Pharmacy Templates

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Continuous Build

This is the Continuous Build of the HL7 CDA® R2 Implementation Guide Pharmacy Templates (will be incorrect/inconsistent at times).

See the Directory of the published standard.

Document Information

This document contains: Pharmacy Templates (1.2.0). The text materials belong to category cdapharm.

CDAR2_IG_PHARM_TEMPLATES_E1_STU2_2023APR
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HL7 CDA® R2 Implementation Guide:
Pharmacy Templates
Edition 1 (Universal Realm)
Standard for Trial use
1.2.0
April 2023
Pharmacy Templates
Publication of this standard for trial use (STU) has been approved by Health Level Seven International (HL7). This STU is not an accredited American National Standard. The comment period for use of this STU shall end 24 months from the date of publication. Suggestions for revision should be submitted at http://www.hl7.org/stucomments/index.cfm. Following this 24 month evaluation period, this STU, revised as necessary, will be submitted to a normative ballot in preparation for approval by ANSI as an American National Standard. Implementations of this STU shall be viable throughout the normative ballot process and for up to six months after publication of the relevant normative standard.


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HL7 CDA® R2 Implementation Guide: Pharmacy Templates, Edition 1
1.2.0 April 2023 – © 2016-2023 Health Level Seven International. All rights reserved.



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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

Contents

Introduction

This Implementation Guide provides CDA R2 templates for Medication Order and Medication Statement, Medication Dispense and Medication Administration that can be used by HL7 standards developers and external projects to develop models for pharmacy related content. The implementation guide is intended to provide consistency of pharmacy related models across all uses regardless of the method of transport by creating a library of Universal (UV) Pharmacy Templates that can be used by other Work Groups to derive constrained versions.

Purpose

Background

Historically multiple HL7 Work Groups have developed specifications for pharmacy related content and as a result, there is inconsistency in how medication related content is represented in HL7 V2, V3, CDA and FHIR. The Pharmacy Work Group often receives questions as to how to model pharmacy related content but in some cases, the use case cannot be met with the existing models.

This Implementation Guide provides a CDA R2 library of pharmacy templates that can be used by HL7 Work Groups or external projects to derive constrained versions of models for pharmacy related content.

Scope

This Pharmacy Templates Implementation Guide defines common pharmacy artifacts (order, dispense, administration and statement) in CDA R2 format. The scope of the Implementation Guide is limited to Medication Order and Medication Statement, Medication Dispense and Medication Administration. The content was developed by aligning and harmonizing the existing specifications for Consolidated CDA (C-CDA Release 2.1[1]).

Ballot Status of the Document

The Implementation Guide was balloted as Standard for Trial Use (STU) and then goes to Normative.

Audience

  • Clinical and Public Health laboratories
  • Immunization Registries
  • Pharmaceutical Vendors
  • EHR/PHR vendors
  • Clinical Decision Support Systems
  • HIS Vendors
  • Emergency Services Providers
  • Healthcare Institutions
  • Pharmacists
  • Physicians and other Clinicians

Relationships with other projects and guides

  • Consolidated CDA (C-CDA)
  • HL7 Version 3 Pharmacy Models
  • HL7 FHIR® Pharmacy Resources
  • International Patient Summary (IPS), where all pharmacy related templates are specialisations of the corresponding templates defined in this guide

Principles and background

The Pharmacy Work Group has a set of rich set of existing models that were used as the basis for the implementation guide including HL7 V3 models and FHIR resources. 

This implementation guide was created by the Pharmacy Work Group using the following approach:

  • Review of Consolidated CDA (C-CDA[1]) to identify templates that include pharmacy related content
  • Compare C-CDA templates to existing Pharmacy HL7 V3 models and Pharmacy FHIR resources to identify differences and gaps
  • Create universal templates to that can be constrained for use for new templates.

For the Medication Model reflected in template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail), the Common Message Element Type CMET R_Medication Universal” (COCT_MT230100UV02), Release 2 (as published in HL7 V3 2017, V2.0.2 Dec 2010, derived from Common Product Model) was used to construct the CDA extension elements (see also "Extensions" used in this guide in the appendix).

The template rules are formalized using the computable format defined by the HL7 Templates Standard: Specification and Use of Reusable Information Constraint Templates, Release 1[2] in order to facilitate also the automatic generation of consistent testing and validation capabilities.

