Difference between revisions of "2.16.840.1.113883.10.22.3.1/static-2016-11-11T000000"

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Revision as of 09:34, 25 July 2018

Id2.16.840.1.113883.10.22.3.1Effective Date2016‑11‑11
Other versions this id:
    StatusKyellow.png DraftVersion Label
    NameIPSMedicationSummarySectionDisplay NameIPS Medication Summary Section
    Description
    The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary.
    The actual content could depend on the jurisdiction, it could report:
    • the currently active medications; 
    • the current and past medications considered relevant by the authoring GP; 
    • the patient prescriptions or dispensations automatically extracted by a regional or a national EHR.
    In all those cases however medications are documented in the Patient Summary as medication statements.

    This section requires either an entry indicating the subject is known not to be on any medications; either an entry indicating that no information is available about medications; or entries summarizing the subject's medications.

    The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
    ContextParent nodes of template element with id 2.16.840.1.113883.10.22.3.1
    ClassificationCDA Section Level Template
    Open/ClosedOpen (other than defined elements are allowed)
    Associated with
    Associated with 2 concepts
    IdNameData Set
    hl7ips-data​element-61Kyellow.png List of medication Kyellow.png CEN/TC 251 prEN 17269
    hl7ips-data​element-16Kyellow.png Medication Summary Kyellow.png CEN/TC 251 prEN 17269
    Used by / Uses
    Used by 0 transactions and 1 template, Uses 4 templates
    Used by as NameVersion
    2.16.840.1.113883.10.22.1.1ContainmentKyellow.png International Patient Summary2017‑04‑11
    Uses as NameVersion
    2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body AuthorDYNAMIC
    2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
    2.16.840.1.113883.10.22.4.4ContainmentKyellow.png IPS Medication StatementDYNAMIC
    2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation SectionDYNAMIC
    RelationshipAdaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
    Adaptation: template 2.16.840.1.113883.10.20.1.8 (DYNAMIC)
    Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.2.3 (2013‑12‑20)
    Example
    Example
    <section classCode="DOCSECT">
      <templateId root="2.16.840.1.113883.10.22.3.1"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" displayName="Terapie farmacologiche"/>  <title>Terapie farmacologiche</title>  <text>...</text>  <author>
        <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
      </author>
      <informant>
        <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
      </informant>
      <entry typeCode="COMP" contextConductionInd="true">
        <!-- template 2.16.840.1.113883.10.22.4.4 'IPS Medication Entry' (dynamic) -->
      </entry>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->
      </component>
    </section>
    ItemDTCardConfDescriptionLabel
    hl7:section
    1 … 1M(IPS...ion)
     
    Target.png
    hl7ips-data​element-16Kyellow.png Medication Summary Kyellow.png CEN/TC 251 prEN 17269
    Treetree.png@classCode
    cs0 … 1FDOCSECT
    Treetree.pnghl7:templateId
    II1 … 1M(IPS...ion)
    Treeblank.pngTreetree.png@root
    uid1 … 1F2.16.840.1.113883.10.22.3.1
    Treetree.pnghl7:id
    II0 … *(IPS...ion)
    Treetree.pnghl7:code
    CE.IPS1 … 1MHistory of medication use(IPS...ion)
    Treeblank.pngTreetree.png@code
    CONF1 … 1F10160-0
    Treeblank.pngTreetree.png@codeSystem
    1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
    Treetree.pnghl7:title
    ST1 … 1MMedication Summary (IPS...ion)
    Treetree.pnghl7:text
    SD.TEXT1 … 1MSection text(IPS...ion)
    Treetree.pnghl7:author
    0 … *Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:assignedAuthor]
    Treetree.pnghl7:informant
    0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(IPS...ion)
    Treetree.pnghl7:entry
    1 … *RContains 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:substanceAdministration [hl7:code [concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.11.22.14-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.11.22.15-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or @nullFlavor]]]
     
    Target.png
    hl7ips-data​element-61Kyellow.png List of medication Kyellow.png CEN/TC 251 prEN 17269
    Treeblank.pngTreetree.png@typeCode
    cs1 … 1R
     CONF
    The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
    Treeblank.pngTreetree.png@context​Conduction​Ind
    bl0 … 1Ftrue
    Treetree.pnghl7:component
    0 … *Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:section]