Id2.16.756.5.30.1.1.10.4.35Effective Date2019‑08‑27 16:30:05
Statusdraft DraftVersion Label2021
NameDosageInstructionsStartStopFrequencyDisplay NameDosage Instructions Start/Stop, Frequency, Dose
Description
Dosage Instructions are a set of data elements which together represent the dosage instructions to a medication such as duration of treatment, medication frequency, dose quantity, route of administration, etc. Dosage Instructions may be provided structured and/or narrative. This entry describes structured dosage instructions.
ClassificationTemplate type not specified
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 7 templates, Uses 0 templates
Used by as NameVersion
2.16.756.5.30.1.1.10.4.34Includecancelled Medication Treatment Plan Item Entry Content Module (2017)2016‑06‑13
2.16.756.5.30.1.1.10.4.34Includedraft Medication Treatment Plan Item Entry Content Module (2021)2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.4.42Includedraft Dispense Item Entry Content Module (2021)2016‑06‑17
2.16.756.5.30.1.1.10.4.43Includecancelled Prescription Item Entry Content Module (2017)2016‑06‑25
2.16.756.5.30.1.1.10.4.43Includedraft Prescription Item Entry Content Module (2021)2019‑09‑11 17:05:49
2.16.756.5.30.1.1.10.4.44Includedraft Pharmaceutical Advice Item Entry Content Module (2020)2016‑06‑25
2.16.756.5.30.1.1.10.4.44Includedraft Pharmaceutical Advice Item Entry Content Module (2022)2022‑06‑30 15:10:57
Example
Dosis Option 1
<!-- 0.5x morgens ab 20111129 -->
<snip>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ... -->
  <effectiveTime type="IVL_TS">
    <low value="20111129"/>  </effectiveTime>  <effectiveTime operator="A" type="EIVL_TS">
    <event code="ACM"/>  </effectiveTime>  <!-- ... -->
  <doseQuantity>
    <center value="0.5"/>  </doseQuantity></snip>
Example
Dosage Option 2
<!-- 1 morgens, 1 abends ab 20120204 -->
<snip>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/>  <!-- ... -->
  <effectiveTime type="IVL_TS">
    <low value="20120204"/>  </effectiveTime>  <effectiveTime type="SXPR_TS" operator="A">
    <comp type="EIVL_TS">
      <event code="ACM"/>    </comp>    <comp type="EIVL_TS" operator="I">
      <event code="ACV"/>    </comp>  </effectiveTime></snip>
Example
Dosage Option 3
<!-- 1 morgens, 0.5 abends ab 20120204 -->
<snip>
  <!-- Split dosing -->
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.9"/>  <effectiveTime type="IVL_TS">
    <low value="20120204"/>  </effectiveTime>  <routeCode code="PO" displayName="Oral" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration"/>  <consumable>
    <manufacturedProduct>
      <manufacturedMaterial nullFlavor="NA"/>    </manufacturedProduct>  </consumable>  <entryRelationship typeCode="COMP">
    <!-- morgens 1 stück -->
    <sequenceNumber value="1"/>    <substanceAdministration classCode="SBADM" moodCode="INT">
      <effectiveTime type="EIVL_TS">
        <event code="ACM"/>      </effectiveTime>      <doseQuantity>
        <center value="1"/>      </doseQuantity>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- abends 0.5 stück -->
    <sequenceNumber value="2"/>    <substanceAdministration classCode="SBADM" moodCode="INT">
      <effectiveTime type="EIVL_TS">
        <event code="ACV"/>      </effectiveTime>      <doseQuantity>
        <center value="0.5"/>      </doseQuantity>      <consumable>
        <manufacturedProduct>
          <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship></snip>
ItemDTCardConfDescriptionLabel
hl7:effectiveTime
IVL_TS.CH.TZ0 … 1Dosage Instructions PCC 6.3.4.16.10 - Start and Stop6.3.dots.3.8
where [@xsi:type='IVL_TS']
hl7:low
TS.CH.TZ1 … 1RStart of Treatment. If Start of Treatment is unknown this element SHALL be set to null flavor "UNK".6.3.dots.3.8
@nullFlavor
cs0 … 1FUNK
@value
ts0 … 1 
 Schematron assertrolered error 
 test(not(@nullFlavor) and @value) or (@nullFlavor and not(@value)) 
 MessageEither @value or @nullFlavor attribute shall be set. 
hl7:high
TS.CH.TZ1 … 1REnd of Treatment. If End of Treatment is unknown this element SHALL be set to null flavor "UNK".6.3.dots.3.8
@nullFlavor
cs0 … 1FUNK
@value
ts0 … 1 
 Schematron assertrolered error 
 test(not(@nullFlavor) and @value) or (@nullFlavor and not(@value)) 
 MessageEither @value or @nullFlavor attribute shall be set. 
hl7:effectiveTime
EIVL_TS0 … 1Dosage Instructions PCC 6.3.4.16.12 - Frequency: Event based time interval, where the event is not a precise time, but is used for timing purposes (e.g., with meals, between meals, before breakfast, before sleep).6.3.dots.3.8
where [@operator='A' and @xsi:type='EIVL_TS']
@operator
cs1 … 1FA
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:effectiveTime
SXPR_TS0 … 1Dosage Instructions PCC 6.3.4.16.12 - Frequency: Multiple events within a day with the same dosage6.3.dots.3.8
where [@operator='A' and @xsi:type='SXPR_TS']
@operator
cs1 … 1FA
@xsi:type
cs1 … 1FSXPR_TS
hl7:comp
1 … *M6.3.dots.3.8
where [@xsi:type='EIVL_TS']
@xsi:type
cs1 … 1FEIVL_TS
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:comp
1 … *M6.3.dots.3.8
where [@operator='I' and @xsi:type='EIVL_TS']
@operator
cs1 … 1FI
@xsi:type
cs1 … 1FEIVL_TS
hl7:event
CS1 … 1M6.3.dots.3.8
@code
cs1 … 1R
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.77.4.11.2 TimingEvent (DYNAMIC)
hl7:repeatNumber
0 … 1Number of repeats/refills. Either the @value or @nullFlavor attribute shall be set. It's required in MTP, PRE and PADV (changed MTP, changed/recommended PRE) items ; forbidden in DIS and PADV (changed dosage instructions) items.6.3.dots.3.9
@value
cs0 … 1 A value of 0 (zero) means that no repeat/refill is allowed, a positive value sets the number of maximum repeats/refills (so the total number of dispenses could equal this value plus one, as the first dispense is not counted). A negative value is forbidden.
@nullFlavor
cs0 … 1FNI
 The NI null flavor means that unlimited repeats/refills are allowed.
 Schematron assertrolered error 
 testnot(@value) or @value >= 0 
 MessageThe value shall not be negative 
 Schematron assertrolered error 
 test(not(@value) and @nullFlavor) or (@value and not(@nullFlavor)) 
 MessageEither the @value or @nullFlavor attribute shall be set 
hl7:routeCode
CE (required)0 … 1Dosadotsency
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.2 RouteOfAdministration (EDQM) (DYNAMIC)
hl7:approachSiteCode
CD0 … *Dosadotsency
hl7:doseQuantity
IVL_PQ0 … 1Dosadotsency
@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.756.5.30.1.1.11.83 UnitCode (DYNAMIC)
@value
real1 … 1R
hl7:rateQuantity
IVL_PQ0 … 1Dosadotsency