2.16.840.1.113883.10.22.4.4/static-2021-09-02T121754

Id	2.16.840.1.113883.10.22.4.4	Effective Date	2021‑09‑02 12:17:54 Other versions this id: IPSMedicationStatement as of 2024‑08‑04 10:41:54 IPSMedicationStatement as of 2016‑11‑11
Status	Draft	Version Label	2021
Name	IPSMedicationStatement	Display Name	IPS Medication Statement
Description An IPS Medication entry describes a medication statement, that is a substance administration that has actually occurred (e.g., pills ingested or injections given) or are intended to occur (e.g., "take 2 tablets twice a day for the next 10 days"). Medication activities in "INT" mood are reflections of what a clinician intends a patient to be taking. For example, a clinician may intend that a patient to be administered Lisinopril 20 mg PO for blood pressure control. If what was actually administered was Lisinopril 10 mg., then the Medication activities in the "EVN" mood would reflect actual use. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay, but it could be derived from the medications information recorded into a GP's EHR-system, in form of prescribed medication, or administration statements. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. A medication statement is usually less specific than an a prescription or a medication administration record.   This entry is composed by a main substanceAdministration act and a subordinate substanceAdministration act, unless it is asserted that there are no medications data.  The first conveys information as the product, the period of administration and the route of administration; the latter is used to provide dosage information as the frequency of intakes or the amount of the medication given.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.4
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 3 concepts Id Name Data Set hl7ips-data​element-102  Route of administration  CEN/TC 251 prEN 17269 hl7ips-data​element-104  Medication  CEN/TC 251 prEN 17269 hl7ips-data​element-220  Medication Summary content status  CEN/TC 251 prEN 17269
Uses	Uses 4 templates Uses as Name Version 2.16.840.1.113883.10.21.9.1 Include UV Use Period (2023) DYNAMIC 2.16.840.1.113883.10.22.4.2 Include IPS Medication Information (detail) (STU2) DYNAMIC 2.16.840.1.113883.10.22.4.14 Include IPS Body Author (STU1) DYNAMIC 2.16.840.1.113883.10.21.4.6 Containment UV Subordinate Substance Administration (2023) DYNAMIC
Relationship	Version: template 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (2016‑11‑11) Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.4 Medication Item (2013‑12‑20) ref epsos- Specialization: template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (DYNAMIC) ref pharmcda-
Example	Example <substanceAdministration classCode="SBADM" moodCode="INT">   <templateId root="2.16.840.1.113883.10.22.4.4"/>  <code code="DRUG" codeSystem="2.16.840.1.113883.5.4" displayName="Drug"/>  <statusCode code="active"/>  <effectiveTime>     <width value="2" unit="wk"/>  </effectiveTime>  <consumable typeCode="CSM">     <!-- template 'IPS ManufacturedProduct' (dynamic) -->   </consumable>  <entryRelationship typeCode="COMP">     <substanceAdministration classCode="SBADM" moodCode="EVN">       <statusCode code="active"/>      <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">         <period value="12" unit="h"/>      </effectiveTime>      <doseQuantity value="2" unit="{puff}"/>      <consumable>         <manufacturedProduct>           <manufacturedMaterial nullFlavor="NA"/>        </manufacturedProduct>      </consumable>    </substanceAdministration>  </entryRelationship></substanceAdministration>
Example	No medication infos <substanceAdministration classCode="SBADM" moodCode="INT">   <templateId root="2.16.840.1.113883.10.22.4.4"/>  <code code="no-medication-info" codeSystem="2.16.840.1.113883.5.1150.1" displayName="No information about medications"/>  <statusCode code="completed"/>  <effectiveTime nullFlavor="NA" xsi:type="IVL_TS"/>  <consumable>     <manufacturedProduct>       <manufacturedMaterial nullFlavor="NA"/>    </manufacturedProduct>  </consumable></substanceAdministration>