Technical Background

What is a CDA

CDA R2 is "… a document markup standard that specifies the structure and semantics of clinical documents for the purpose of exchange” [CDA R2, Section 1.1]. Clinical documents, according to CDA, have the following characteristics:

  • Persistence
  • Stewardship
  • Potential for authentication
  • Context
  • Wholeness
  • Human readability

CDA defines a header for classification and management and a document body that carries the clinical record. While the header metadata are prescriptive and designed for consistency across all instances, the body is highly generic, leaving the designation of semantic requirements to implementation.

Templated CDA

CDA R2 can be constrained by mechanisms defined in the “Refinement and Localization” section of the HL7 Version 3 Interoperability Standards. The mechanism most commonly used to constrain CDA is referred to as “templated CDA”. This specification created a set of artifacts containing modular CDA templates (and associated value sets) for the purpose of the International Patient Summary, and the templates can be reused across any number of CDA document types.

There are different kinds of templates that might be created. Among them, the most common ones are:

  • CDA Document Level Templates constrain fields in the Clinical Document Architecture (CDA) header, and define containment relationships to CDA sections.
    For example, a History-and-Physical document-level template might require that the patient’s name be present, and that the document contain a Physical Exam section.
  • CDA Header Level Templates constrain fields for parts of the CDA header, like the patient (record target), the author, participations or the service event.
  • CDA Section Level Templates constrain fields in the CDA section, and define containment relationships to CDA entries.
    For example, a Physical-exam section-level template might require that the section/code be fixed to a particular LOINC code, and that the section contain a Systolic Blood Pressure observation.
  • CDA Entry Level Templates constrain the CDA clinical statement model in accordance with real world observations and acts.
    For example, a Systolic-blood-pressure entry-level template defines how the CDA Observation class is constrained (how to populate observation/code, how to populate observation/value, etc.) to represent the notion of a systolic blood pressure.

Open and Closed Templates

Open templates permit anything to be done in the underlying standard that is not explicitly prohibited. This allows templates to be built up over time that extend and go beyond the original use cases for which they were originally designed.

Closed templates only permit what has been defined in the template, and do not permit anything beyond that. There are good reasons to use closed templates, sometimes having to do with local policy. For example, in communicating information from a healthcare provider to an insurance company, some information may need to be omitted to ensure patient privacy laws are followed. Most templates developed for CDA are of the open sort.

Template versioning

Template versioning is needed to enable template designs to evolve over time.

Template versioning enables template designers to control and shape the conformance statements that make up a template’s design over time tailoring the design to fit the template’s intended purpose.

Each template version is associated with a particular template. The template – as a whole – has a mandatory globally unique, non-semantic, identifier. The identifier serves as the identifier of the original intent of the template and as the identifier of the set of versions that represent the template over time.

Template versions have a mandatory timestamp (date and optional time), called the “effective date”. The date can be seen as the point in time when the template version “came into being”, i.e. was recognized as existent by the governance group. Use of the template prior to this date would be considered an invalid use of the template.

For further information on Templates, Template Versions and related topics refer to the HL7 Templates Standard[2].

Identifiers for Templates and Value Sets

This specification specifies CDA Entry Level Templates only. They can be re-used in any appropriate context, such as an Entry of a medication section.

Two "root" Entry Templates are provided as entry points for the four described use cases:

  • UV Medication Order (2.16.840.1.113883.10.21.4.1)
  • UV Medication Statement (2.16.840.1.113883.10.21.4.7)
  • UV Medication Administration (2.16.840.1.113883.10.21.4.13)
  • UV Medication Dispense (2.16.840.1.113883.10.21.4.15)

These templates use other Entry Level Templates that are all listed in a subsequent section of this document.

This specification uses the following OIDs for the artifacts that are registered at the HL7 OID registry.

  • The root OID for templates is 2.16.840.1.113883.10.21
    • Entry Level templates are summarized under 2.16.840.1.113883.10.21.4, e.g. 2.16.840.1.113883.10.21.4.5 UV Substitution Permission
    • “other” assistance templates are summarized under 2.16.840.1.113883.10.21.9, e.g. 2.16.840.1.113883.10.22.9.1 UV Use Period
  • The root OID for Value Sets is 2.16.840.1.113883.11

The sub branches for templates follow the recommendations of HL7 International and ISO 13582[3].

