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draft Template  Medikation

Id 1.2.276.0.76.3.1.195.10.67 Gültigkeit ab 2023‑12‑03
Status draft Entwurf Versions-Label 2023
Name Medikation Bezeichnung 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.
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 1 Template
Benutzt von als Name Version
1.2.276.0.76.3.1.195.10.64 Containment draft Medikamentöse Therapie 2024‑08‑14 18:02:56
1.2.276.0.76.3.1.195.10.2 link draft Episodenzusammenfassung Notaufnahmeregister (2024) 2024‑03‑21
Benutzt als Name Version
2.16.840.1.113883.10.21.4.6 Containment draft UV Subordinate Substance Administration (2023) DYNAMIC
Beziehung Spezialisierung: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2023‑01‑30 08:32:34)
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pharmcda-

Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2021‑08‑04 14:09:15)
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pharmcda-

Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2017‑05‑01)
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pharmcda-

Spezialisierung: Template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
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ad1bbr-
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 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		NP
hl7:routeCode
 		CE (Beispiel) 0 … 1
  CONF
Beispiele von der Wert von @code stehen in den Value Set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
hl7:approachSiteCode
 		CD (Beispiel) 0 … *
  CONF
Beispiele von der Wert von @code stehen in den Value Set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
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)
Beinhaltet
alert Fehler: Kann das Template "2.16.840.1.113883.10.21.4.10" (DYNAMIC) nicht finden
@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.
Beinhaltet 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC)
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.