung Freitext (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:sequenceNumber
INT.POS0 … 1de-DE Reihenfolge in der Liste der Dosierungsangabenmedspmp
hl7:entryRelationship
0 … *Rde-DE Patienteninstruktionen
Contains
alertError: Cannot find template "1.2.276.0.76.10.4026" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … *Rde-DE Grund für die Medikation
Contains
alertError: Cannot find template "1.2.276.0.76.10.4027" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … 1Rde-DE Bezug zur medikamentösen Therapie-Intention
Contains
alertError: Cannot find template "1.2.276.0.76.10.4296" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FREFR

Template Medikation 2017‑06‑04

Id1.2.276.0.76.10.4022
ref
pmp-
Effective Date2017‑06‑04
Statusdraft DraftVersion Labelmpp 2017
NameMedicationStatementDisplay NameMedikation
Descriptionde-DE Medikations-Eintrag (Medication Statement)
ContextParent nodes of template element with id 1.2.276.0.76.10.4022
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
1.2.276.0.76.10.4025ContainmentDYNAMIC
1.2.276.0.76.10.4026ContainmentDYNAMIC
1.2.276.0.76.10.4027ContainmentDYNAMIC
1.2.276.0.76.10.4028ContainmentDYNAMIC
1.2.276.0.76.10.4029ContainmentDYNAMIC
1.2.276.0.76.10.90020Includedraft RelatedEntity (Body)DYNAMIC
1.2.276.0.76.10.90023IncludeDYNAMIC
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-
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>  <author>
    <!-- Autor des Medikationseintrags: verschreibender Gesundheitsdienstleister -->
  </author>  <participant typeCode="AUT">
    <!-- Selbstmedikation (Quelle: Patient) -->
  </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) -->
    <!-- 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
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Mmedspmp
@root
uid1 … 1F1.2.276.0.76.10.4022
hl7:id
II0 … *Rmedspmp
hl7:code
CV1 … 1Mmedspmp
@code
CONF1 … 1FDRUG
@codeSystem
1 … 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
CS1 … 1Rmedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.25 (DYNAMIC)
Included0 … 1R from 1.2.276.0.76.10.90023 (DYNAMIC)
 Include
alertError: Cannot find template "1.2.276.0.76.10.90023" (DYNAMIC)
hl7:routeCode
CE0 … 1Rde-DE Art der Anwendung der Arzneimedspmp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.4.11.26 (DYNAMIC)
hl7:consumable
1 … 1Mde-DE Arzneimittel/Wirkstoff/Rezeptur
Contains
alertError: Cannot find template "1.2.276.0.76.10.4025" (DYNAMIC)
medspmp
Choice0 … 1
de-DE Autor, entweder:
  • Selbstmedikation (Quelle: Patient)
  • verschreibender Gesundheitsdienstleister
Elements to choose from:
  • hl7:author
  • hl7:participant[@typeCode='AUT']
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
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: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 … 5RSubordinate Substance Administration act that records split dose information.
Contains 1.2.276.0.76.10.4023 Einzeldosierungen (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 1.2.276.0.76.10.4024 Dosierung Freitext (DYNAMIC)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:sequenceNumber
INT.POS0 … 1de-DE Reihenfolge in der Liste der Dosierungsangabenmedspmp
hl7:entryRelationship
0 … *Rde-DE Patienteninstruktionen
Contains
alertError: Cannot find template "1.2.276.0.76.10.4026" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … *Rde-DE Grund für die Medikation
Contains
alertError: Cannot find template "1.2.276.0.76.10.4027" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Verordnung
Contains
alertError: Cannot find template "1.2.276.0.76.10.4028" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FREFR
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Abgabe
Contains
alertError: Cannot find template "1.2.276.0.76.10.4029" (DYNAMIC)
medspmp
@typeCode
cs1 … 1FREFR

Template Medikation 2014‑11‑01

Id1.2.276.0.76.10.4022
ref
pmp-
Effective Date2014‑11‑01
Statusdraft DraftVersion Labelpmp 2014
NameMedicationStatementDisplay NameMedikation
Descriptionde-DE Medikation
ContextParent nodes of template element with id 1.2.276.0.76.10.4022
Labelmedspmp
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 2 templates, Uses 10 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.4.4.2Transactiondraft de-DE Medikationsplan (2015)2014‑10‑27
1.2.276.0.76.10.1014linkdraft Patientenbezogener Medikationsplan CDA document (v2015)2014‑10‑20
1.2.276.0.76.10.3041Containmentdraft Aktuelle Medikation2014‑11‑01
Uses as NameVersion
1.2.276.0.76.10.4023Containmentdraft Einzeldosierungen (pmp 2014)2014‑11‑01
1.2.276.0.76.10.4024Containmentdraft Dosierung Freitext2014‑11‑01
1.2.276.0.76.10.4025ContainmentDYNAMIC
1.2.276.0.76.10.4026ContainmentDYNAMIC
1.2.276.0.76.10.4027ContainmentDYNAMIC
1.2.276.0.76.10.4028ContainmentDYNAMIC
1.2.276.0.76.10.4029ContainmentDYNAMIC
1.2.276.0.76.10.90020Includedraft RelatedEntity (Body)DYNAMIC
1.2.276.0.76.10.90023IncludeDYNAMIC
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-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="1.2.276.0.76.10.4022"/>  <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
hl7:templateId
II1 … 1Mmedspmp
@root
uid1 … 1F1.2.276.0.76.10.4022
hl7:id
II0 … *Rmedspmp
hl7:text
ED1 … 1Mmedspmp
hl7:reference
TEL1 … 1Mmedspmp
@value
1 … 1Rde-DE #med-{generierteID}, z.B.: #med-1
Included0 … 1R from 1.2.276.0.76.10.90023 (DYNAMIC)
 Include
alertError: Cannot find template "1.2.276.0.76.10.90023" (DYNAMIC)
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)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.12 (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
alertError: Cannot find template "1.2.276.0.76.10.4025" (2014-11-01T00:00:00)
medspmp
Choice0 … 1
de-DE Autor/Informant, entweder:
  • verschreibender Gesundheitsdienstleister
  • Selbstmedikation (Quelle: Patient)
  • Informant dieser Information ist eine Kontaktperson/Angehöriger des Patienten
Elements to choose from:
  • hl7:author
  • hl7:informant[hl7:relatedEntity]
  • hl7:participant[@typeCode='AUT']
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: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: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 … 5RSplit Dosing: a <substanceAdministration> act that records split dose information in subordinate <substanceAdministration> acts.
Contains 1.2.276.0.76.10.4023 Einzeldosierungen (2014‑11‑01)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Rde-DE Freitextliche Dosierinstruktionen
Contains 1.2.276.0.76.10.4024 Dosierung Freitext (2014‑11‑01)		medspmp
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Rde-DE Patienteninstruktionen
Contains
alertError: Cannot find template "1.2.276.0.76.10.4026" (2014-11-01T00:00:00)
medspmp
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue
hl7:entryRelationship
0 … *Rde-DE Grund für die Medikation
Contains
alertError: Cannot find template "1.2.276.0.76.10.4027" (2014-11-01T00:00:00)
medspmp
@typeCode
cs1 … 1FRSON
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Verordnung
Contains
alertError: Cannot find template "1.2.276.0.76.10.4028" (2014-11-01T00:00:00)
medspmp
@typeCode
cs1 … 1FREFR
hl7:entryRelationship
0 … *Rde-DE Bezug zu einer Abgabe
Contains
alertError: Cannot find template "1.2.276.0.76.10.4029" (2014-11-01T00:00:00)
medspmp
@typeCode
cs1 … 1FREFR