| Id | 2.16.840.1.113883.10.22.3.1 | Effective Date | 2016‑11‑11 |
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| Status |  Under pre-publication review | Version Label | STU1 |
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| Name | IPSMedicationSummarySection | Display Name | IPS Medication Summary Section |
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| 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. |
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.3.1 |
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| Classification | CDA Section Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Associated with | | Associated with 2 concepts | | Id | Name | Data Set |
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| hl7ips-dataelement-61 |  List of medication | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-16 | Medication Summary | CEN/TC 251 prEN 17269 |
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| Uses | | Uses 4 templates | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.22.4.14 | Containment | 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 (STU1) | DYNAMIC | | 2.16.840.1.113883.10.22.3.15 | Containment | IPS Translation Section (STU1) | DYNAMIC |
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| Relationship | Adaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Adaptation: template 2.16.840.1.113883.10.20.1.8 (DYNAMIC)
Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.2.3 (2013‑12‑20) |
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| Example | | 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>
<!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
</author> <informant>
<!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
</informant> <entry typeCode="COMP" contextConductionInd="true">
<!-- template 2.16.840.1.113883.10.22.4.4 'IPS Medication Entry' (dynamic) -->
</entry> <component>
<!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->
</component></section> |
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| Item | DT | Card | Conf | Description | Label |
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| | 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
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) | | hl7:title
|
| ST | 1 … 1 | M | Medication Summary | (IPS...ion) | | hl7:text
|
| SD.TEXT | 1 … 1 | M | Section text | (IPS...ion) | | hl7:author
|
| | 0 … * | | Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) | (IPS...ion) | | where [hl7:assignedAuthor] |
| | | 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) | | where [hl7:substanceAdministration [hl7:code [concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.11.22.14-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.11.22.15-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or @nullFlavor]]] |
| | | | | | hl7ips-dataelement-61 | List of medication | CEN/TC 251 prEN 17269 |
| | | @typeCode
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| 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
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| bl | 0 … 1 | F | true | | hl7:component
|
| | 0 … * | | Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) | (IPS...ion) | | where [hl7:section] |
| |
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Under pre-publication review
