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CH-PHARM - Templates

 
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Prescription Item Entry Content Module
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History (28)
Date Author Status Type
2022-06-08 18:21:00 Quentin Ligier Draft version
2022-02-25 13:36:21 Quentin Ligier Draft version
2022-02-25 13:35:22 Quentin Ligier Draft version
2022-02-24 11:23:10 Quentin Ligier Draft version
2022-02-22 17:47:41 Quentin Ligier Draft version
2021-06-14 11:23:00 Quentin Ligier Draft version
2021-06-10 12:22:01 Quentin Ligier Draft version
2021-06-08 18:03:44 Quentin Ligier Draft version
2021-06-08 16:42:57 Quentin Ligier Draft version
2021-06-08 14:30:06 Quentin Ligier Draft version
2021-03-17 15:28:46 Pero Grgic Draft version
2021-03-11 17:15:55 Dr. Kai Heitmann Draft version
2021-02-22 18:43:49 Dr. Kai Heitmann Draft version
2021-02-22 18:19:31 Dr. Kai Heitmann Draft version
2021-02-22 18:19:01 Dr. Kai Heitmann Draft version
2021-02-22 18:15:55 Dr. Kai Heitmann Draft version
2021-02-11 16:39:25 Pero Grgic Draft version
2021-02-11 16:39:20 Pero Grgic Draft version
2021-02-11 16:32:08 Pero Grgic Under pre-publication review version
2021-02-11 15:47:40 Pero Grgic Draft version
2021-02-11 15:41:16 Pero Grgic Draft version
2021-02-11 15:36:42 Pero Grgic Under pre-publication review version
2020-07-29 14:04:35 Oliver Egger Draft version
2020-05-14 09:55:25 Oliver Egger Draft version
2020-05-14 09:55:03 Oliver Egger Under pre-publication review version
2020-05-08 13:48:24 Oliver Egger Draft version
2020-02-03 19:33:04 Oliver Egger Draft version
2020-02-03 19:31:10 Oliver Egger Draft version
false
Issues (6)
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Change Request Status = Closed ( cdachemed-issue-11 ): Missing linked template Validation Step
Type Change Request Status Change Request Status = Closed Priority Normal
Events
Tracking / Status = Closed 2020-05-14 11:14:56 : Tracking by Quentin Ligier
Description
That was it, thanks!
Tracking / Status = Open 2020-05-14 11:07:54 : Tracking by Oliver Egger
Description
this was the reference to the template in cda-ch-emed missing, correct?
Tracking / Status = Open 2020-05-13 16:39:38 : Tracking by Quentin Ligier
Description
Finding:
The template 1.3.6.1.4.1.19376.1.9.1.3.16 " IHE Validation Step Entry Content Module" linked by the entryRelationship " Validation Step" is undefined. It is present in CH-PHARM ( https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=1.3.6.1.4.1.19376.1.9.1.3.16&effectiveDate=dynamic ).

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Suggestion:

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Further explanation:

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Change Request Status = Closed ( chdachpharm-issue-4 ): Fulfillment instructions missing content
Type Change Request Status Change Request Status = Closed Priority Normal
Events
Tracking / Status = Closed 2021-02-11 15:46:07 : Tracking by Pero Grgic
Description
<entryRelationship> "fulfillment instructions" is now  containing  the template  1.3.6.1.4.1.19376.1.5.3.1.4.3.1 .
Tracking / Status = Open 2020-09-16 12:15:55 : Tracking by Quentin Ligier
Description
Finding:

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.
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Suggestion:

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Further explanation:

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Change Request Status = Closed ( chdachpharm-issue-14 ): Wrong typeCode for Patient Medication Instructions
Type Change Request Status Change Request Status = Closed Priority Normal
Events
Tracking / Status = Closed 2021-03-17 15:32:19 : Tracking by Pero Grgic
Description
@inversionInd  added and set the value to true.
Tracking / Status = Open 2021-02-23 09:29:53 : Tracking by Annatina Foppa
Description
try with  either the ID 1.3.6.1.4.1.19376.1.9.1.9.128 (it's working elsewhere, why not in this template?) or 1.3.6.1.4.1.19376.1.9.1.9.117 (this template is a specialization of the IHE Prescription Item Entry Content Module template, maybe the ID should match there?) ->> see email quentin from 19. february
Tracking / Status = Open 2021-02-18 15:39:18 : Tracking by Pero Grgic
Description
Element fixed with  @typeCode="COMP".  @inversionInd="true" needs an unique ID Quentin will check with Stépahne.
Tracking / Status = Open 2021-02-04 09:38:00 : Tracking by Quentin Ligier
Description
Finding:

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".

Suggestion:

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Further explanation:

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Change Request Status = Closed ( chdachpharm-issue-52 ): Missing template id for Dosage Instructions Content Modules
Type Change Request Status Change Request Status = Closed Priority Normal
Events
Tracking / Status = Closed 2022-03-15 08:44:52 : Tracking by Patrick Jolo
Description
Template ID verified and issue closed
Tracking / Status = Feedback needed 2022-03-03 09:57:48 : Tracking by Quentin Ligier
Description
The template ID has been added to both templates.
Tracking / Status = Open 2021-10-04 15:39:55 : Tracking by Quentin Ligier
Description
The template id for Dosage Instructions Content Modules (1.3.6.1.4.1.19376.1.9.1.3.6) is missing in some places.
It should appear it the templates:
Change Request Status = Closed ( chdachpharm-issue-56 ): Medications in reserve
Type Change Request Status Change Request Status = Closed Priority Normal
Events
Tracking / Status = Closed 2022-03-01 09:40:50 : Tracking by Patrick Jolo
Description
verified and closed
Tracking / Status = Feedback needed 2022-02-25 13:40:43 : Tracking by Quentin Ligier
Description
The template and value set have been created, it has been included in the 3 main item entry content modules.
Tracking / Status = Open 2022-02-01 18:06:30 : Tracking by Quentin Ligier
Description

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.

Change Request Status = Feedback needed ( chdachpharm-issue-65 ): Error validating recommended/changed prescription item
Type Change Request Status Change Request Status = Feedback needed Priority Normal
Events
Assignment 2022-06-21 09:49:48 : Assigned To Quentin Ligier by Patrick Jolo
Tracking / Status = Feedback needed 2022-06-20 22:10:45 : Tracking by Dr. Kai Heitmann
Description
Quentin, I think the definition in the  Pharmaceutical Advice Item Entry Content Module are in error and cause the problem.
The Organizer with the component there in  Changed or Recommended Prescription Items is defined as an inclusion . With that the seperatableInd is in scope of the validation. It shall be a component with the  Prescription Item Entry Content Module as a containment:

component 1.. R contains  Prescription Item Entry Content Module
__ 
seperatableInd 1..1 M
____ @value F false

Hope this helps.

An observation: I see that you used inclusion very often which makes your templates often illegible. In most cases in the body, containment is the right thing to do.
Assignment 2022-02-24 10:42:12 : Assigned To Dr. Kai Heitmann by Quentin Ligier
Tracking / Status = Open 2022-02-24 10:41:31 : Tracking by Quentin Ligier
Description
Kai, is there a way to fix that without opening the  prescription item entry content module template?
Tracking / Status = Open 2022-02-17 12:45:59 : Tracking by Quentin Ligier
Description
While validation a PADV OK or CHANGE with recommended/changed prescription item(s), an assert from the prescription item entry content module is triggered:

(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)

The hl7:seperatableInd element is mandatory in this template. The weird thing is the hl7:component element is defined in this template, not in the prescription item entry content module so a rule is leaking from there.
The rule is defined in 2.16.756.5.30.1.1.10.4.43-2019-09-11T170549-closed.sch:

<!-- 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>

The matched context is too large and the rule is created because the template is defined as closed.

Not sure how to fix that except by setting the prescription item entry content module open.
 
 
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