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Template IPSMedicationSummarySection

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.

Actual version

Id

2.16.840.1.113883.10.22.3.1

Effective Date

2016‑11‑11

Status

Under pre-publication review

Version Label

STU1

Name

IPSMedicationSummarySection

Display Name

IPS 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.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.22.3.1

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Associated with

Associated with 2 concepts

Id	Name	Data Set
hl7ips-dataelement-16	Medication Summary	CEN/TC 251 prEN 17269
hl7ips-dataelement-61	List of medication	CEN/TC 251 prEN 17269

Uses

Uses 4 templates

Uses	as	Name	Version
2.16.840.1.113883.10.22.4.14	Include	IPS Body Author (STU1)	DYNAMIC
2.16.840.1.113883.10.12.319	Containment	CDA Informant (Body)	DYNAMIC
2.16.840.1.113883.10.22.4.4	Containment	IPS Medication Statement (STU2)	DYNAMIC
2.16.840.1.113883.10.22.3.15	Containment	IPS Translation Section (2021)	DYNAMIC

Relationship

Adaptation: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)

ref

ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.1.8 Medication section (DYNAMIC)

ref

ccd1-

Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.2.3 Section Medication Summary (2013‑12‑20)

ref

epsos-

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>
    
  </author>  <informant>
    
  </informant>  <entry typeCode="COMP" contextConductionInd="true">
    
  </entry>  <component>
    
  </component></section>

Item

DT

Card

Conf

Description

Label

hl7:section

1 … 1

M

(IPS...ion)


	hl7ips-dataelement-16	Medication Summary	CEN/TC 251 prEN 17269

@classCode

cs

0 … 1

F

DOCSECT

hl7:templateId

II

1 … 1

M

(IPS...ion)

@root

uid

1 … 1

F

2.16.840.1.113883.10.22.3.1

hl7:id

II

0 … *

(IPS...ion)

hl7:code

CE.IPS

1 … 1

M

History of medication use

(IPS...ion)

@code

CONF

1 … 1

F

10160-0

@codeSystem

1 … 1

F

2.16.840.1.113883.6.1 (LOINC)

hl7:title

ST

1 … 1

M

Medication Summary

(IPS...ion)

hl7:text

SD.TEXT

1 … 1

M

Section text

(IPS...ion)

Included

0 … *

from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)

hl7:author

0 … *

(IPS...ion)

hl7:templateId

II

1 … 1

M

(IPS...ion)

@root

uid

1 … 1

F

2.16.840.1.113883.10.22.4.14

hl7:time

TS.IPS.TZ

1 … 1

R

(IPS...ion)

hl7:assignedAuthor

1 … 1

M

(IPS...ion)

hl7:id

II

1 … *

R

(IPS...ion)

hl7:code

0 … 1

R

(IPS...ion)

Choice

0 … 1

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice

hl7:assignedPerson

0 … 1

C

(IPS...ion)

@classCode

cs

0 … 1

F

PSN

@determinerCode

cs

0 … 1

F

INSTANCE

hl7:name

PN

1 … *

R

Name of the person (e.g. the Healthcare Professional) authoring this document

(IPS...ion)

Example

<name>
<given>John</given> <family>Español Smith</family></name>

hl7:family

1 … *

R

(IPS...ion)

hl7:given

1 … *

R

(IPS...ion)

hl7:assignedAuthoringDevice

0 … 1

C

(IPS...ion)

Example

Included

from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)

@classCode

cs

0 … 1

F

DEV

@determinerCode

cs

0 … 1

F

INSTANCE

hl7:code

CE

0 … 1

(IPS...ion)

hl7:manufacturerModelName

SC

0 … 1

(IPS...ion)

hl7:softwareName

SC

0 … 1

(IPS...ion)

hl7:representedOrganization

0 … 1

(IPS...ion)

hl7:id

II

0 … *

(IPS...ion)

hl7:name

0 … *

(IPS...ion)

hl7:telecom

TEL

0 … *

(IPS...ion)

hl7:addr

AD

0 … *

(IPS...ion)

hl7:informant

0 … *

Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)

(IPS...ion)

hl7:entry

1 … *

R

Contains 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (DYNAMIC)

(IPS...ion)


	hl7ips-dataelement-61	List of medication	CEN/TC 251 prEN 17269

@typeCode

cs

1 … 1

R

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)

@contextConductionInd

bl

0 … 1

F

true

hl7:component

0 … *

Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)

(IPS...ion)

List of all versions of this template

2016-11-11 (Under pre-publication review)

@@ Line 5: / Line 5: @@
 =Template ''IPSMedicationSummarySection''=
-<p>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.</p>
+<p>
+                    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.
+            </p>
 ==Actual version==
 {{:{{BASEPAGENAME}}/dynamic}}
@@ Line 11: / Line 18: @@
 ==List of all versions of this template==
 *[[2.16.840.1.113883.10.22.3.1/static-2016-11-11T000000|2016-11-11 (Under pre-publication review)]]
-<!--77ccfa1ed9e5f24dc40d18801e55556d557049a3-->
+<!--e529b93a0710935d4b78832aa48e238f8151d00e-->

Difference between revisions of "2.16.840.1.113883.10.22.3.1"

Latest revision as of 05:11, 13 June 2024

Template IPSMedicationSummarySection

Actual version

List of all versions of this template

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