Item DT Card Conf Description Label hl7:substanceAdministration R (IPS...ent)   hl7ips-data​element-104  Medication  CEN/TC 251 prEN 17269 @classCode cs 1 … 1 F SBADM @moodCode cs 1 … 1 R If the statement refers to a prescribed medication then a <substanceAdministration> intent (moodCode='INT') is used; otherwise, to record medications which are stated to have taken, the moodCode shall be set to 'EVN'.</substanceAdministration>   CONF The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 MoodCodeEvnInt (DYNAMIC) hl7:templateId II 1 … 1 M (IPS...ent) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.4 hl7:id II 0 … * R (IPS...ent) hl7:code CD.IPS 1 … 1 R The <code> element is valorized with the Substance Administration ACT code "DRUG" unless it is used for asserting the  known absence of medication treatments or no information about them. (IPS...ent)   hl7ips-data​element-220  Medication Summary content status  CEN/TC 251 prEN 17269   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.14 DRUGActCode (DYNAMIC) or The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.15 Absent or Unknown Medication (DYNAMIC) hl7:text ED 0 … 1 R The URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication. (IPS...ent) hl7:reference TEL 1 … 1 M (IPS...ent) @value url 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 hl7:statusCode CS 1 … 1 M (IPS...ent)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.12 ActStatusActiveCompletedAbortedSuspended (DYNAMIC)   Example <statusCode code="active"/> Included 1 … 1 R from 2.16.840.1.113883.10.21.9.1 UV Use Period (DYNAMIC) Choice 1 … 1 The effectiveTime element encodes the use period of the medication, it is always expressed as an interval of time. It may be expressed using the low and high OR with the width element. The first is used to indicate a specified interval (e.g. from march 15th, 2017); the latter for indicating a 'floating' period (e.g. 2 weeks). Elements to choose from: hl7:effectiveTime[hl7:low | hl7:high][not(hl7:width)] hl7:effectiveTime[hl7:width][not(hl7:low|hl7:high)] hl7:effectiveTime[hl7:low | hl7:width][not(hl7:high)] hl7:effectiveTime IVL_TS 0 … 1 C Case 1: specified interval The low and high values of the first effectiveTime element represent the start and stop times for the medication. The low value represents the start time, and the high value represents the stop time. If either the low or the high value is unknown, this shall be recorded by setting the nullFlavor attribute to UNK. In case of unbounded period (continuous therapy) the high element will be valued with the nullFlavor attribute to NA. The high value records the end of the medication regime according to the information provided in the prescription or order. For example, if the prescription is for enough medication to last 30 days, then the high value should contain a date that is 30 days later then the low value. The rationale is that a provider, seeing a prescription that has not been refilled would normally assume that the medication is no longer being taken, even if the intent of the treatment plan is to continue the medication indefinitely. (IPS...ent) where [hl7:low or [not(hl7:width)] @nullFlavor cs 0 … 1     Example Known Interval <effectiveTime type="IVL_TS">   <low value="20130321"/>  <high value="20140321"/></effectiveTime>   Example Information not available about the period <effectiveTime type="IVL_TS" nullFlavor="NI"/>   Example Unknown end date <effectiveTime type="IVL_TS">   <low value="20130321"/>  <high nullFlavor="UNK"/></effectiveTime>   Example continous therapy <effectiveTime type="IVL_TS">   <low value="20130321"/>  <high nullFlavor="NA"/></effectiveTime> hl7:low IVXB_TS 1 … 1 R (IPS...ent) hl7:high IVXB_TS 0 … 1 R (IPS...ent) hl7:effectiveTime IVL_TS 0 … 1 C Case 2: 'floating' period: The width element is used to specify a period of (actual or intended) administration that is not anchored to any specific date (e.g. a two weeks therapy) (IPS...ent) where [hl7:width] [not(hl7:lowor hl7:high)]   Example 2 week period <effectiveTime type="IVL_TS">   <width value="2" unit="w"/></effectiveTime> hl7:low NP (IPS...ent) hl7:high NP (IPS...ent) hl7:center NP (IPS...ent) hl7:width PQ 1 … 1 R (IPS...ent) @unit cs 1 … 1 R   CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC) hl7:effectiveTime IVL_TS 0 … 1 C Case 3: anchored period: The width element is used to specify a period of (actual or intended) administration anchored to a specific date (e.g. a two weeks therapy starting today) (IPS...ent) where [hl7:low or [not(hl7:high)]   Example 2 week period starting on 2013-03-21 <effectiveTime type="IVL_TS">   <low value="20130321"/>  <width value="2" unit="w"/></effectiveTime> hl7:low IVXB_TS 0 … 1 C (IPS...ent) hl7:width PQ 1 … 1 R (IPS...ent) @unit cs 1 … 1 R   CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC) hl7:routeCode CE.IPS 0 … 1 R The <routeCode> element specifies the route of administration using the EDQM route of administration vocabulary. A code must be specified if the route is known.  Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration. It is known that also alternative jurisdictional and international terminologies are also used for this concept domain, as NCI or SNOMED CT. Official NCI and EDQM maps for the route of administration are available from the EDQM site. (IPS...ent)   hl7ips-data​element-102  Route of administration  CEN/TC 251 prEN 17269   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.33 IPS Medicine Route of Administration (DYNAMIC) hl7:doseQuantity IVL_PQ NP (IPS...ent) hl7:rateQuantity IVL_PQ NP (IPS...ent) hl7:administrationUnitCode CE NP (IPS...ent) hl7:consumable 1 … 1 M (IPS...ent) @typeCode cs 1 … 1 F CSM Included from 2.16.840.1.113883.10.22.4.2 IPS Medication Information (detail) (DYNAMIC) hl7:manufacturedProduct 0 … * R (IPS...ent)   hl7ips-data​element-2  Medicinal Product  CEN/TC 251 prEN 17269 @classCode cs 0 … 1 F MANU hl7:templateId II 1 … 1 M (IPS...ent) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.2 Included 1 … 1 R from 2.16.840.1.113883.10.22.4.3 IPS Manufactured Material (DYNAMIC) hl7:manufactured​Material 1 … 1 R (IPS...ent) @classCode cs 0 … 1 F MMAT @determiner​Code cs 0 … 1 F KIND hl7:templateId II 1 … 1 M (IPS...ent) @root oid 1 … 1 F 2.16.840.1.113883.10.22.4.3 Choice 0 … 1 Elements to choose from: hl7:code hl7:code[@codeSystem='2.16.840.1.113883.6.96'] hl7:code CE.IPS 0 … 1 R This element is generally used to identify a medicinal product. When the IDMP identifiers will be concretely available for usage this element will be used for conveying the Medicinal Product Identifier (MPID). For the time being, it could be optionally used for conveying jurisdictional or agreed cross jurisdictional medicinal product code. (IPS...ent)   hl7ips-data​element-105  Product Code  CEN/TC 251 prEN 17269 hl7:code CE.IPS 0 … 1 R Non IDMP codes from SNOMED CT value set (IPS...ent) where [@codeSystem='2.16.840.1.113883.6.96']   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.71 IPS Medications Products (DYNAMIC) hl7:name EN 0 … 1 R This element is supposed to be valorized with the complete Medicinal Product Name as approved by the Medicines Regulatory Agency in a jurisdiction. The name may be applicable in one or more country/language combinations. (IPS...ent)   hl7ips-data​element-117  Brand Name  CEN/TC 251 prEN 17269 hl7ips-data​element-171  Product Common Name (and Strength)  CEN/TC 251 prEN 17269 pharm:formCode CE.IPS 0 … 1 R Administrable Pharmaceutical Dose Form. This code represents the form of the medication (e.g. tablet, capsule, liquid) Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms;Pakages and Route of Administration. It is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT. (IPS...ent)   hl7ips-data​element-227  Pharmaceutical dose form  CEN/TC 251 prEN 17269   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.25 IPS Medicine Doseform (DYNAMIC)   Example <formCode code="10211000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Capsule, soft">...</formCode> pharm:asContent 0 … * This structure describes the packaging of the medication. The <pharm:formCode> element provides the code for the particular package. If the package has a brand name, it can be described in the <pharm:name> element. The <pharm:capacity​Quantity> element describes the capacity of the packaging, while the <pharm:quantity> the actual quantity of inner packaged items in the outer packaging container. The product might have a single (30 pills bottle) or multiple (5 vials 10 ml; box with 2 blisters of 20 tablets) layers of packaging. In the latter case, the most inner (nested) item represents the most outer package item. For example the case    \--Box    \-----2 blisters    \--------20 tablets  is described as "20 tablets" contained by "a blister"; "2 blisters" contained by one box. The most inner package represents the Packaged Medicinal Product. When the IDMP Packaged Medicinal Product ID (PCID) will become actually available for usage, the most inner package <code> element will be used to convey the IDMP PCID. (IPS...ent) @classCode cs 1 … 1 F CONT   Example Packaged Medicinal Product with multiple layers packaging <asContent>   <containerPackagedProduct>     <!