Namespace Identifier

The CDA extensions for Pharmacy defined by the Pharmacy Workgroup are handled under the XML namespace identifier 

urn:hl7-org:pharm

and typically use the namespace prefix 

pharm:

How to read this document

All artifacts (templates, value sets etc.) listed with the status Kyellow.png Draft or Korange.png Pending are subject to ballot comments.

Artifacts with other status information, especially Kgreen.png Final or Active are not (directly) part of the ballot and some artifacts actually even come from external sources. Reference artifacts are indicated by the symbol

ref

. These reference artifacts are also not subject to the ballot, as they might be balloted elsewhere already.

The PDF version contains a ruler on the left side of the pages. A ruler has the page number on top of it and allows locating a line at the page by simply specifying the number at the scale tick. This is more precise and allows also commenting on graphics and pictures.

For example if you have a comment on page 29 because of a typo (see figure), you simply specify the error with its location p0029-04.

Of course you can also refer by classical chapter and section numbers. The use of the ruler has the ballot team's preference, though.

IPS ballotruler.jpg

IPS ballotruler.jpg

[Figure 1] To locate a typo on page 29 as a ballot comment, simply specify the location p0029-04.

Reading Publication Artifacts

A reading guide is available that explains the formalisms used to express the publication artifacts, i.e. template meta data and template design. For convenience the guide is included in the appendix.

Functional requirements and high-level use cases

The following use cases are relevant to the pharmacy domain for both community and institutional settings:

  • Prescribing a medication (aka Prescription or Order or Request)
  • Dispensing a medication
  • Recording the administration of a medication
  • Recording the use of a medication (in the past, current or future)

The following definitions are relevant to this Implementation Guide:

  • Prescribing is an activity that can be performed by a variety of healthcare professionals and involves a variety of orderable items (see glossary entry). For the purposes of the following Implementation Guide, prescribing is defined as the act of authorizing the usage of a medication in various settings for example, inpatient, community, and long term care. This could include initiating a new medication order or making all kinds of modifications to existing orders.
  • Dispensing is the provision of a medication or other material to a caregiver in fulfillment of a prescription or medication order. It supplies the materials needed to perform the prescribed actions by those who will perform them. Examples of dispensing include eyeglasses, contact lenses and medications. Dispensing is defined as supplying a medication in fulfilment of a prescription or medication order. While dispensing is usually performed by a pharmacist, other health care providers such as nurses or physicians may also dispense.
  • Administration is an activity undertaken to give medication to the patient. In the community, this process is usually not recorded, since the majority occurs in the patient's home; only administrations undertaken by a healthcare professional, such as vaccination, tend to be formally documented. Administration of medication in the institutional setting is usually recorded on a dose-by-dose basis, and may be messaged on that basis, or a summary of all the administrations occurring during an inpatient stay may be described.
  • Medication Statement is an activity that can be performed by a variety of healthcare professionals, or the patient, or non-healthcare professionals. Examples of recording medication statements include taking a patient's medication history, recording reported use of medications where the source of the patient information is from a third party and not the patient e.g. a family member when the patient is unable to communicate their medication history.

Templates

Use Case Entry Level Templates

As mentioned before, this specification defines two "root" Entry Level Templates, one for each of the covered use cases. All entry templates are used in the context of a CDA section.

UV Medication Order

The following graph gives an overview of the high-level template components of this template, followed by the actual definition.

Note: If you need to include multiple ordered medications as part of a single order, you can include multiple CDA entries under one CDA section. CDA Section definitions are not part of this guide.

