Draft| Used by 10 transactions and 47 templates, Uses 4 templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Operative Note (V3)
Medication Activity (V2) (2.1)
Discharge Medication (V3) (2.1)ref
ad1bbr-
Version: template 2.16.840.1.113883.10.20.22.4.18 Medication Dispense (2013‑01‑31)
| Item | DT | Card | Conf | Description | Label | |
|---|---|---|---|---|---|---|
| cda:supply | Medi seV2 | |||||
| @classCode | cs | 1 … 1 | F | SPLY | CONF7451 | |
| SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7451). | ||||||
| @moodCode | cs | 1 … 1 | F | EVN | CONF7452 | |
| SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7452). | ||||||
| cda:templateId | II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.18 | ||
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-7453) such that it | CONF7453 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.18 | CONF0505 | |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.18" (CONF:1098-10505). | ||||||
| @extension | st | 1 … 1 | F | 2014-06-09 | CONF2580 | |
| SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32580). | ||||||
| cda:id | II | 1 … * | SHALL contain at least one [1..*] id (CONF:1098-7454). | CONF7454 | ||
| cda:statusCode | CS | 1 … 1 | R | SHALL contain exactly one [1..1] statusCode (CONF:1098-7455). | CONF7455 | |
| cda:effectiveTime | 0 … 1 | R | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7456). | CONF7456 | ||
| cda:repeatNumber | 0 … 1 | R | SHOULD contain zero or one [0..1] repeatNumber (CONF:1098-7457).In "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series. | CONF7457 | ||
| cda:quantity | 0 … 1 | R | SHOULD contain zero or one [0..1] quantity (CONF:1098-7458). | CONF7458 | ||
| Choice | 1 … | A supply act *SHALL* contain one product/Medication Information *OR* one product/Immunization Medication Information template Elements to choose from:
| ||||
| cda:product | 0 … 1 | Contains 2.16.840.1.113883.10.20.22.4.23 Medication Information (V2) (2014‑06‑09) | CONF7459 | |||
| cda:product | 0 … 1 | Contains 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (V2) (2014‑06‑09) | CONF9331 | |||
| cda:performer | 0 … 1 | MAY contain zero or one [0..1] performer (CONF:1098-7461). | CONF7461 | |||
| cda:assignedEntity | 1 … 1 | M | CONF7467 | |||
| cda:addr | AD | 0 … 1 | R | This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1098-7468). | CONF7468 | |
| Included | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) | |||||
| cda:addr | USReLDED | |||||
| @nullFlavor | cs | 0 … 1 | ||||
| @use | set_cs | 0 … 1 | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 | ||
| CONF |
| |||||
| Constraint | *SHALL NOT* have mixed content except for white space | |||||
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). | |||||
| cda:country | ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:81-7295). | CONF7295 | |
| CONF |
| |||||
| cda:state | ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 | |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). | |||||
| CONF |
| |||||
| Schematron assert | role |  error | ||||
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |||||
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |||||
| cda:city | ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 | |
| cda:postalCode | ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294). | CONF7294 | |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |||||
| CONF |
| |||||
| Schematron assert | role | error | ||||
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |||||
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |||||
| cda:streetAddressLine | ADXP | 1 … 4 | R | CONF7291 | ||
| Schematron assert | role | error | ||||
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |||||
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |||||
| Schematron assert | role | error | ||||
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |||||
| Message | ||||||
| cda:entryRelationship | 0 … 1 | Contains 2.16.840.1.113883.10.20.22.4.17 Medication Supply Order (V2) (2014‑06‑09) | CONF7473 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF7474 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7474). | ||||||