Id2.16.840.1.113883.3.1818.10.4.20Effective Date2017‑04‑01 07:08:11
Statusdraft DraftVersion Label
NameBCMedicationPrescriptionEventDisplay NameBC Medication Prescription Event
Description

The Medication Prescription Event template defines the structure and format rules for the details of a medication record and will repeat for each prescription against a medication record. This template includes, or references other templates that include, the information specific to the prescription or medication order such as the dosing instructions, medication timing, instructions to the patient and pharmacist as well as structured dispensing instructions.

This Medication Prescription Event template includes the identification of the Prescription Event and may repeat for each prescription issued for the Drug identified in the Medication List Record. This template includes the detailed level information about the medication as prescribed, or as reported as well as all the information that may be communicated as part of a prescription, or known about the consumption of the medication, including instructions regarding refills, part-fills and administration.

While the EMR should be able to generate prescriptions that are complete the data in the prescription should provide the pharmacist with unambiguous instructions on the medication to be prescribed. If some data elements are missing it should be possible to infer the missing data based on the information provided. 

ContextParent nodes of template element with id 2.16.840.1.113883.3.1818.10.4.20
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 11 templates
Used by as NameVersion
2.16.840.1.113883.3.1818.10.3.18Containmentdraft BC Medication Event2017‑04‑03 02:55:58
Uses as NameVersion
2.16.840.1.113883.3.1818.10.4.7Containmentdraft BC Medication Dispense EventDYNAMIC
2.16.840.1.113883.3.1818.10.4.8Containmentdraft BC Dose ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.14Containmentdraft BC Dispense Request (First Fill)DYNAMIC
2.16.840.1.113883.3.1818.10.4.16Containmentdraft BC Medication IdentificationDYNAMIC
2.16.840.1.113883.3.1818.10.4.24Containmentdraft BC Reason ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.34Containmentdraft BC Dispense Request (Part Fill)DYNAMIC
2.16.840.1.113883.3.1818.10.4.35Containmentdraft BC Instruction ObservationDYNAMIC
2.16.840.1.113883.3.1818.10.4.37Containmentdraft BC Order IndicatorDYNAMIC
2.16.840.1.113883.3.1818.10.4.38Containmentdraft BC Record ID LinkDYNAMIC
2.16.840.1.113883.3.1937.777.17.10.2Containmentdraft BC CDA Author (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.8Containmentdraft BC Dispense Request (Refill)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
1 … 1MCONF‑1489
@classCode
cs1 … 1FSBADMCONF‑1490
@moodCode
cs1 … 1FRQOCONF‑1491
hl7:templateId
II1 … 1MCONF‑1489
@root
uid1 … 1F2.16.840.1.113883.3.1818.10.4.20
hl7:templateId
II1 … 1RCONF‑1489
@root
uid1 … 1F2.16.840.1.113883.10.12.308
hl7:id
II1 … 1MCONF‑1419
 Constraint

SHALL be the identifier assigned to the prescription by the Pharmanet system for senders who are connected and for prescriptions that have been sent to or originated from Pharmanet; sending systems that are not connected to Pharmanet SHALL send an internal record identifier. In either case the applicable Assigning Authority SHALL be sent. [CONF:1492.41]. 

hl7:code
CD (required)1 … 1MCONF‑1489
@code
CONF1 … 1FDRUG
@codeSystem
1 … 1F2.16.840.1.113883.5.4
@displayName
1 … 1FDrug Therapy
@codeSystemName
1 … 1FActCode
hl7:effectiveTime
SXCM_TS0 … 1CINF‑1494
hl7:low
IVXB_TS1 … 1MCONFdots4.50
hl7:high
IVXB_TS0 … 1CONFdots4.50
hl7:consumable
1 … 1RContains 2.16.840.1.113883.3.1818.10.4.16 BC Medication Identification (DYNAMIC)CONF‑4326
@typeCode
cs1 … 1FCSMCONF‑1551
hl7:author
1 … 1RContains 2.16.840.1.113883.3.1937.777.17.10.2 BC CDA Author (Body) (DYNAMIC)CONF‑1495
hl7:entryRelationship
0 … *RContains 2.16.840.1.113883.3.1818.10.4.8 BC Dose Observation (DYNAMIC)CONF‑1496
@typeCode
cs1 … 1RCONF‑1572 fix value set
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl1 … 1RCONF‑1573
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1818.10.4.38 BC Record ID Link (DYNAMIC)CONF‑1497
@typeCode
cs1 … 1FSUBJCONF‑1629
@contextConductionInd
bl1 … 1RCONF‑1630
hl7:entryRelationship
0 … *RContains 2.16.840.1.113883.3.1818.10.4.24 BC Reason Observation (DYNAMIC)CONF‑1498
@typeCode
cs1 … 1FRSONCONF‑1291
@contextConductionInd
bl1 … 1RCONF‑1292
hl7:entryRelationship
0 … *RContains 2.16.840.1.113883.3.1818.10.4.37 BC Order Indicator (DYNAMIC)CONF‑1499
@typeCode
cs1 … 1FSUBJCONF‑1562
@contextConductionInd
bl1 … 1RCONF‑1563
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1818.10.4.14 BC Dispense Request (First Fill) (DYNAMIC)CONF‑1502
@typeCode
cs1 … 1FCOMPCONF‑1598
@contextConductionInd
bl1 … 1RCONF‑1599
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1818.10.4.34 BC Dispense Request (Part Fill) (DYNAMIC)CONF‑1503
@typeCode
cs1 … 1FCOMPCONF‑1608
@contextConductionInd
bl1 … 1RCONF‑1609
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1937.777.17.10.8 BC Dispense Request (Refill) (DYNAMIC)CONF‑1504
@typeCode
cs1 … 1FCOMPCONF‑1618
@contextConductionInd
bl1 … 1RCONF‑1619
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1818.10.4.35 BC Instruction Observation (DYNAMIC)CONF‑1505 (Pharmacist)
@typeCode
cs1 … 1FSUBJCONF‑1584
@contextConductionInd
bl1 … 1RCONF‑1585
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1818.10.4.35 BC Instruction Observation (DYNAMIC)CONF‑1506 (Patient)
@typeCode
cs1 … 1FSUBJCONF‑1584
@contextConductionInd
bl1 … 1RCONF‑1585
hl7:entryRelationship
0 … 1RContains 2.16.840.1.113883.3.1818.10.4.7 BC Medication Dispense Event (DYNAMIC)CONF‑1507
@typeCode
cs1 … 1FCOMPCONF‑1508
@contextConductionInd
bl1 … 1RCONF‑1509