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# Template Medikation

Id | 1.2.276.0.76.3.1.195.10.67 | Gültigkeit ab | 2023‑12‑03
Status | Entwurf | Versions-Label | 2023
Name | Medikation | Bezeichnung | Medikation
Beschreibung
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 2 Templates
Benutzt von | als | Name | Version
--- | --- | --- | ---
1.2.276.0.76.3.1.195.10.64 | Containment | Medikamentöse Therapie | 2024‑08‑14 18:02:56
1.2.276.0.76.3.1.195.10.92 |  | Notaufnahmeregister Transitionsversion (v3transit) | 2025‑11‑12
Benutzt | als | Name | Version
2.16.840.1.113883.10.21.4.10 | Containment | UV Medication Information (simple) (R1-STU2-ballot) | DYNAMIC
2.16.840.1.113883.10.21.4.6 | Containment | 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) ref pharmcda- Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2021‑08‑04 14:09:15) ref pharmcda- Version: Template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2017‑05‑01) ref pharmcda- Spezialisierung: Template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07) ref ad1bbr-
Item | DT | Kard | Konf | Beschreibung | Label
--- | --- | --- | --- | --- | ---
hl7:substanceAdministration |  |  |  |  |
@classCode | cs | 1 … 1 | F | SBADM
@moodCode | cs | 1 … 1 | R | 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 | Consumable: The medication that is administered (simple) Beinhaltet 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | CSM
hl7:entryRelationship |  | 0 … * | C | 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 | At least one subordinate element SHALL be present unless medications are unknown or known absent.
hl7:sequenceNumber | INT | 0 … 1 |  | Sequence number of the Subordinate Substance Administration. |