-- Inner Package -->     <code codeSystem="..." code="..." displayName="...">       <asContent>         <containerPackagedProduct>           <!-- Intermediate Package -->           <asContent>             <containerPackagedProduct>               <!-- Outer Package / Packaged Medicinal Product -->             </containerPackagedProduct>          </asContent>        </containerPackagedProduct>      </asContent>    </code>  </containerPackagedProduct></asContent>   Example Packaged Medicinal Product with formCode <asContent>   <containerPackagedProduct>     <!-- Packaged Medicinal Product -->     <code codeSystem="1.999.999" code="PC_ID" displayName="Packaged Product Name">       <name>100 MIRACLE PILLS(TM)</name>      <formCode codeSystem="0.4.0.127.0.16.1.1.2.1" code="30009000" displayName="Box" CodeSystemName="EDQM"/>    </code>  </containerPackagedProduct></asContent> pharm:quantity PQ 0 … 1 The quantity which specified how many inner packaged content entities are in an outer packaging container entity. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R   Example <quantity value="20" unit="{tablet}"/>   Example <quantity value="10" unit="mL"/> pharm:containerPackagedProduct 1 … 1 R It represents the most inner Package Item or the Packaged Medicinal Product. (IPS...ent) @classCode cs 1 … 1 F CONT @determiner​Code cs 1 … 1 F KIND pharm:code 0 … 1 If this is also the most outer <pharm:containerPackagedProduct> than the <code> element can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage).   The presence of the PCID indicates that that element represents the "Packaged Medicinal Product". (IPS...ent) pharm:name ST 0 … 1 It represents the Name of the Package Item or of the Packaged Medicinal Product. If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name. (IPS...ent)   Example <name>AMOXIFEN(R) 20 compresse 20 mg</name> pharm:formCode CE.IPS 0 … 1 R This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product. Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration. (IPS...ent)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC)   Example <formCode code="30007000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" codeSystemVersion="2010" displayName="Blister">...</formCode> pharm:capacity​Quantity PQ 0 … 1 It represents the functional capacity of the container: e.g. bottle containing up to 20 tablets or ampule of 10 ml. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R pharm:asContent 0 … * R In case of multiple layers of packaging (5 vials 10 ml; box with 2 blisters of 20 tablets) this element can be used for describing the intermediate Packaged Medicinal Product Item or the Packaged Medicinal Product. For example in the case    \--Box    \-----2 blisters    \--------20 tablets  it describes the "2 blisters"  In the case of    \--Box    \-----5 vials it represents the Packaged Medicinal Product.  (IPS...ent) @classCode cs 1 … 1 F CONT pharm:quantity PQ 0 … 1 R The quantity which specified how many inner packaged content entities are in an outer packaging container entity. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R   Example <quantity value="20" unit="{tablet}"/>   Example <quantity value="10" unit="mL"/> pharm:containerPackagedProduct 1 … 1 R It represents the intermediate Package Item or the Packaged Medicinal Product (IPS...ent) @classCode cs 1 … 1 F CONT @determiner​Code cs 1 … 1 F KIND pharm:code CD.IPS 0 … 1 If this is also the most inner  <pharm:containerPackagedProduct> than the <code> element can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage).   The presence of the PCID indicates that that element represents the "Packaged Medicinal Product". (IPS...ent) pharm:name ST 0 … 1 R It represents the Name of the Package Item or of the Packaged Medicinal Product If this is also the most inner  <pharm:containerPackagedProduct> than this element can be used for the brand name. (IPS...ent)   Example <name>...