Id2.16.756.5.30.1.1.10.4.81
ref
ch-pharm-
Effective Date2016‑01‑11 11:13:04
Statusdraft DraftVersion Label2017
NamePharmaceuticalAdviceConcernEntryContentModuleDisplay NamePharmaceutical Advice Concern Entry Content Module
Description
A Pharmaceutical Advice Concern Item belongs to one Pharmaceutical Advice Item and represents the information to concerns (e.g., problems, allergies, etc.) which the Medication Treatment Plan-, Prescription-, Dispense- or Administration Item referenced by the underlying Pharmaceutical Advice Item causes.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.81
LabelCH‑PHARM
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
cdachemed-dataelement-88draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-144draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-145draft Referenz zu Medication Dispense document * draft Dataset 1
Used by / Uses
Used by 0 transactions and 2 templates, Uses 7 templates
Used by as NameVersion
2.16.756.5.30.1.1.10.4.44Containmentdraft Pharmaceutical Advice Item Entry Content Module (2020)2016‑06‑25
2.16.756.5.30.1.1.10.4.44Containmentdraft Pharmaceutical Advice Item Entry Content Module (2022)2022‑06‑30 15:10:57
Uses as NameVersion
1.3.6.1.4.1.19376.1.5.3.1.4.1Containmentpending IHE Severity Entry (2016)DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.5Containmentpending IHE Problem Entry (2016)DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.6Containmentpending IHE Allergies And Intolerances Entry (2016)DYNAMIC
2.16.756.5.30.1.1.10.4.45Includedraft MTP Reference Entry Content Module (2022)DYNAMIC
2.16.756.5.30.1.1.10.4.46Includepending DIS Reference Entry Content Module (2017)DYNAMIC
2.16.756.5.30.1.1.10.4.47Includepending PRE Reference Entry Content Module (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.1Includedraft Narrative Text Reference With Content (2021)DYNAMIC
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.9.1.3.5 IHE Pharmaceutical Advice Concern Entry Content Module (DYNAMIC)
ref
ch-pharm-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.81"/>  <templateId root="2.16.840.1.113883.10.20.1.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>  <templateId root="1.3.6.1.4.1.19376.1.9.1.3.5"/>  <id root="9CDBAEF6-2971-11E6-B67B-9E71128CAE77"/>  <code nullFlavor="NA"/>  <text>
    <reference value="#padv1"/>  </text>  <statusCode code="active"/>  <effectiveTime>
    <low value="20120204140000+0100"/>  </effectiveTime>  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation classCode="OBS" moodCode="EVN" negationInd=" false">
      <templateId root="2.16.840.1.113883.10.20.1.28"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>      <id root="1CDBAEF6-3456-11E6-B67B-9E71128CAE77"/>      <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>      <text>
        <reference value="#padv1"/>      </text>      <statusCode code="completed"/>      <effectiveTime>
        <low value="20120204140000+0100"/>      </effectiveTime>      <value xsi:type="CD">
        <originalText>
          <reference value="#padv1"/>        </originalText>      </value>    </observation>  </entryRelationship></act>
ItemDTCardConfDescriptionLabel
hl7:act
CH‑PHARM
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MCH-PHARM Pharmaceutical Advice Concern Entry TemplateIDCH‑PHARM
where [@root='2.16.756.5.30.1.1.10.4.81']
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.81
hl7:templateId
II1 … 1MPharmaceutical Advice Concern Entry TemplateID6.3.dots.3.2
where [@root='2.16.840.1.113883.10.20.1.27']
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:templateId
II1 … 1MReference to Pharmaceutical Advice Item ID6.3.dots.3.2
where [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5.1
hl7:templateId
II1 … 1M6.3.dots.3.2
where [@root='1.3.6.1.4.1.19376.1.9.1.3.5']
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.5
hl7:id
II1 … 1RPharmaceutical Advice Concern ID6.3.dots.3.3
hl7:code
CD1 … 1RCode6.3.dots.3.4
@nullFlavor
cs1 … 1FNA
Included0 … 1 from 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
An optional narrative description of the concern
hl7:text
ED0 … 1RIt shall contain both the narrative text content and a reference to the human readable part of the item. This human readable part may contain a simple text to redirect the reader to the PDF document (e.g. "See PDF version included").
There shall be a single non-blank text node (i.e. the text shall be completely before or after the reference, see examples). The text shall be raw (i.e. no markup shall be used).		Narrdotstent
hl7:reference
TEL1 … 1MThe reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx']
Narrdotstent
@value
st1 … 1R
Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
 Schematron assertrolered error 
 teststarts-with(@value,'#') 
 MessageThe @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding element. 
 Variable letNameidvalue 
 Valuesubstring-after(@value,'#') 
 Schematron assertrolered error 
 testancestor::hl7:structuredBody//*[@ID=$idvalue] 
 MessageNo narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>'). 
 Variable letNametextBefore 
 Valuenormalize-space(text()[1]) 
 Variable letNametextAfter 
 Valuenormalize-space(text()[2]) 
 Schematron assertrolered error 
 test(not($textBefore) and $textAfter) or ($textBefore and not($textAfter)) 
 MessageThe text content shall be included before or after the reference. 
hl7:statusCode
CS1 … 1MStatus Code6.3.dots.3.6
@code
CONF1 … 1Factive
hl7:effectiveTime
1 … 1MEffective Time6.3.dots.3.7
Choice1 … *
Problems determined
Elements to choose from:
  • hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)
  • hl7:entryRelationship[hl7:observation[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]] containing template 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC)
hl7:entryRelationship
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.5 IHE Problem Entry (DYNAMIC)6.3.dots.3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']]]
@typeCode
cs1 … 1FSUBJ
hl7:entryRelationship
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.6 IHE Allergies And Intolerances Entry (DYNAMIC)6.3.dots.3.8
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']]]
@typeCode
cs1 … 1FSUBJ
hl7:entryRelationship
0 … 1External Medication Treatment Plan-, Prescription- or Dispense Item triggering the concern6.3.dots.3.9
where [@typeCode='REFR']
@typeCode
cs1 … 1FREFR
@inversionInd
bl0 … 1Ffalse
Choice0 … 1Elements to choose from:
Included from 2.16.756.5.30.1.1.10.4.45 MTP Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration
Reference to Medication Treatment Plan Item General Specification6.3.dots.3.1
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1RThe moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN.
hl7:templateId
II1 … 1MReference to Medication Treatment Plan Item General Specification Template ID6.3.dots.3.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.10
hl7:templateId
II1 … 1MCH-PHARM template ID6.3.dots.3.1
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.45
hl7:id
1 … 1MReference to Medication Treatment Plan Item ID6.3.dots.3.3
hl7:code
CD1 … 1MReference to Medication Treatment Plan Item code6.3.dots.3.4
@code
CONF1 … 1FMTPItem
@codeSystem
1 … 1F1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable
1 … 1M6.3.dots.3.1
hl7:manufacturedProduct
1 … 1M6.3.dots.3.1
hl7:manufacturedMaterial
1 … 1R6.3.dots.3.1
@nullFlavor
cs1 … 1FNA
hl7:author
0 … 1Author of the referenced item6.3.dots.3.5
hl7:reference
0 … 1ID of parent container of referenced item6.3.dots.3.7
@typeCode
cs1 … 1FXCRPT
hl7:externalDocument
1 … 1M6.3.dots.3.7
hl7:id
1 … 1M6.3.dots.3.7
 Schematron assertrolered error 
 test@moodCode = 'EVN' or @moodCode = 'INT' 
 MessageThe moodCode SHALL be set to INT, except if medications have been reported by the patient. In that case, moodCode SHALL be set to EVN. 
Included from 2.16.756.5.30.1.1.10.4.47 PRE Reference Entry Content Module (DYNAMIC)
hl7:substanceAdministration
Reference to Prescription Item General Specification6.3.dots.3.1
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FINT
hl7:templateId
II1 … 1MReference to Prescription Item Template ID6.3.dots.3.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.11
hl7:templateId
II1 … 1M6.3.dots.3.1
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.47
hl7:id
1 … 1MReference to Prescription Item ID6.3.dots.3.3
 
