Medikation

Bezeichnung Medikation Name Medikation
Beschreibung
en-US Universal Medication Statement: Recording a "medication statement" is an activity that can be performed by a variety of healthcare professionals, or the patient, or non-healthcare professionals. Examples of recording medication statements include taking a patient's medication history, recording reported use of medications where the source of the patient information is from a third party and not the patient e.g. a family member when the patient is unable to communicate their medication history.
Id 1.2.276.0.76.3.1.195.10.67 Gültigkeit ab 2023‑12‑03
Status Entwurf Versions-Label 2023
Kontext Elternknoten des Template-Element mit Id 1.2.276.0.76.3.1.195.10.67
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 0 Transactions und 2 Templates, Benutzt 2 Templates
Used by 2Uses 2
Benutzt von als Id Version
Medikamentöse Therapie Containment 1.2.276.0.76.3.1.195.10.64 2024‑08‑14 18:02:56
Notaufnahmeregister Transitionsversion (v4transit) 1.2.276.0.76.3.1.195.10.93 2026‑03‑25 11:04:07
Benutzt als Id Version
UV Medication Information (simple) (R1-STU2-ballot) Containment 2.16.840.1.113883.10.21.4.10 DYNAMIC
UV Subordinate Substance Administration (2023) Containment 2.16.840.1.113883.10.21.4.6 DYNAMIC
Beziehung
  • Spezialisierung: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2023‑01‑30 08:32:34)refpharmcda-
  • Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2021‑08‑04 14:09:15)refpharmcda-
  • Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2017‑05‑01)refpharmcda-
  • Spezialisierung: Template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)refad1bbr-

Item

Item DT Kard Konf Beschreibung Label
hl7:substanceAdministration
@classCode cs 1 … 1 F SBADM
@moodCode cs 1 … 1 R en-US EVN will be used to record a medication statement where the patient is currently taking or has taken the medication in the past.
INT will be used to record a medication statement where the patient plans to take the medication or be administered the medication in the future.
  CONF
@moodCode MUSS "EVN" sein
oder
@moodCode MUSS "INT" sein
hl7:templateId
II 1 … 1 M
@root uid 1 … 1 F 1.2.276.0.76.3.1.195.10.67
hl7:id
II 0 … * R
hl7:code
CD 1 … 1 R
@code
CONF 0 … 1 F DRUG
@codeSystem
0 … 1 F 2.16.840.1.113883.5.4 (Act Code)
hl7:text
ED 1 … 1 M
hl7:reference
TEL 1 … 1 M
@value 1 … 1 R #med-{generierteID}, z.B.: #med-1
hl7:statusCode
CS 0 … 1
  CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set ActStatus2.16.840.1.113883.1.11.15933DYNAMIC
hl7:effectiveTime
NP
hl7:routeCode
CE (Beispiel) 0 … 1
  CONF
Beispiele von der Wert von @code stehen in den Value Set RouteOfAdministration2.16.840.1.113883.1.11.14581DYNAMIC
hl7:approachSiteCode
CD (Beispiel) 0 … *
  CONF
Beispiele von der Wert von @code stehen in den Value Set HumanSubstanceAdministrationSite2.16.840.1.113883.1.11.19724DYNAMIC
hl7:doseQuantity
IVL_PQ NP
hl7:rateQuantity
IVL_PQ NP
hl7:maxDoseQuantity
RTO_PQ_PQ 0 … 1
hl7:administrationUnitCode
CE NP
hl7:consumable
0 … 1 R
en-US Consumable: The medication that is administered (simple)

BeinhaltetUV Medication Information (simple)2.16.840.1.113883.10.21.4.10DYNAMIC
@typeCode cs 1 … 1 F CSM
hl7:entryRelationship
0 … * C
en-US Subordinate Substance Administration Statament as a component of the overall medication statement.
At least one subordinated <substanceAdministration> has to be present to convey information about dosages (dose, frequency of intakes,..) unless medications are unknown or known absent.
Subordinated <substanceAdministration> elements can be also used either to handle split dosing, or to support combination medications.

BeinhaltetUV Subordinate Substance Administration2.16.840.1.113883.10.21.4.6DYNAMIC
wo
[exists(hl7:substanceAdministration)]
@typeCode cs 1 … 1 F COMP
  Constraint en-US At least one subordinate  element SHALL be present unless medications are unknown or known absent.
hl7:sequenceNumber
INT 0 … 1
en-US Sequence number of the Subordinate Substance Administration.