</name> pharm:formCode CE.IPS 1 … 1 R This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product. Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as reference terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration. (IPS...ent)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC) pharm:capacity​Quantity PQ 0 … 1 It represents the functional capacity of the container: e.g. bottle containing up to 20 tablets or ampule of 10 ml. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R pharm:asContent 0 … * R In case of multiple layers of packaging (box with 2 blisters of 20 tablets) this element is used for describing the most outer Packaged Medicinal Product Item or the Packaged Medicinal Product. For example in the case    \--Box    \-----2 blisters    \--------20 tablets  it describes the Packaged Medicinal Product.  (IPS...ent) @classCode cs 1 … 1 F CONT pharm:quantity PQ 0 … 1 R The quantity which specified how many inner packaged content entities are in an outer packaging container entity. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R   Example <quantity value="20" unit="{tablet}"/>   Example <quantity value="10" unit="mL"/> pharm:containerPackagedProduct 1 … 1 R When present, it represents the Packaged Medicinal Product (IPS...ent) @classCode cs 1 … 1 F CONT @determiner​Code cs 1 … 1 F KIND pharm:code CD.IPS 0 … 1 When present, it can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage). (IPS...ent) pharm:name ST 0 … 1 R When present, it can be used for the representing the brand name. (IPS...ent) pharm:formCode CE.IPS 1 … 1 R When present, it encodes the type of the outer package. Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration. (IPS...ent)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC) pharm:capacity​Quantity PQ 0 … 1 It represents the functional capacity of the container: e.g. bottle containing up to 20 tablets or ampule of 10 ml. (IPS...ent) @unit cs 0 … 1     CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC) @value 1 … 1 R pharm:asSpecializedKind 0 … 1 R This module is used for representing the classification of the Substance according to the WHO Anatomical Therapeutic Chemical (ATC) Classification System. The classCode of "GRIC" identifies this structure as the representation of a generic equivalent of the medication described in the current Medicine entry. (IPS...ent) where [generalizedMaterialKind/code/@codeSystem='2.16.840.1.113883.6.73'] @classCode cs 1 … 1 F GRIC   Example <asSpecializedKind classCode="GRIC">   <generalizedMaterialKind classCode="MMAT">     <!-- Pharmaceutical Substance (ATC Code)-->     <code code=" " codeSystem="2.16.840.1.113883.6.73" displayName=" " codeSystemName="WHO ATC"/>  </generalizedMaterialKind></asSpecializedKind> pharm:generalizedMaterialKind 1 … 1 M (IPS...ent) @classCode cs 1 … 1 F MMAT pharm:code CD.IPS 1 … 1 R The <code> element contains the ATC code of this medicine. (IPS...ent)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.29 IPS WHO ATC (DYNAMIC)   Example <code codeSystem="2.16.840.1.113883.6.73" code=" " displayName=" " codeSystemName="WHO ATC"/> pharm:name 0 … * (IPS...ent) pharm:asSpecializedKind 0 … * R The Medicinal Product can be classified according to various classification systems, which may be jurisdictional or international. The classification system itself is specified using an appropriate identification system; the controlled term and the controlled term identifier shall be specified. When the IDMP Pharmaceutical Product Identifier(s) (PhPID Set) will become actually available for use, the PhPID will be represented by the generalizedMaterialKind/code element. (IPS...ent) @classCode cs 1 … 1 F GRIC   Example <asSpecializedKind classCode="GRIC">   <generalizedMaterialKind classCode="MMAT">     <code code="PhPID_Lvl1" codeSystem="1.999.999" displayName="Pharmaceutical Product Name" codeSystemName="PhPID Level 1">       <name/>    </code>  </generalizedMaterialKind></asSpecializedKind> pharm:generalizedMaterialKind R (IPS...ent) @classCode cs 1 … 1 F MMAT pharm:code CD.IPS 1 … 1 R When the IDMP Pharmaceutical Product Identifier(s) (PhPID Set) will become actually available for use, this element will be used for representing the IDMP PhP Id. The level and the stratum of the PhPID will be distiguished by the OID of the code system. (IPS...ent) pharm:name 0 … * R (IPS...ent) pharm:ingredient 0 … * R This module provides the list of the ingredients (substances with a role) used for this product; one or more ingredients may be present. The classCode of "ACTI" indicates that this is an active ingredient. (IPS...ent) @classCode cs 1 … 1 R   CONF The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10430 RoleClassIngredientEntity (DYNAMIC) pharm:quantity 1 … 1 M The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication. The <quantity> element contains the numerator and denominator of the strength ratio.