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Pharmaceutical Advice Item Entry Content Module
History (23)
DateAuthorStatusType
2021-02-18 23:35:04Pero GrgicDraftversion
2021-02-11 17:44:05Pero GrgicDraftversion
2021-02-11 17:21:51Pero GrgicDraftversion
2021-02-11 16:03:02Pero GrgicUnder pre-publication reviewversion
2020-05-08 13:48:09Oliver EggerDraftversion
2020-03-02 10:14:00Oliver EggerDraftversion
2020-03-02 10:13:55Oliver EggerDraftversion
2020-02-24 22:50:25Oliver EggerDraftversion
2020-02-24 22:50:22Oliver EggerDraftversion
2020-02-24 22:46:36Oliver EggerDraftversion
2020-02-24 22:43:50Oliver EggerDraftversion
2020-02-24 22:43:04Oliver EggerUnder pre-publication reviewversion
2018-04-29 08:36:54Oliver EggerDraftversion
2018-04-11 16:32:06Oliver EggerDraftversion
2018-04-11 16:26:44Oliver EggerDraftversion
2018-04-11 16:16:32Oliver EggerDraftversion
2018-04-05 23:25:45Oliver EggerDraftversion
2018-02-04 12:34:12Oliver EggerDraftversion
2018-01-16 12:55:23Oliver EggerDraftversion
2018-01-16 12:55:06Oliver EggerDraftversion
2018-01-16 11:49:03Oliver EggerDraftversion
2018-01-16 11:41:38Oliver EggerDraftversion
2018-01-15 09:40:21Oliver EggerDraftversion
Issues (5)
Change Request Status = Closed (chdachpharm-issue-7): Missing definition of 'Changed MTP Item'
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2021-02-18 15:50:24: Tracking by Pero Grgic
Description
substanceAdministration in 'Changed Medication Treatment Plan Item' is fixed.
Tracking / Status = Open 2020-10-18 15:35:52: Tracking by Quentin Ligier
Description
Finding:

The substanceAdministration in 'Changed Medication Treatment Plan Item' is empty. It should probably contain/inherit from/extend the 'Medication Treatment Plan Item Entry Content Module'.

There also is an issue with the IHE Pharm PADV profile numbering: starting with 'Reference to Pharmaceutical Advice Concerns', there is an offset of 1 in the section reference. E.g. 'Changed Medication Treatment Plan Item' is described in section 6.3.4.3.12, not .11.

Change Request Status = Closed (chdachpharm-issue-8): Suspicious definition of 'Changed PRE Items'
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2021-02-11 17:19:55: Tracking by Pero Grgic
Description
Inclusion changed from IHE Prescription Item Entry Content Module to  Prescription Item Entry Content Module.
Tracking / Status = Open 2020-10-18 15:41:27: Tracking by Quentin Ligier
Description
Finding:

The definition of the substanceAdministration in "Changed or Recommended Prescription Items" is inherited from "IHE Prescription Item Entry Content Module" and is different than the definition given in "Prescription Item Entry Content Module". The latter should probably be used here.

Change Request Status = Closed (chdachpharm-issue-16): Wrong cardinality for 'Changed Medication Treatment Plan Item'
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2021-02-18 23:37:26: Tracking by Pero Grgic
Description
Cardinality of  hl7:entryRelationship   " Changed Medication Treatment Plan Item"  set to  0…1
Tracking / Status = Open 2021-02-12 10:11:51: Tracking by Quentin Ligier
Description
Finding:

In the template, the hl7:entryRelationship "Changed Medication Treatment Plan Item" has a cardinality of 0…*. According to IHE PHARM PADV §6.3.4.3.3.12, it should be 0…1:
(1) Only one element SHALL be present, if the status of the Pharmaceutical Advice (<code> Element) is set to “CHANGE” and a reference to a Medication Treatment Plan Item is given.
(2) In all other cases this element SHALL NOT be present.

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Suggestion:

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Further explanation:

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Change Request Status = Closed (cdachemed-issue-6): Inconsistencies in the PRE/DIS references
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2020-02-24 09:41:48: Tracking by Quentin Ligier
Description
Finding:

The PRE item reference says: “Contains 2.16.756.5.30.1.1.10.4.47 (PRE Reference Entry Content Module) where [@typeCode='REFR' and hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.46']]]”. When opening this template (https://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.47&effectiveDate=dynamic), the templateId is “2.16.756.5.30.1.1.10.4.47” (not “.46”).
 
The DIS item reference says: “Contains 2.16.756.5.30.1.1.10.4.46 (DIS Reference Entry Content Module) where [@typeCode='REFR' and hl7:substanceAdministration [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.47']]] ”. But when opening this template ( https://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.46&effectiveDate=dynamic), the root tag is an “hl7:supply”, not an “hl7:substanceAdministration” and the templateId is “2.16.756.5.30.1.1.10.4.46”, not “.47”.
 
The "Choice" block also has these mistakes, I don't know if it automatically copies the content of its child nodes.

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Suggestion:

Change the DIS reference tag name to "hl7:supply", fix the "46/47" templateIds inversion.

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Further explanation:

Fixed

Change Request Status = Closed (cdachemed-issue-9): Wrong cardinality in the reference choice
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2020-03-02 10:16:45: Tracking by Oliver Egger
Description
The template https://art-decor.org/art-decor/decor-templates--ch-pharm-?section=templates&id=2.16.756.5.30.1.1.10.4.44&effectiveDate=2016-06-25T00:00:00&language=en-US is not replaced
by https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=1.3.6.1.4.1.19376.1.9.1.3.3&effectiveDate= but specialised from it.

Adjusted the minimum cardinality to 1, so that the template is conforming to the ihe pharm spec, thanks for pointing it out. The schematrron rules will be updated with the next release.
Tracking / Status = Open 2020-02-27 17:26:14: Tracking by Quentin Ligier
Description
Is it replaced in v2.1 by the template IHE Pharmaceutical Advice Item Entry Content Module of CH-PHARM?
https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=1.3.6.1.4.1.19376.1.9.1.3.3&effectiveDate=
The cardinality is correct there.
Tracking / Status = Open 2020-02-27 17:11:42: Tracking by Quentin Ligier
Description
Finding:

In the Pharmaceutical Advice Item Entry Content Module, the "Choice" block for the referenced MTP, PRE, DIS or CMA Item has a cardinality of 0 ...1. IHE Pharm PADV rev1.9 section 6.3.4.3.3.10 says that a reference to exactly one item shall be present (including CMA). Since CMA documents are not part of CDA-CH-EMED, it would make sense to set the cardinality to 1.

The Schematron v2.0 only asserts that the count is 0 or 1: https://github.com/hl7ch/hl7ch-cda/blob/master/schematrons/HL7.ch/CDA-CH/v2.0/include/2.16.756.5.30.1.1.10.4.44-2016-06-25T000000.sch#L71-L75.
The file does not exist in the v2.1 release, so I'm not sure if it has changed since.

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Suggestion:

Set the cardinality to 1 and assert it in the Schematron.

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Further explanation:

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