  1. Entry
     UV Medication Order (2.16.840.1.113883.10.21.4.1)
    1. Entry
       UV Use Period (2.16.840.1.113883.10.21.9.1)
    2. Entry
       CDA Subject (Body) (2.16.840.1.113883.10.12.320)
    3. Entry
       UV Medication Information (simple) (2.16.840.1.113883.10.21.4.10)
      1. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    4. Entry
       UV Medication Information (detail) (2.16.840.1.113883.10.21.4.11)
      1. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      2. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      3. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      4. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      5. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      6. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      7. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      8. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      9. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      10. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      11. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      12. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      13. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    5. Entry
       CDA Author (Body) (2.16.840.1.113883.10.12.318)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
      2. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      3. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    6. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    7. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    8. Entry
       UV Subordinate Substance Administration (2.16.840.1.113883.10.21.4.6)
    9. Entry
       UV Dispense Request (2.16.840.1.113883.10.21.4.2)
      1. Entry
         CDA Subject (Body) (2.16.840.1.113883.10.12.320)
      2. Entry
         CDA ManufacturedProduct (2.16.840.1.113883.10.12.312)
        1. Entry
           CDA LabeledDrug (2.16.840.1.113883.10.12.310)
        2. Entry
           CDA Material (2.16.840.1.113883.10.12.311)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
      3. Entry
         CDA Performer (Body) (2.16.840.1.113883.10.12.323)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
      4. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      5. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      6. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      7. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    10. Entry
       UV ClinicalStatement Observation (2.16.840.1.113883.10.21.4.3)
      1. Entry
         CDA Subject (Body) (2.16.840.1.113883.10.12.320)
      2. Entry
         CDA Specimen (2.16.840.1.113883.10.12.322)
      3. Entry
         CDA Performer (Body) (2.16.840.1.113883.10.12.323)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
      4. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
      5. Entry
         CDA Informant (Body) (2.16.840.1.113883.10.12.319)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
        2. Entry
           CDA RelatedEntity (2.16.840.1.113883.10.12.316)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
      6. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      7. Entry
         CDA Reference (2.16.840.1.113883.10.12.324)
        1. Entry
           CDA ExternalAct (2.16.840.1.113883.10.12.325)
        2. Entry
           CDA ExternalObservation (2.16.840.1.113883.10.12.326)
        3. Entry
           CDA ExternalProcedure (2.16.840.1.113883.10.12.327)
        4. Entry
           CDA ExternalDocument (2.16.840.1.113883.10.12.328)
      8. Entry
         CDA Precondition (2.16.840.1.113883.10.12.329)
    11. Entry
       IPS Internal Reference (2.16.840.1.113883.10.22.4.31)
    12. Entry
       UV ClinicalStatement Observation (2.16.840.1.113883.10.21.4.3)
      1. Entry
         CDA Subject (Body) (2.16.840.1.113883.10.12.320)
      2. Entry
         CDA Specimen (2.16.840.1.113883.10.12.322)
      3. Entry
         CDA Performer (Body) (2.16.840.1.113883.10.12.323)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
      4. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
      5. Entry
         CDA Informant (Body) (2.16.840.1.113883.10.12.319)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
        2. Entry
           CDA RelatedEntity (2.16.840.1.113883.10.12.316)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
      6. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      7. Entry
         CDA Reference (2.16.840.1.113883.10.12.324)
        1. Entry
           CDA ExternalAct (2.16.840.1.113883.10.12.325)
        2. Entry
           CDA ExternalObservation (2.16.840.1.113883.10.12.326)
        3. Entry
           CDA ExternalProcedure (2.16.840.1.113883.10.12.327)
        4. Entry
           CDA ExternalDocument (2.16.840.1.113883.10.12.328)
      8. Entry
         CDA Precondition (2.16.840.1.113883.10.12.329)
    13. Entry
       UV Substitution Permission (2.16.840.1.113883.10.21.4.5)
    14. Entry
       UV ClinicalStatement Encounter (2.16.840.1.113883.10.21.4.4)
    15. Entry
       UV Comment Activity (2.16.840.1.113883.10.21.4.12)
      1. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
    16. Entry
       CDA Precondition (2.16.840.1.113883.10.12.329)


The boxes reflect the CDA Template Types. Symbols: * denotes templates with more than one classification, @ indicates a recursion in the definition

