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draft Template  UV Subordinate Substance Administration

Id 2.16.840.1.113883.10.21.4.6
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pharmcda-
 		Gültigkeit ab 2023‑01‑30 09:36:00
Status draft Entwurf Versions-Label 2023
Name UVSubordinateadministration Bezeichnung UV Subordinate Substance Administration
Beschreibung en-US Universal Subordinate Substance Administration to convey information about dosages
Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.21.4.6
Klassifikation CDA Entry Level Template
Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 0 Transactions und 3 Templates, Benutzt 0 Templates
Benutzt von als Name Version
1.2.276.0.76.3.1.195.10.67 Containment draft Medikation (2023) 2023‑12‑03
1.2.276.0.76.3.1.195.10.64 link 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
Beziehung Version: Template 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (2017‑04‑30)
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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-
Beispiel
Beispiel
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.6"/>  <statusCode code="active"/>  <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">
    <period value="12" unit="h"/>  </effectiveTime>  <doseQuantity xsi:type="IVL_PQ" value="2" unit="{puff}"/>  <consumable>
    <manufacturedProduct>
      <manufacturedMaterial nullFlavor="NA"/>    </manufacturedProduct>  </consumable></substanceAdministration>
Item DT Kard Konf Beschreibung Label
hl7:substanceAdministration
 		1 … 1 R
@classCode
 		cs 1 … 1 F SBADM
@moodCode
 		cs 1 … 1 R en-US If the subordinate substance administration refers to Medication Order then a substance administration request (moodCode is 'RQO') is used.
If it refers to a Medication Statement, the moodCode shall be set to event/intent (moodCode is 'EVN' or 'INT').
  CONF
Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.21.4 Mood Code Evn Int Rqo (DYNAMIC)
  Constraint en-US The moodCode of this subordinate substance administration SHALL be the same of the parent substance administration
hl7:templateId
 		II 1 … 1 M
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.21.4.6
hl7:statusCode
 		CS 1 … 1 M
  Constraint en-US The statusCode of this subordinate substance administration SHALL be the same of that of the parent substance administration.
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.21.2 ActStatusActiveCompletedAbortedSuspended (DYNAMIC)
Auswahl 1 … 1 Elemente in der Auswahl:
  • hl7:effectiveTime[@value or @nullFlavor]
  • hl7:effectiveTime[@xsi:type='PIVL_TS']
  • hl7:effectiveTime[@xsi:type='EIVL_TS']
  • hl7:effectiveTime[@xsi:type='SXPR_TS']
hl7:effectiveTime
 		TS 0 … 1 C en-US This required element describes the frequency of intakes. If not known it shall be valued with the nullflavor "UNK"
wo [@value or @nullFlavor]
  Beispiel
Once (known date)
<effectiveTime value="20170404"/>
  Beispiel
Unknown
<effectiveTime nullFlavor="UNK"/>
hl7:effectiveTime
 		PIVL_TS 0 … 1 C en-US Periodic Time Interval
wo [@xsi:type='PIVL_TS']
  Beispiel
Every 4 hours
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false">
  <period value="4" unit="h"/></effectiveTime>
  Beispiel
Twice a day
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">
  <period value="12" unit="h"/></effectiveTime>
hl7:effectiveTime
 		EIVL_TS 0 … 1 C en-US Event Related Time Interval
wo [@xsi:type='EIVL_TS']
  Beispiel
After meal
<effectiveTime xsi:type="EIVL_TS">
  <event code="PC" codeSystem="2.16.840.1.113883.5.139"/></effectiveTime>
  Beispiel
One hour before breakfast
<effectiveTime xsi:type="EIVL_TS">
  <event code="ACM" codeSystem="2.16.840.1.113883.5.139"/>  <offset>
    <low value="1" unit="h"/>  </offset></effectiveTime>
hl7:event
 		EIVL.event 0 … 1 C
@code
 		cs 0 … 1  
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10706 TimingEvent (DYNAMIC)
hl7:effectiveTime
 		SXPR_TS 0 … 1 R en-US Combined Time Interval
wo [@xsi:type='SXPR_TS']
hl7:doseQuantity
 		IVL_PQ 0 … 1 R en-US The doseQuantity describes the amount of the medication given (the dosage).

If a dose range is given (e.g., 1-2 tablets, or 325-750mg), then the <low> and <high> bounds are specified in their respective elements; otherwise only one physical quantity is specified (e.g. 2 drops)

The dose can be in some known and measurable unit, such as grams, milligrams,or described in "administration" units (unit of presentation, such as capsules).

If the dose is in countable items (tablets, caplets, "eaches"), then the unit could be omitted or valorized using the UCUM annotations for describing the type of countable items (e.g. .{tablet}, {puff},..).

The unit attribute – when expresses unit of measures- shall be derived from the UCUM code system.
The used elements should contain a <translation> element that provides a reference to the originalText found in the narrative body of the document.
@unit
 		cs 0 … 1  
  Beispiel
Not pre-coordinated consumable
<doseQuantity value="25" unit="mg"/>
  Beispiel
Pre-coordinated consumable - Dose Range
<doseQuantity>
  <low value="1" unit="{tablet}"/>  <high value="2" unit="{tablet}"/></doseQuantity>
  Beispiel
Pre-coordinated consumable
<doseQuantity value="2" unit="{puff}"/>
  Beispiel
Pre-coordinated consumable with text reference
<doseQuantity value="2" unit="{puff}">
  <translation nullFlavor="NI">
    <originalText>
      <reference value="#text-ref-1"/>    </originalText>  </translation></doseQuantity>
  Beispiel
Textual dosage
<doseQuantity nullFlavor="NI">
  <translation nullFlavor="NI">
    <originalText>
      <reference value="#text-ref-1"/>    </originalText>  </translation></doseQuantity>
hl7:rateQuantity
 		IVL_PQ 0 … 1
hl7:maxDoseQuantity
 		RTO_PQ_PQ 0 … 1
hl7:administrationUnitCode
 		CE 0 … 1
  CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.14570 AdministrableDrugForm (DYNAMIC)
hl7:consumable
 		1 … 1 R
hl7:manufacturedProduct
 		1 … 1 R
hl7:manufacturedMaterial
 		1 … 1 R
@nullFlavor
 		cs 1 … 1 F NA