2.16.840.1.113883.10.22.4.33/static-2017-06-15T000000

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Id2.16.840.1.113883.10.22.4.33Effective Date2017‑06‑15
StatusKorange.png Under pre-publication reviewVersion LabelSTU1
NameIPSSubordinateSubstanceAdministrationDisplay NameIPS Subordinate SubstanceAdministration
DescriptionThis entry is used by a main substanceAdministration act to provide dosage information as the frequency of intakes or the amount of the medication given.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.33
LabelIPSSubordSBADM
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
hl7ips-data​element-119Kyellow.png Dose Instruction Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-223Kyellow.png Number of units per intake Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-224Kyellow.png Frequency of intake Kyellow.png CEN/TC 251 prEN 17269
RelationshipSpecialization: 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>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
IPSS...BADM
 
Target.png
hl7ips-data​element-119Kyellow.png Dose Instruction Kyellow.png CEN/TC 251 prEN 17269
Treetree.png@classCode
cs1 … 1FSBADM
Treetree.png@moodCode
cs1 … 1RIf 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)
 ConstraintThe moodCode of this subordinate <substanceAdministration> SHALL be the same of the parent <substanceAdministration> .
Treetree.pnghl7:templateId
II1 … 1MIPSS...BADM
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.33
Treetree.pnghl7:statusCode
CS1 … 1MIPSS...BADM
 ConstraintThe 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"/>
Choice1 … 1Elements 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']
Treeblank.pngTreetree.pnghl7:effectiveTime
TS0 … 1CThis required element describes the frequency of intakes. If not known it shall be valued with the nullflavor "UNK"IPSS...BADM
where [@value or @nullFlavor]
 
Target.png
hl7ips-data​element-224Kyellow.png Frequency of intake Kyellow.png CEN/TC 251 prEN 17269
 Example
Once (known date)
<effectiveTime value="20170404"/>
 Example
Unknown
<effectiveTime nullFlavor="UNK"/>
Treeblank.pngTreetree.pnghl7:effectiveTime
PIVL_TS0 … 1CIPSS...BADM
where [@xsi:type='PIVL_TS']
 
Target.png
hl7ips-data​element-224Kyellow.png Frequency of intake Kyellow.png 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>
Treeblank.pngTreetree.pnghl7:effectiveTime
EIVL_TS0 … 1CIPSS...BADM
where [@xsi:type='EIVL_TS']
 
Target.png
hl7ips-data​element-224Kyellow.png Frequency of intake Kyellow.png 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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:event
EIVL.event0 … 1CIPSS...BADM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs0 … 1 
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10706 TimingEvent (DYNAMIC)
Treeblank.pngTreetree.pnghl7:effectiveTime
SXPR_TS0 … 1RIPSS...BADM
where [@xsi:type='SXPR_TS']
 
Target.png
hl7ips-data​element-224Kyellow.png Frequency of intake Kyellow.png CEN/TC 251 prEN 17269
Treetree.pnghl7:doseQuantity
IVL_PQ0 … 1RThe <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
 
Target.png
hl7ips-data​element-223Kyellow.png Number of units per intake Kyellow.png CEN/TC 251 prEN 17269
Treeblank.pngTreetree.png@unit
cs0 … 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>
Treetree.pnghl7:rateQuantity
IVL_PQ0 … 1IPSS...BADM
Treetree.pnghl7:consumable
1 … 1RIPSS...BADM
Treeblank.pngTreetree.pnghl7:manufacturedProduct
1 … 1RIPSS...BADM
Treeblank.pngTreeblank.pngTreetree.pnghl7:manufactured​Material
1 … 1RIPSS...BADM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs1 … 1FNA