Id2.16.840.1.113883.10.21.4.1Effective Date2023‑01‑31 11:29:28
Other versions this id:
  • Kblank.png UVSubstanceadministrationrequest as of 2023‑01‑31 10:52:39
  • Kblank.png UVSubstanceadministrationrequest as of 2023‑01‑30 08:30:30
  • Kblank.png UVSubstanceadministrationrequest as of 2021‑08‑04 17:03:38
  • Kblank.png UVSubstanceadministrationrequest as of 2015‑10‑07
StatusKyellow.png DraftVersion Label2023
NameUVSubstanceadministrationrequestDisplay NameUV Medication Order
DescriptionUniversal Medication Order (Substance Administration Request)
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.1
LabelMedicationOrder
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 14 templates
Uses as NameVersion
2.16.840.1.113883.10.21.9.1IncludeKyellow.png UV Use Period (2023)DYNAMIC
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.21.4.10ContainmentKorange.png UV Medication Information (simple) (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.11ContainmentKyellow.png UV Medication Information (detail) (2023)DYNAMIC
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.21.4.6ContainmentKyellow.png UV Subordinate Substance Administration (2023)DYNAMIC
2.16.840.1.113883.10.21.4.2ContainmentKorange.png UV Dispense Request (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.3ContainmentKorange.png UV ClinicalStatement Observation (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.22.4.31ContainmentKorange.png IPS Internal Reference (STU1)DYNAMIC
2.16.840.1.113883.10.21.4.5ContainmentKorange.png UV Substitution Permission (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.4ContainmentKorange.png UV ClinicalStatement Encounter (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.12ContainmentKorange.png UV Comment Activity (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.12.329ContainmentKgreen.png CDA PreconditionDYNAMIC
RelationshipVersion: template 2.16.840.1.113883.10.21.4.1 UV Medication Order (2015‑10‑07)
Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="RQO">
  <templateId root="2.16.840.1.113883.10.21.4.1"/>  <id root="1.2.3.99.99.99" extension="58768437489739"/>  <code code="..." codeSystem="..."/>  <text>...</text>  <statusCode code="active"/>  <effectiveTime value="..."/>  <repeatNumber value="..."/>  <routeCode code="IPINHL" codeSystem="2.16.840.1.113883.5.112" displayName="Inhalation, respiratory Inhalation, intrapulmonary Inhalation, oral"/>  <approachSiteCode code="..." codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="PUFF" codeSystem="2.16.840.1.113883.5.85" displayName="Puff"/>  <consumable typeCode="CSM">
    <!-- Consumable -->
  </consumable>  <participant typeCode="DEV">
    <!-- Device -->
  </participant>  <participant typeCode="LOC">
    <!-- Location -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- Subordinate Substance Administrations -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- Annotations -->
  </entryRelationship>  <precondition>
    <!-- Precondition -->
  </precondition></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
Medi...rder
Treetree.png@classCode
cs1 … 1FSBADM
Treetree.png@moodCode
cs1 … 1FRQO
Treetree.pnghl7:templateId
II1 … 1MMedi...rder
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.1
Treetree.pnghl7:id
II1 … *RMedi...rder
Treetree.pnghl7:code
CD (extensible)0 … 1RMedi...rder
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1Medi...rder
Treetree.pnghl7:statusCode
CS (required)1 … 1MMedi...rder
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.21.2 ActStatusActiveCompletedAbortedSuspended (DYNAMIC)
Included from 2.16.840.1.113883.10.21.9.1 UV Use Period (DYNAMIC)
Choice1 … 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)]
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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.		Medi...rder
where [hl7:low or
[not(hl7:width)]
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS1 … 1RMedi...rder
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
IVXB_TS0 … 1RMedi...rder
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...rder
where [hl7:width] [not(hl7:lowor
hl7:high)]
 Example
2 week period
<effectiveTime type="IVL_TS">
  <width value="2" unit="w"/></effectiveTime>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
NPMedi...rder
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
NPMedi...rder
Treeblank.pngTreeblank.pngTreetree.pnghl7:center
NPMedi...rder
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...rder
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...rder
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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS0 … 1CMedi...rder
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...rder
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1Medi...rder
Treetree.pnghl7:routeCode
CE (example)0 … 1Medi...rder
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
Treetree.pnghl7:approachSiteCode
CD (example)0 … *Medi...rder
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
Treetree.pnghl7:doseQuantity
IVL_PQNPMedi...rder
Treetree.pnghl7:rateQuantity
IVL_PQNPMedi...rder
Treetree.pnghl7:maxDoseQuantity
RTO_PQ_PQ0 … 1Medi...rder
Treetree.pnghl7:administrationUnitCode
CENPMedi...rder
Treetree.pnghl7:subject
0 … 1CThe patient, subject to requested dispenses or subject to substances being administered to.
Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)		Medi...rder
