2.16.840.1.113883.10.21.4.6/static-2017-04-30T000000

Id	2.16.840.1.113883.10.21.4.6	Effective Date	2017‑04‑30
Status	Draft	Version Label
Name	UVSubordinateadministration	Display Name	UV Subordinate Substance Administration
Description	Universal Subordinate Substance Administration to convey information about dosages
Context	Parent nodes of template element with id 2.16.840.1.113883.10.21.4.6
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Relationship	Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07) ref ad1bbr-
Example	Example <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 Card Conf Description Label hl7:substanceAdministration 1 … 1 R (UVS...ion) @classCode cs 1 … 1 F SBADM @moodCode cs 1 … 1 R 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 The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.21.4 Mood Code Evn Int Rqo (DYNAMIC)   Constraint The moodCode of this subordinate substance administration SHALL be the same of the parent substance administration hl7:templateId II 1 … 1 M (UVS...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.21.4.6 hl7:statusCode CS 1 … 1 M (UVS...ion)   Constraint The statusCode of this subordinate substance administration SHALL be the same of that of the parent substance administration.   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.21.2 ActStatusActiveCompletedAbortedSuspended (DYNAMIC) Choice 1 … 1 Elements to choose from: 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 This required element describes the frequency of intakes. If not known it shall be valued with the nullflavor "UNK" (UVS...ion) where [@value or @nullFlavor]   Example Once (known date) <effectiveTime value="20170404"/>   Example Unknown <effectiveTime nullFlavor="UNK"/> hl7:effectiveTime PIVL_TS 0 … 1 C Periodic Time Interval (UVS...ion) where [@xsi:type='PIVL_TS']   Example Every 4 hours <effectiveTime xsi:type="PIVL_TS" institutionSpecified="false">   <period value="4" unit="h"/></effectiveTime>   Example Twice a day <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">   <period value="12" unit="h"/></effectiveTime> hl7:effectiveTime EIVL_TS 0 … 1 C Event Related Time Interval (UVS...ion) where [@xsi:type='EIVL_TS']   Example After meal <effectiveTime xsi:type="EIVL_TS">   <event code="PC" codeSystem="2.16.840.1.113883.5.139"/></effectiveTime>   Example 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 (UVS...ion) @code cs 0 … 1     CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10706 TimingEvent (DYNAMIC) hl7:effectiveTime SXPR_TS 0 … 1 R Combined Time Interval (UVS...ion) where [@xsi:type='SXPR_TS'] hl7:doseQuantity IVL_PQ 0 … 1 R 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. (UVS...ion) @unit cs 0 … 1     Example Not pre-coordinated consumable <doseQuantity value="25" unit="mg"/>   Example Pre-coordinated consumable - Dose Range <doseQuantity>   <low value="1" unit="{tablet}"/>  <high value="2" unit="{tablet}"/></doseQuantity>   Example Pre-coordinated consumable <doseQuantity value="2" unit="{puff}"/>   Example Pre-coordinated consumable with text reference <doseQuantity value="2" unit="{puff}">   <translation>     <originalText>       <reference value="#text-ref-1"/>    </originalText>  </translation></doseQuantity>   Example Textual dosage <doseQuantity nullFlavor="OTH">   <translation>     <originalText>       <reference value="#text-ref-1"/>    </originalText>  </translation></doseQuantity> hl7:rateQuantity IVL_PQ 0 … 1 (UVS...ion) hl7:maxDoseQuantity RTO_PQ_PQ 0 … 1 (UVS...ion) hl7:administrationUnitCode CE 0 … 1 (UVS...ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14570 AdministrableDrugForm (DYNAMIC) hl7:consumable 1 … 1 R (UVS...ion) hl7:manufacturedProduct 1 … 1 R (UVS...ion) hl7:manufactured​Material 1 … 1 R (UVS...ion) @nullFlavor cs 1 … 1 F NA