Id1.3.6.1.4.1.19376.1.9.1.3.5Effective Date2016‑09‑15 12:43:44
Statuspending Under pre-publication reviewVersion Label2020
NameIHEPharmaceuticalAdviceConcernEntryContentModuleDisplay NameIHE Pharmaceutical 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 1.3.6.1.4.1.19376.1.9.1.3.5
LabelIHE PHARM PADV 6.3.4.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 4 templates
Uses as NameVersion
1.3.6.1.4.1.19376.1.5.3.1.4.1Containmentpending IHE Severity Entry (2016)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.10Includedraft IHE MTP Reference Entry Content Module (2022)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.11Includepending IHE PRE Reference Entry Content Module (2017)DYNAMIC
1.3.6.1.4.1.19376.1.9.1.3.12Includepending IHE DIS Reference Entry Content Module (2017)DYNAMIC
Example
Example
<act classCode="ACT" moodCode="EVN">
  <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="" extension=""/>  <code nullFlavor="NA"/>  <!-- Narrative description of the problems -->
  <text>
    <reference value="#description1"/>  </text>  <statusCode code="active"/>  <effectiveTime>
    <low value=""/>    <high value=""/>  </effectiveTime>  <!-- One or more entry relationships identifying each problem or allergy determined -->
  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <!-- Problem entry (1.3.6.1.4.1.19376.1.5.3.1.4.5) -->
    <observation classCode="OBS" moodCode="EVN" negationInd="false">
:
</observation>    
-- OR --
    <!-- Allergies and Intolerances entry (1.3.6.1.4.1.19376.1.5.3.1.4.6) -->
    <observation classCode="OBS" moodCode="EVN" negationInd="false ">
:
</observation>  </entryRelationship>  <!-- Exactly one referenced Medication Treatment Plan-, Prescription-, Dispense- or Medication -->
   Administration Item which causes the concern
  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.10"/>      <!-- PHARM MTP item -->
      
:
    </substanceAdministration>    <!-- or -->
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/>      <!-- PHARM PRE Item -->
      
:
    </substanceAdministration>    <!-- or -->
    <supply classCode="SPLY" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.12"/>      <!-- PHARM DIS Item -->
      
:
    </supply>    <!-- or -->
    <substanceAdministration classCode="SBADM" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.9.1.3.14"/>      <!-- PHARM CMA Item -->
      
:     </substanceAdministration>  </entryRelationship>  <!-- Optional severity of the concern -->
  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.1.55"/>      
:       <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/>    </observation>  </entryRelationship></act>
ItemDTCardConfDescriptionLabel
hl7:act
IHE PHARM PADV 6.3.4.3
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
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
hl7:text
0 … 1Narrative description of the concern6.3.dots.3.5
hl7:reference
1 … 1M6.3.dots.3.5
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']
  • hl7:entryRelationship[hl7:observation/hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']
hl7:entryRelationship
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:observation
6.3.dots.3.8
hl7:templateId
II1 … 1M6.3.dots.3.8
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.5
hl7:entryRelationship
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:observation
6.3.dots.3.8
hl7:templateId
II1 … 1M6.3.dots.3.8
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.6
hl7:entryRelationship
0 … 1External Medication Treatment Plan-, Prescription- or Dispense Item triggering the concern6.3.dots.3.9
where [hl7:substanceAdministration/@classCode='SBADM' and @typeCode='REFR' and not(@inversionInd)]
@typeCode
cs1 … 1FREFR
@inversionInd
bl0 … 1Ffalse
Choice0 … 1Elements to choose from:
Included from 1.3.6.1.4.1.19376.1.9.1.3.10 IHE 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: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:entryRelationship
0 … 1Embedding of referenced item
Contains 1.3.6.1.4.1.19376.1.9.1.3.7 IHE Medication Treatment Plan Item Entry Content Module (DYNAMIC)		6.3.dots.3.6
@typeCode
cs1 … 1FREFR
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 1.3.6.1.4.1.19376.1.9.1.3.11 IHE 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:id
1 … 1MReference to Prescription Item ID6.3.dots.3.3
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:entryRelationship
0 … 1Embedding of referenced item
Contains 1.3.6.1.4.1.19376.1.9.1.3.2 IHE Prescription Item Entry Content Module (DYNAMIC)		6.3.dots.3.6
@typeCode
cs1 … 1FREFR
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
Included from 1.3.6.1.4.1.19376.1.9.1.3.12 IHE 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 … 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
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:entryRelationship
0 … 1Embedding of referenced item
Contains 1.3.6.1.4.1.19376.1.9.1.3.4 IHE Dispense Item Entry Content Module (DYNAMIC)		6.3.dots.3.6
@typeCode
cs1 … 1FREFR
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
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