 ConstraintCondition: This can be omitted if the patient context that is provided in the CDA header is identical to the subject
Choice1 … 1Elements to choose from:
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (simple)
Contains 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)		Medi...rder
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (detail)
Contains 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)		Medi...rder
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Treetree.pnghl7:author
0 … *Prescriber: A party that originates the order and therefore has responsibility for the information given in the order.
Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)		Medi...rder
Treetree.pnghl7:participant
0 … 1Record Target: indicates the person who's medical record holds the documentation of this medication statement. This element is only populated when the document is placed in a medical record of someone other than the patient (subject).
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...rder
where [@typeCode='RCT']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRCT
Treetree.pnghl7:participant
0 … 1Verifier: The person or organization that has primary responsibility for the order. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate.
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...rder
where [@typeCode='VRF']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FVRF
Treetree.pnghl7:entryRelationship
0 … *CSubordinate Substance Administration Request as a component of the overall order.
At least one subordinated Substance Administration should be present to convey information about dosages (dose, frequency of intakes,..) unless dosage is unknown.
Subordinated Substance Administration elements can be also used either to handle split dosing, or to support combination medications.
Contains 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC)		Medi...rder
where [hl7:substanceAdministration]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 ConstraintAt least one subordinate element SHALL be present.
 Example<entryRelationship typeCode="COMP">
  <!-- component: Subordinate Substance Administration Request. -->
  <substanceAdministration classCode="SBADM" moodCode="RQO">
    <templateId root="2.16.840.1.113883.10.21.4.6"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1Sequence number of the Subordinate Substance Administration.Medi...rder
Treetree.pnghl7:entryRelationship
0 … 1RDispense Request as a component of the overall order. This element is used in the medication order when the dispense request information contains additional information to support a fully specified medication prescription. For example, to include the validity period of the dispense or the organization to dispense the medication.
Contains 2.16.840.1.113883.10.21.4.2 UV Dispense Request (DYNAMIC)		Medi...rder
where [hl7:supply]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 Example<entryRelationship typeCode="COMP">
  <!-- component: The Dispense Request is a component of the overall order. -->
  <supply classCode="SPLY" moodCode="RQO">
    <templateId root="2.16.840.1.113883.10.21.4.2"/>    <!-- .. -->
  </supply></entryRelationship>
Choice0 … *Elements to choose from:
  • hl7:entryRelationship containing template 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)
  • hl7:entryRelationship containing template 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)		Medi...rder
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<hl7:entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <!-- template 2.16.840.1.113883.10.21.4.3 'UV ClinicalStatement Observation' (2016-05-01T00:00:00) -->
</hl7:entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...rder
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)		Medi...rder
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <act>
    <!-- Clinical Statement Minimal -->
  </act></entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...rder
Treetree.pnghl7:entryRelationship
0 … *RPertinent Information: Specifies any pertinent information (observation) relevant to the order.
Contains 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)		Medi...rder
Treeblank.pngTreetree.png@typeCode
cs1 … 1FPERT
 Example<entryRelationship typeCode="PERT">
  <observation>
    <!-- Clinical Statement Observation -->
  </observation></entryRelationship>
Treetree.pnghl7:entryRelationship
0 … 1RPermission: The order can be the subject of the permissions related to substitution.
Contains 2.16.840.1.113883.10.21.4.5 UV Substitution Permission (DYNAMIC)		Medi...rder
where [hl7:act]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treetree.pnghl7:entryRelationship
0 … 1REncounter: Used to link an order to a specific encounter.
Contains 2.16.840.1.113883.10.21.4.4 UV ClinicalStatement Encounter (DYNAMIC)		Medi...rder
where [hl7:encounter]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 Example<encounter classCode="ENC" moodCode="EVN">
  <id/>  <code code="..."/></encounter>
Treetree.pnghl7:entryRelationship
0 … *Annotations: The Medication Order can be the subject of annotations.
Contains 2.16.840.1.113883.10.21.4.12 UV Comment Activity (DYNAMIC)		Medi...rder
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treetree.pnghl7:precondition
0 … *Precondition: A requirement to be true before the SubstanceAdministration is performed.
Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)		Medi...rder


