| Item | DT | Card | Conf | Description | Label |
|---|
| Choice | 1 … 1 | | The effectiveTime element encodes the use period of the medication, it is always expressed as an interval of time.
It may be expressed using the low and high OR with the width element.
The first is used to indicate a specified interval (e.g. from march 15th, 2017); the latter for indicating a 'floating' period (e.g. 2 weeks). Elements to choose from:- hl7:effectiveTime[hl7:low | hl7:high][not(hl7:width)]
- hl7:effectiveTime[hl7:width][not(hl7:low|hl7:high)]
- hl7:effectiveTime[hl7:low | hl7:width][not(hl7:high)]
|
 | hl7:effectiveTime
|
| IVL_TS | 0 … 1 | C | Case 1: specified interval
The low and high values of the first effectiveTime element represent the start and stop times for the medication. The low value represents the start time, and the high value represents the stop time. If either the low or the high value is unknown, this shall be recorded by setting the nullFlavor attribute to UNK.
In case of unbounded period (continuous therapy) the high element will be valued with the nullFlavor attribute to NA.
The high value records the end of the medication regime according to the information provided in the prescription or order. For example, if the prescription is for enough medication to last 30 days, then the high value should contain a date that is 30 days later then the low value. The rationale is that a provider, seeing a prescription that has not been refilled would normally assume that the medication is no longer being taken, even if the intent of the treatment plan is to continue the medication indefinitely. | (Use...iod) |
where [hl7:low or
[not(hl7:width)] | |
 | | @nullFlavor
|
| cs | 0 … 1 | | |
| | Example | Known Interval <effectiveTime type="IVL_TS">
<low value="20130321"/> <high value="20140321"/></effectiveTime> |
| | Example | Information not available about the period <effectiveTime type="IVL_TS" nullFlavor="NI"/> |
| | Example | Unknown end date <effectiveTime type="IVL_TS">
<low value="20130321"/> <high nullFlavor="UNK"/></effectiveTime> |
| | Example | continous therapy <effectiveTime type="IVL_TS">
<low value="20130321"/> <high nullFlavor="NA"/></effectiveTime> |
| | hl7:low
|
| IVXB_TS | 1 … 1 | R | | (Use...iod) |
| | hl7:high
|
| IVXB_TS | 0 … 1 | R | | (Use...iod) |
| hl7:effectiveTime
|
| IVL_TS | 0 … 1 | C | Case 2: 'floating' period:
The width element is used to specify a period of (actual or intended) administration that is not anchored to any specific date (e.g. a two weeks therapy) | (Use...iod) |
where [hl7:width] [not(hl7:lowor
hl7:high)] | |
| | Example | 2 week period <effectiveTime type="IVL_TS">
<width value="2" unit="w"/></effectiveTime> |
| | hl7:low
|
| | | NP | | (Use...iod) |
| | hl7:high
|
| | | NP | | (Use...iod) |
| | hl7:center
|
| | | NP | | (Use...iod) |
| | hl7:width
|
| PQ | 1 … 1 | R | | (Use...iod) |
| cs | 1 … 1 | R | |
| | CONF | | The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC) |
|
| hl7:effectiveTime
|
| IVL_TS | 0 … 1 | C | Case 3: anchored period:
The width element is used to specify a period of (actual or intended) administration anchored to a specific date (e.g. a two weeks therapy starting today) | (Use...iod) |
where [hl7:low or
[not(hl7:high)] | |
| | Example | 2 week period starting on 2013-03-21 <effectiveTime type="IVL_TS">
<low value="20130321"/> <width value="2" unit="w"/></effectiveTime> |
| | hl7:low
|
| IVXB_TS | 0 … 1 | C | | (Use...iod) |
| | hl7:width
|
| PQ | 1 … 1 | R | | (Use...iod) |
| cs | 1 … 1 | R | |
| | CONF | | The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC) |
|
Draft
