Id2.16.840.1.113883.3.4424.13.10.4.28Effective Date2014‑09‑23
Statusdraft DraftVersion Label0.9.10 errata
NameplCdaMedicalProductPrescriptionEntryDisplay Name[4] Pozycja recepty na produkt medyczny
DescriptionSzablon CDA dla pozycji recepty na produkt medyczny
ContextSibling nodes of template element with id 2.16.840.1.113883.3.4424.13.10.4.28
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.3.4424.13.10.2.2Containmentactive [2] Organizacja (bazowy)DYNAMIC
2.16.840.1.113883.3.4424.13.10.4.5Includedraft [4] Poziom refundacji leku (0.9.10)DYNAMIC
ItemDTCardConfDescriptionLabel
hl7:templateId
1 … 1MplCddotsntry
@root
oid1 … 1F2.16.840.1.113883.3.4424.13.10.4.28
hl7:substanceAdministration
1 … 1MplCddotsntry
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FRQO
hl7:id
II0 … *plCddotsntry
hl7:code
CD0 … 1plCddotsntry
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
hl7:text
ED1 … 1MplCddotsntry
hl7:reference
TEL1 … 1MplCddotsntry
@value
st1 … 1R
 Schematron assertrolered error 
 testancestor::hl7:section//*[@ID=substring(current()/@value,2)] 
 Message Referencja musi wskazywać na konkretny element tekstu sekcji o danym ID  
hl7:effectiveTime
PIVL_TS0 … 1plCddotsntry
hl7:repeatNumber
IVL_INT0 … 1plCddotsntry
hl7:approachSiteCode
CD0 … *plCddotsntry
@codeSystem
CONF0 … 1F2.16.840.1.113883.5.1052
hl7:doseQuantity
IVL_PQ0 … 1plCddotsntry
hl7:rateQuantity
IVL_PQ0 … 1plCddotsntry
hl7:maxDoseQuantity
RTO_PQ_PQ0 … 1plCddotsntry
hl7:administrationUnitCode
CE0 … 1plCddotsntry
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14570 AdministrableDrugForm (DYNAMIC)
hl7:consumable
1 … 1MplCddotsntry
@typeCode
cs0 … 1FCSM
hl7:manufacturedProduct
1 … 1MplCddotsntry
@classCode
cs0 … 1FMANU
hl7:id
II0 … *plCddotsntry
hl7:manufacturedMaterial
1 … 1MplCddotsntry
@classCode
cs0 … 1FMMAT
@determinerCode
cs0 … 1FKIND
hl7:code
CE1 … 1MplCddotsntry
@displayName
st1 … 1R
@codeSystem
CONF1 … 1F1.3.160
hl7:lotNumberText
ST0 … 1plCddotsntry
hl7:manufacturerOrganization
0 … 1Contains 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMIC)plCddotsntry
hl7:entryRelationship
1 … 1MplCddotsntry
@typeCode
cs1 … 1FCOMP
hl7:supply
1 … 1MplCddotsntry
@classCode
cs1 … 1FSPLY
@moodCode
cs1 … 1FRQO
hl7:id
II0 … *plCddotsntry
hl7:effectiveTime
TS1 … 1MplCddotsntry
 Schematron assertrolered error 
 test/hl7:ClinicalDocument/hl7:effectiveTime/@value <= @value 
 Message Data zleconego wydania produktu medycznego (data realizacji recepty) musi być równa lub późniejsza od daty wystawienia dokumentu  
hl7:priorityCode
CE0 … 1plCddotsntry
@code
CONF0 … 1FUR
@codeSystem
0 … 1F2.16.840.1.113883.5.7
hl7:independentInd
BL1 … 1MplCddotsntry
@value
bl1 … 1Ffalse
hl7:quantity
PQ1 … 1MplCddotsntry
@value
real1 … 1R
@unit
cs0NPNP/not present
hl7:product
0 … 1plCddotsntry
@typeCode
cs0 … 1FPRD
hl7:manufacturedProduct
1 … 1MplCddotsntry
@classCode
cs0 … 1FMANU
hl7:id
II0 … *plCddotsntry
hl7:manufacturedMaterial
1 … 1MplCddotsntry
@classCode
cs0 … 1FMMAT
@determinerCode
cs0 … 1FKIND
hl7:code
CE1 … 1MplCddotsntry
@codeSystem
CONF1 … 1F1.3.160
@codeSystemName
1 … 1FGS1
hl7:lotNumberText
ST0 … 1plCddotsntry
hl7:manufacturerOrganization
0 … 1Contains 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMIC)plCddotsntry
Included from 2.16.840.1.113883.3.4424.13.10.4.5 [4] Poziom refundacji leku (DYNAMIC)
extPL:coverage
0 … 1extPdotsevel
@typeCode
cs1 … 1FCOVBY
extPL:templateId
1 … 1MextPdotsevel
@root
oid1 … 1F2.16.840.1.113883.3.4424.13.10.4.5
extPL:coveragePlan
1 … 1MextPdotsevel
@classCode
cs1 … 1FCOV
@moodCode
cs1 … 1FEVN
extPL:code
CE1 … 1MextPdotsevel
@code
CONF1 … 1FPUBLICPOL
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:qualifier
CR1 … 1MextPdotsevel
hl7:name
CV1 … 1MextPdotsevel
@code
CONF1 … 1FRLPO
@codeSystem
1 … 1F2.16.840.1.113883.3.4424.13.5.1
@codeSystemName
1 … 1FPolskieKlasyfikatoryHL7v3
@displayName
1 … 1FPoziomy odpłatności leków refundowanych
hl7:value
CD1 … 1RextPdotsevel
@nullFlavor
cs0 … 1FUNK
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.4424.13.11.16 Poziom odpłatności za leki (DYNAMIC)