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The <entryRelationship> "fulfillment instructions" is not containing the template 1.3.6.1.4.1.19376.1.5.3.1.4.3.1. The Schematron is unable to validate that part.-
The Patient Medication Instructions entryRelationship is annotated with @typeCode="COMP". As per IHE PHARM PRE 6.3.4.2.3.17, it should be @typeCode="SUBJ" and @inversionInd="true".
Medications in reserve are often used in the Swiss prescription workflow and it seems important to properly support them.
The flag is supported by CHMED16A and will be added to CHMED21A and CH-EMED.
Consequences of status quo are poor usability and context-fit for integrated applications, which may lead to patient safety issues. Thus, the adoption by patients and professionals depends on this change.
Propositions:
1. Templates Medication Treatment Plan Item Entry Content Module , Prescription Item Entry Content Module , Dispense Item Entry Content Module : add an entryRelationship element with cardinality 0..1 that contains the new “in reserve” flag. If absent, the medication is a regular one. A new Swiss template ID is assigned.
2. These changes are definitive.
< entryRelationship typeCode =" COMP "> <act classCode =" ACT " moodCode =" DEF "> <templateId root ="TO BE DEFINED"/>
<code code ="TO BE DEFINED" codeSystem ="" displayName ="" codeSystemName =""/>
<statusCode code =" completed "/>
</act>
</ entryRelationship >
By example:
· Regular
· In reserve
Or we only define a single value to make it “in reserve” (but a code system is still needed), the absence of the entryRelationship makes it regular.
Drafted by HUG and CARA.
(PrescriptionItemEntryContentModule)/d141e5821-true-d234733e0: 'component' is defined as closed, and this element 'seperatableInd' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']] (rule-reference: d141e5821-true-d234733e0)
<!-- Checking undefined contents for template/element @isClosed="true". Match context that we did not already match --><rule fpi="RUL-QQQ" context="*[hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']]]/*[not(@xsi:nil = 'true')][not(self::hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']])]" id="d141e5821-true-d234733e0"> <assert role="error" see="http://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.43" test="not(.)">(PrescriptionItemEntryContentModule)/d141e5821-true-d234733e0: '<value-of select="name(..)"/>' is defined as closed, and this element '<name/>' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:substanceAdministration[hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.43'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] and hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7']] (rule-reference: d141e5821-true-d234733e0)</assert> </rule>