target
cdachemed-dataelement-88draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-144draft Referenz zu Medication Prescription document * draft Dataset 1
hl7:code
CD1 … 1MReference to Prescription code6.3.dots.3.4
@code
CONF1 … 1FPREItem
@codeSystem
1 … 1F1.3.6.1.4.1.19376.1.9.2.2
hl7:consumable
1 … 1M6.3.dots.3.1
hl7:manufacturedProduct
1 … 1M6.3.dots.3.1
hl7:manufacturedMaterial
1 … 1R6.3.dots.3.1
@nullFlavor
cs1 … 1FNA
hl7:author
0 … 1Author of the referenced item6.3.dots.3.4
hl7:reference
0 … 1ID of parent container of referenced item6.3.dots.3.7
@typeCode
cs1 … 1FXCRPT
hl7:externalDocument
1 … 1M6.3.dots.3.7
hl7:id
1 … 1M6.3.dots.3.7
 
target
cdachemed-dataelement-88draft Referenz zu Medication Prescription document * draft Dataset 1
cdachemed-dataelement-144draft Referenz zu Medication Prescription document * draft Dataset 1
Included from 2.16.756.5.30.1.1.10.4.46 DIS Reference Entry Content Module (DYNAMIC)
hl7:supply
Reference to Dispense Item General Specification6.3.dots.3.1
@classCode
cs1 … 1FSPLY
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1M6.3.dots.3.1
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.46
hl7:templateId
II1 … 1MReference to Dispense Item Template ID6.3.dots.3.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.9.1.3.12
hl7:id
1 … 1MReference to Dispense Item ID6.3.dots.3.3
 
target
cdachemed-dataelement-145draft Referenz zu Medication Dispense document * draft Dataset 1
hl7:code
CD1 … 1MReference to Dispense Item code6.3.dots.3.4
@code
CONF1 … 1FDISItem
@codeSystem
1 … 1F1.3.6.1.4.1.19376.1.9.2.2
hl7:author
0 … 1Author of the referenced item6.3.dots.3.5
hl7:reference
0 … 1ID of parent container of referenced item6.3.dots.3.7
@typeCode
cs1 … 1FXCRPT
hl7:externalDocument
1 … 1M6.3.dots.3.7
hl7:id
1 … 1M6.3.dots.3.7
 
target
cdachemed-dataelement-145draft Referenz zu Medication Dispense document * draft Dataset 1
hl7:entryRelationship
0 … 1Severity of the concern concern
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.1 IHE Severity Entry (DYNAMIC)		6.3.dots3.10
where [hl7:observation [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']]]
@typeCode
cs1 … 1FSUBJ
@inversionInd
bl1 … 1Ftrue