2.16.840.1.113883.10.22.4.33/static-2017-06-15T000000

Id	2.16.840.1.113883.10.22.4.33	Effective Date	2017‑06‑15
Status	Under pre-publication review	Version Label	STU1
Name	IPSSubordinateSubstanceAdministration	Display Name	IPS Subordinate SubstanceAdministration
Description	This entry is used by a main substanceAdministration act to provide dosage information as the frequency of intakes or the amount of the medication given.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.33
Label	IPSSubordSBADM
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-224  Frequency of intake  CEN/TC 251 prEN 17269 hl7ips-data​element-223  Number of units per intake  CEN/TC 251 prEN 17269 hl7ips-data​element-119  Dose Instruction  CEN/TC 251 prEN 17269
Relationship	Specialization: template 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC) ref pharmcda-
Example	Example <hl7:substanceAdministration classCode="SBADM" moodCode="EVN">   <hl7:templateId root="2.16.840.1.113883.10.22.4.33"/>  <hl7:statusCode code="active"/>  <!-- choice: 1..1 element hl7:effectiveTime[@value or @nullFlavor] element hl7:effectiveTime[@xsi:type='PIVL_TS'] element hl7:effectiveTime[@xsi:type='EIVL_TS'] element hl7:effectiveTime[@xsi:type='SXPR_TS'] -->   <hl7:effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">     <hl7:period value="12" unit="h"/>  </hl7:effectiveTime>  <hl7:doseQuantity xsi:type="IVL_PQ" value="2" unit="{puff}"/>  <hl7:consumable>     <hl7:manufacturedProduct>       <hl7:manufacturedMaterial nullFlavor="NA"/>    </hl7:manufacturedProduct>  </hl7:consumable></hl7:substanceAdministration>
Item DT Card Conf Description Label hl7:substanceAdministration IPSS...BADM   hl7ips-data​element-119  Dose Instruction  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)   Constraint The moodCode of this subordinate <substanceAdministration> SHALL be the same of the parent <substanceAdministration> . hl7:templateId II 1 … 1 M IPSS...BADM @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.33 hl7:statusCode CS 1 … 1 M IPSS...BADM   Constraint The statusCode of this subordinate <substanceAdministration> SHALL be the same of that of the parent <substanceAdministration>.   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.12 ActStatusActiveCompletedAbortedSuspended (2017‑03‑30)   Example <statusCode code="active"/> 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" IPSS...BADM where [@value or @nullFlavor]   hl7ips-data​element-224  Frequency of intake  CEN/TC 251 prEN 17269   Example Once (known date) <effectiveTime value="20170404"/>   Example Unknown <effectiveTime nullFlavor="UNK"/> hl7:effectiveTime PIVL_TS 0 … 1 C IPSS...BADM where [@xsi:type='PIVL_TS']   hl7ips-data​element-224  Frequency of intake  CEN/TC 251 prEN 17269   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 IPSS...BADM where [@xsi:type='EIVL_TS']   hl7ips-data​element-224  Frequency of intake  CEN/TC 251 prEN 17269   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 IPSS...BADM @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 IPSS...BADM where [@xsi:type='SXPR_TS']   hl7ips-data​element-224  Frequency of intake  CEN/TC 251 prEN 17269 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. IPSS...BADM   hl7ips-data​element-223  Number of units per intake  CEN/TC 251 prEN 17269 @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 IPSS...BADM hl7:consumable 1 … 1 R IPSS...BADM hl7:manufacturedProduct 1 … 1 R IPSS...BADM hl7:manufactured​Material 1 … 1 R IPSS...BADM @nullFlavor cs 1 … 1 F NA