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concept 1681000175101 | Package - unit of product usage (qualifier value)
| is a child of 408103002 |Unit of drug administration (qualifier value)|.
After analyzing the hierarchy, we concluded, that 408103002 |Unit of drug
administration (qualifier value)|
does not quite represent the intended
meaning of the Value Set. Therefore, we will not include the suggested code and keep the UCUM code.
In IHE PCC TF2 (revision 11.0), p.187, the dose (doseQuantity) and rate (rateQuantity) are defined by their low and high bounds that are different if a range is given, or equal otherwise (<doseQuantity><low value='' unit=''/><high value='' unit=''/></doseQuantity). In IHE PHARM PRE (revision 1.9), pp.47-48, they are only defined by their value and unit (<doseQuantity value='' unit=''/>).In IHE PCC CDA (revision 2.6), p.141 and p.144, low+high is given in the definition and @value + @unit is shown in the example.
The two standards disagree on the correct structure, Stéphane is investigating why PHARM is not following PCC here.
In any case, the rateQuantity and doseQuantity IVL_PQ structure should be restrained to either @value + @unit or low + high. The examples that show a doseQuantity with a center are wrong for both PHARM and PCC.
I guess the same correction should be applied to the template Dosage Instructions Dosage Change.
Wait for IHE guidance on this, then constrain both rateQuantity and doseQuantity to the chosen structure.-
projectathon 2020, the following problem popped up: The value
set for timing event (such as before meal. After meal etc.) is not the same in
FHIR and CDA-CH-EMED. But both value sets are required (by FHIR and IHE PCC, respectively)
- inquire on the international level to resolve this issue