UV Medication Statement

The following graph gives an overview of the high-level template components of this template, followed by the actual definition.

  1. Entry
     UV Medication Statement (2.16.840.1.113883.10.21.4.7)
    1. Entry
       UV Use Period (2.16.840.1.113883.10.21.9.1)
    2. Entry
       CDA Subject (Body) (2.16.840.1.113883.10.12.320)
    3. Entry
       UV Medication Information (simple) (2.16.840.1.113883.10.21.4.10)
      1. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    4. Entry
       UV Medication Information (detail) (2.16.840.1.113883.10.21.4.11)
      1. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      2. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      3. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      4. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      5. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      6. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      7. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      8. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      9. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      10. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      11. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      12. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      13. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    5. Entry
       CDA Author (Body) (2.16.840.1.113883.10.12.318)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
      2. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      3. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    6. *
       CDA AssignedEntity (2.16.840.1.113883.10.12.153)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
      2. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    7. Entry
       CDA RelatedEntity (2.16.840.1.113883.10.12.316)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
    8. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    9. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    10. Entry
       UV Subordinate Substance Administration (2.16.840.1.113883.10.21.4.6)
    11. Entry
       UV Medication Order Reference (2.16.840.1.113883.10.21.4.8)
      1. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
    12. Entry
       UV Dispense Event Reference (2.16.840.1.113883.10.21.4.9)
    13. Entry
       UV ClinicalStatement Observation (2.16.840.1.113883.10.21.4.3)
      1. Entry
         CDA Subject (Body) (2.16.840.1.113883.10.12.320)
      2. Entry
         CDA Specimen (2.16.840.1.113883.10.12.322)
      3. Entry
         CDA Performer (Body) (2.16.840.1.113883.10.12.323)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
      4. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
      5. Entry
         CDA Informant (Body) (2.16.840.1.113883.10.12.319)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
        2. Entry
           CDA RelatedEntity (2.16.840.1.113883.10.12.316)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
      6. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      7. Entry
         CDA Reference (2.16.840.1.113883.10.12.324)
        1. Entry
           CDA ExternalAct (2.16.840.1.113883.10.12.325)
        2. Entry
           CDA ExternalObservation (2.16.840.1.113883.10.12.326)
        3. Entry
           CDA ExternalProcedure (2.16.840.1.113883.10.12.327)
        4. Entry
           CDA ExternalDocument (2.16.840.1.113883.10.12.328)
      8. Entry
         CDA Precondition (2.16.840.1.113883.10.12.329)
    14. Entry
       IPS Internal Reference (2.16.840.1.113883.10.22.4.31)

The boxes reflect the CDA Template Types. Symbols: * denotes templates with more than one classification, @ indicates a recursion in the definition

