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Id Issue Status Priority Type Date Assigned To Label
6 repeatNumber should be mandatory Closed Normal Change Request 2021-06-10 08:28:02 Annatina Foppa
 
Change Request repeatNumber should be mandatory
Id chdachpharm-issue-6
Status Closed
Priority Normal
Last Tracking 2021-06-10 08:28:02  by  Annatina Foppa
Current Assignee Annatina Foppa
    
Concerns
Template
false
Dosage Instructions Start/Stop, Frequency, Dose (chdachpharm-template-entry-35)
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Template 2.16.756.5.30.1.1.10.4.35 (2019-08-27 16:30:05) Dosage Instructions Start/Stop, Frequency, Dose
Status Draft
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Events
Tracking Closed 2021-06-10 08:28:02 : Tracking by Annatina Foppa
Description
ok!
Assignment 2021-06-08 15:19:18 : Assigned To Annatina Foppa by Quentin Ligier
Tracking Feedback needed 2021-06-08 15:18:25 : Tracking by Quentin Ligier
Description
The repeatNumber element has been changed back to optional.
A Schematron assert has been added to the templates:
The Schematron has been tested against the 4 types of documents.
Tracking Feedback needed 2021-06-07 14:39:33 : Tracking by Quentin Ligier
Edited by Quentin Ligier ( 2021-06-07 14:41:31 ) Quentin Ligier ( 2021-06-08 14:37:49 )
Description
When this template is included in a dispense item (and related PADV part), the repeatNumber is forbidden (as per IHE Pharm DIS 6.3.4.5.3.17, see below); otherwise it's required.

The following elements part of the Dosage Instructions:
• Prescription Item Entry Additional Template ID
• Effective Time (Duration of Treatment)
• Medication Frequency
• Route of Administration
• Approach Site Code
• Dose Quantity
• Rate Quantity
• Related Components
So the current modification is invalid.
We can either duplicate the template to have the right cardinality, or set the repeatNumber as optional and add two schematron asserts to ensure it's present or absent, depending on the parent template IDs.
Tracking Feedback needed 2021-05-10 16:26:59 : Tracking by Annatina Foppa
Description
to discuss tomorrow 11.5. 
Tracking Feedback needed 2021-05-05 11:23:53 : Tracking by Quentin Ligier
Description
The content of repeatNumber has been described.
The attributes @value and @nullFlavord have been added, two schematron rules assert that the @value is not negative and that either @value or @nullFlavor is specified.
Tracking Open 2021-03-01 22:46:21 : Tracking by Annatina Foppa
Description
content of repeatNumber (as described in the ticket) missing; ticket reopened
Tracking Closed 2021-02-19 09:49:02 : Tracking by Pero Grgic
Description
the element hl7:repeatNumber is set to 1…1
Tracking Open 2021-02-15 16:41:28 : Tracking by Quentin Ligier
Description
After discussion with Stéphane, he confirms the IHE PRE profile applies here, making the hl7:repeatNumber required here (§6.3.4.2.3.9).

Proposed template modifications:
  • The hl7:repeatNumber is set to 1…1.
  • Its content is set to a mandatory choice (1…1) between the @value attribute (1…1) and the @nullFlavor="NI" attribute (1…1).
  • The @value attribute is constrained to value equal or greater than zero.
  • The description is updated to specify that a value of zero means that no repeat/refill is allowed, the NI null flavor means that unlimited repeats/refills are allowed, a positive value sets the number of repeats/refills (so the total number of dispenses could equal this value plus one).
Do you see any issue with that way of proceeding?
Tracking Open 2020-10-18 12:11:19 : Tracking by Quentin Ligier
Description
Finding:

In IHE Pharm PRE profile, it is said:
The <repeatNumber> element SHALL be present, and SHALL contain the number of allowed repeats/refills of the Prescription Item. [...] If the repeatNumber is not limited (e.g., in case a renewal duration is defined), this element SHALL be set to nullFlavor=’NI’.

IHE Pharm MTP and PADV profiles don't override this, so the element is also required there.
IHE Pharm DIS profile says it shall not be present in the 'supply', the template is correct for that one. But I'm not sure if it should be absent or mandatory in the 'Dosage instructions' (the profile doesn't explicitly mention it).

If that's right, 'repeatNumber' would also be missing from the Medication Treatment Plan Item Entry Content Module example. 

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Suggestion:

Set the 'repeatNumber' cardinality to 1...1 and add the following attributes: @value (0...1) and @nullFlavor="NI" (0...1), at least in Medication Treatment Plan Item Entry Content Module, Prescription Item Entry Content Module and Pharmaceutical Advice Item Entry Content Module.
    
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