Difference between revisions of "PHARM Templates Implementationguide"

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Revision as of 09:55, 7 June 2017

Document Information

This document contains: Implementation Guide Pharmacy Templates (0.10). The text materials belong to category cdapharm.



Important Notes

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Following is a non-exhaustive list of third-party terminologies that may require a separate license:

TerminologyOwner/Contact
Current Procedures Terminology (CPT) code setAmerican Medical Association https://www.ama-assn.org/practice-management/cpt-licensing
SNOMED CT©SNOMED CT® International http://www.snomed.org/snomed-ct/get-snomed-ct or info@ihtsdo.org
Logical Observation Identifiers Names & Codes (LOINC©)Regenstrief Institute, Inc.
International Classification of Diseases (ICD) codesWorld Health Organization (WHO)
NUCC Health Care Provider Taxonomy code setAmerican Medical Association. Please see www.nucc.org. AMA licensing contact: 312-464-5022 (AMA IP services)

Obtaining a CPT Sublicense from HL7

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CPT content is copyrighted by the American Medical Association and CPT is a registered trademark of the AMA.

HL7, as a party to a license agreement with the AMA, is authorized to grant user a limited, non-exclusive, non-transferable, non-sublicensable license for user to use CPT content for (i) the development and publication of value sets, profiles, and other artifacts as part of the HL7 Implementation Guides, (ii) as part of defined VSAC value sets, and (iii) to support HL7's terminology services within the Territory, each of which shall be considered a non-production use. The sublicense granted hereunder shall automatically terminate upon termination of the agreement between HL7 and AMA, unless prior written consent of AMA is obtained.

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User acknowledge a separate license agreement shall be required, and shall govern any proposed use, including any distribution of CPT content for any other purposes not expressly permitted under this Agreement, and the terms of such agreement will govern such use (e.g., a separate license agreement shall govern production use and commercial purposes). AMA reserves the right to accept or reject licenses based on AMA's evaluation of the proposed use of the CPT content.

User acknowledge that User's development and commercialization of CPT-informed works developed with reference to Licensed Products may only be implemented in the Territory.

User is prohibited from making CPT content publicly available, creating derivative works (including translating), transferring, selling, leasing, licensing, or otherwise making available to any unauthorized party the CPT content, or a copy or portion of CPT content to any unauthorized party, including a subsidiary, affiliate, or other legal entity, however designated, for any purpose whatsoever except as expressly permitted under a separate agreement.

User expressly acknowledges and agrees to the extent permitted by applicable law, use of CPT content is at User's sole risk and CPT content is provided "as is" without warranty of any kind. The AMA does not directly or indirectly practice medicine or dispense medical services. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. CPT content herein does not replace the AMA's Current Procedural Terminology book or other appropriate coding authority. The coding information contained in CPT content should be used only as a guide.

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User expressly consents to the release of its name to the AMA.

Co-Chair, Primary Editor Melva Peters
Jenaker Consulting
melva@jenakerconsulting.com
Co-Chair, Primary Editor John Hatem
jnhatem@hotmail.com
Co-Chair Scott Robertson PharmD
scott.m.robertson@kp.org
Co-Chair Jean Duteau
jean@duteaudesign.com
Contributor Dr Kai U. Heitmann
Heitmann Consulting and Services, ART-DECOR Open Tools GmbH, HL7 Germany
info@kheitmann.de
Contributor Giorgio Cangioli, PhD
Consultant, HL7 Italy
giorgio.cangioli@gmail.com
Contributor Tom de Jong
VZVZ, HL7 The Netherlands
tom@nova-pro.nl
Contributor Dr Christof Geßner
Gematik GmbH, HL7 Germany
christof.gessner@gematik.de

Introduction

Purpose

Background

Scope

Ballot Status of the Document

This Implementation Guide is a Committee Ballot with the intention to go to STU and then to Normative.

Audience

Relationships with other projects and guides

Principles and background

What is a CDA

Templated CDA

Open and Closed Templates

Template versioning

Identifiers

Terminologies

Datatypes used in this guide

Functional requirements and high-level use cases

Templates

Root Entry Level Templates

Entry Level Templates

Id2.16.840.1.113883.10.21.5Effective Date valid from 2017‑01‑02
StatusKyellow.png DraftVersion Label
NameSubstitutionPermissionDisplay NameUV Substitution Permission
DescriptionInformation about a substitution permission for this adminstration.
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.5
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.10.21.1ContainmentKyellow.png UV Medication Order2015‑10‑07 17:53:30
RelationshipSpecialization: template 2.16.840.1.113883.10.12.300 (2005‑09‑07)
Example
Example
<act classCode="ACT" moodCode="DEF" negationInd="false">
  <templateId root="2.16.840.1.113883.10.21.5"/>  <code code="TE" codeSystem="2.16.840.1.113883.5.1070" displayName="therapeutic alternative"/>  <entryRelationship typeCode="RSON">
    <act classCode="ACT" moodCode="EVN">
      <!-- Reason no substitution -->
    </act>
  </entryRelationship>
</act>
ItemDTCardConfDescriptionLabel
hl7:act
1 … 1M(Substit…
Treetree.png@classCode
cs1 … 1FACT
Treetree.png@moodCode
cs1 … 1FDEF
Treetree.png@negationInd
bl0 … 1 Used to convey that the specified type of substitution is not allowed.
Treetree.pnghl7:templateId
II1 … 1M(Substit…
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.5
Treetree.pnghl7:code
CE1 … 1The type of substitution that this permission relates to.(Substit…
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16621 ActSubstanceAdminSubstitutionCode (DYNAMIC)
Treetree.pnghl7:entryRelationship
0 … 1CUsed when substitution is not allowed and may indicate the reason for why substitution is not allowed.(Substit…
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<entryRelationship typeCode="RSON">
  <code code="PAT" codeSystem="2.16.840.1.113883.5.8" displayName="Patient request">
    <originalText>Patient objects</originalText>  </code>
</entryRelationship>
Treeblank.pngTreetree.pnghl7:act
1 … 1(Substit…
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FACT
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs1 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD1 … 1(Substit…
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19719 SubstanceAdminSubstitutionNotAllowedReason (DYNAMIC)
 Schematron assertroleKred.png error 
 testnot(hl7:entryRelationship[@typeCode='RSON']) or (@negationInd='true') 
 MessageOnly if substitution is not allowed indicate the reason for why substitution is not allowed 

Appendix

Acronyms and abbreviations

Glossary

Licenses (for the artifacts used, for the code systems, etc.)

Integrated examples, links to instances

Validation artifacts (xsd, schematrons)

Links to platforms, binaries, software libraries

Operational information (helpdesk, actual server endpoints for testing/production/validation)

FAQ’s

References / Literature

List of all artifacts used in this guide

System OIDs / IDs

Code systems

CDA Templates (list of)

Value Sets

Summary tables

Examples (in progress)