</quantity> (IPS...ent)   Example <quantity>...</quantity> hl7:numerator PQ 1 … 1 R (IPS...ent) @unit cs 1 … 1 R   CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.30 Medicine Strength Numerator (DYNAMIC) @value 1 … 1 R hl7:denominator PQ 1 … 1 R (IPS...ent) @unit cs 1 … 1 R   CONF The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.31 Medicine Strength Denominator (DYNAMIC) @value 1 … 1 R pharm:ingredientSubstance 1 … 1 R (IPS...ent) @classCode cs 1 … 1 F MMAT @determiner​Code cs 1 … 1 F KIND pharm:code CD.IPS (extensible) 0 … 1 C The IDMP ISO 11238 standard addresses the identification and exchange of regulated information on substances.  The Global Ingredient Archival System (GInAS)  will provide a common global identifier for all of the substances used in medicinal products, providing a definition of substances globally consistent with this standard. Those identifiers however are yet available for concrete usage, therefore in this version of the template, SNOMED CT has been chosen as reference terminology also for the active substances. This choice will be revised based on the availability and the maturity of GInAS. (IPS...ent)   CONF The value of @code should be drawn from value set 2.16.840.1.113883.11.22.32 IPS Medicine Active Substances (DYNAMIC) hl7:originalText ED 0 … * (IPS...ent) hl7:reference TEL 0 … * (IPS...ent) hl7:translation CD 0 … * This element can be used to provide alternative identifications for the described substance. (IPS...ent) pharm:name 0 … 1 C Name of the substance (IPS...ent)   Schematron assert role  error     test pharm:code or pharm:name     Message Either the name or the code of the substance (or both) shall be provided   Included 0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7:author 0 … * (IPS...ent) hl7:templateId II 1 … 1 M (IPS...ent) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R (IPS...ent) hl7:assignedAuthor 1 … 1 M (IPS...ent) hl7:id II 1 … * R (IPS...ent) hl7:code 0 … 1 R (IPS...ent) Choice 0 … 1 Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C (IPS...ent) @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPS...ent)   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R (IPS...ent) hl7:given 1 … * R (IPS...ent) hl7:assigned​Authoring​Device 0 … 1 C (IPS...ent)   Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 (IPS...ent) hl7:manufacturer​Model​Name SC 0 … 1 (IPS...ent) hl7:softwareName SC 0 … 1 (IPS...ent) hl7:represented​Organization 0 … 1 (IPS...ent) hl7:id II 0 … * (IPS...ent) hl7:name 0 … * (IPS...ent) hl7:telecom TEL 0 … * (IPS...ent) hl7:addr AD 0 … * (IPS...ent) hl7:entryRelationship 0 … * C Subordinate Substance Administration Statement as a component of the overall medication statement. Unless medications are unknown or known absent, at least one subordinated <substanceAdministration> has to be present to convey information about dosages (dose, frequency of intakes,..). Subordinated <substanceAdministration> elements can be also used either to handle split dosing, or to support combination medications. Contains 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC) (IPS...ent) @typeCode cs 1 … 1 F COMP   Constraint At least one subordinate <substanceAdministration> element SHALL be present unless medications are unknown or known absent. </substanceAdministration>   Example <cda:entryRelationship typeCode="COMP">   <!-- component: Subordinate Substance Administration Statement. -->   <hl7:substanceAdministration classCode="SBADM" moodCode="EVN">     <hl7:templateId root="2.16.840.1.113883.10.22.4.33"/>    <!-- .. -->   </hl7:substanceAdministration>  <cda:sequenceNumber value="1"/></cda:entryRelationship> hl7:sequenceNumber INT 0 … 1 Sequence number of the Subordinate Substance Administration (IPS...ent)