Id2.16.840.1.113883.10.21.4.7Effective Date2023‑01‑30 08:32:34
Other versions this id:
  • Kblank.png UVMedicationstatement as of 2021‑08‑04 14:09:15
  • Kblank.png UVMedicationstatement as of 2017‑05‑01
StatusKyellow.png DraftVersion Label2023
NameUVMedicationstatementDisplay NameUV Medication Statement
Description
Universal Medication Statement: Recording a "medication statement" is an activity that can be performed by a variety of healthcare professionals, or the patient, or non-healthcare professionals. Examples of recording medication statements include taking a patient's medication history, recording reported use of medications where the source of the patient information is from a third party and not the patient e.g. a family member when the patient is unable to communicate their medication history.
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.7
LabelMedicationStatement
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 13 templates
Uses as NameVersion
2.16.840.1.113883.10.21.9.1IncludeKyellow.png UV Use Period (2023)DYNAMIC
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.21.4.10ContainmentKorange.png UV Medication Information (simple) (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.11ContainmentKyellow.png UV Medication Information (detail) (2023)DYNAMIC
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.153ContainmentKgreen.png CDA AssignedEntityDYNAMIC
2.16.840.1.113883.10.12.316ContainmentKgreen.png CDA RelatedEntityDYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.21.4.6ContainmentKyellow.png UV Subordinate Substance Administration (2023)DYNAMIC
2.16.840.1.113883.10.21.4.8ContainmentKorange.png UV Medication Order Reference (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.9ContainmentKorange.png UV Dispense Event Reference (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.3ContainmentKorange.png UV ClinicalStatement Observation (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.22.4.31ContainmentKorange.png IPS Internal Reference (STU1)DYNAMIC
RelationshipVersion: template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2021‑08‑04 14:09:15)
Version: template 2.16.840.1.113883.10.21.4.7 UV Medication Statement (2017‑05‑01)
Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.7"/>  <id root="1.2.3.99.99.99" extension="988437489739"/>  <code code="..." codeSystem="..."/>  <text>...</text>  <statusCode code="active"/>  <effectiveTime value="..."/>  <repeatNumber value="..."/>  <routeCode code="SOAK" codeSystem="2.16.840.1.113883.5.112" displayName="Immersion (soak)"/>  <approachSiteCode code="..." codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="PUFF" displayName="Puff" codeSystem="2.16.840.1.113883.5.85"/>  <consumable typeCode="CSM">
    <!-- Consumable -->
  </consumable>  <participant typeCode="DEV">
    <!-- Device -->
  </participant>  <participant typeCode="LOC">
    <!-- Location -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- Subordinate Substance Administrations -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- Annotations -->
  </entryRelationship>  <precondition>
    <!-- Precondition -->
  </precondition></substanceAdministration>
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.7"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="DRUG" displayName="Drug therapy" codeSystem="2.16.840.1.113883.5.4"/>  <text/>  <statusCode code="active"/>  <!-- include template 'UV Use Period' (dynamic) .. O -->
  <repeatNumber/>  <routeCode code="SOAK" displayName="Immersion (soak)" codeSystem="2.16.840.1.113883.5.112"/>  <approachSiteCode code="--code--" codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="APPFUL" displayName="Applicatorful" codeSystem="2.16.840.1.113883.5.85"/>  <subject>
    <!-- template 'CDA Subject (Body)' (dynamic) -->
  </subject>  <consumable typeCode="CSM">
    <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (dynamic) -->
  </consumable>  <!-- choice: 1..1
element hl7:author
element hl7:participant[@typeCode='AUT']
-->
  <!-- choice: 0..1
element hl7:informant[exists(hl7:assignedEntity)]
element hl7:participant[@typeCode='INF']
element hl7:informant[exists(hl7:relatedEntity)]
-->
  <participant typeCode="RCT">
    <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="VRF">
    <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (dynamic) -->
  </participant>  <entryRelationship typeCode="COMP">
    <sequenceNumber value="1"/>    <!-- template 2.16.840.1.113883.10.21.4.6 'Subordinate Substance Administration' (dynamic) -->
  </entryRelationship>  <entryRelationship typeCode="REFR">
    <!-- template 2.16.840.1.113883.10.21.4.8 'UV Medication Order Reference' (dynamic) -->
  </entryRelationship>  <entryRelationship typeCode="REFR">
    <!-- template 2.16.840.1.113883.10.21.4.9 'UV Dispense Event Reference' (dynamic) -->
  </entryRelationship></substanceAdministration>
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.7"/>  <id root="1.2.3.99.99.99" extension="988437489739"/>  <code code="..." codeSystem="..."/>  <text>...</text>  <statusCode code="active"/>  <effectiveTime value="..."/>  <repeatNumber value="..."/>  <routeCode code="SOAK" codeSystem="2.16.840.1.113883.5.112" displayName="Immersion (soak)"/>  <approachSiteCode code="..." codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="PUFF" displayName="Puff" codeSystem="2.16.840.1.113883.5.85"/>  <consumable typeCode="CSM">
    <!-- Consumable -->
  </consumable>  <participant typeCode="DEV">
    <!-- Device -->
  </participant>  <participant typeCode="LOC">
    <!-- Location -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- Subordinate Substance Administrations -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- Annotations -->
  </entryRelationship>  <precondition>
    <!-- Precondition -->
  </precondition></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
Medi...ment
Treetree.png@classCode
cs1 … 1FSBADM
Treetree.png@moodCode
cs1 … 1REVN will be used to record a medication statement where the patient is currently taking or has taken the medication in the past.
INT will be used to record a medication statement where the patient plans to take the medication or be administered the medication in the future.
 CONF
@moodCode shall be "EVN"
or
@moodCode shall be "INT"
Treetree.pnghl7:templateId
II1 … 1MMedi...ment
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.7
Treetree.pnghl7:id
II0 … *RMedi...ment
Treetree.pnghl7:code
CD (preferred)0 … 1RThe code element is valorized with the ACT code DRUG; FD or IMMUNIZ unless it is used for asserting the known absence of medication treatments or no information about them.Medi...ment
 CONF
The value of @code comes preferably from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
or
The value of @code comes preferably from value set 2.16.840.1.113883.11.21.5 Unknown or absent medication (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1Medi...ment
Treetree.pnghl7:statusCode
CS (required)1 … 1MMedi...ment
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Included from 2.16.840.1.113883.10.21.9.1 UV Use Period (DYNAMIC)
Choice1 … 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)]
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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.		Medi...ment
where [hl7:low or
[not(hl7:width)]
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS1 … 1RMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
IVXB_TS0 … 1RMedi...ment
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...ment
where [hl7:width] [not(hl7:lowor
hl7:high)]
 Example
2 week period
<effectiveTime type="IVL_TS">
  <width value="2" unit="w"/></effectiveTime>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
NPMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
NPMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:center
NPMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...ment
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...ment
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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS0 … 1CMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...ment
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1Medi...ment
Treetree.pnghl7:routeCode
CE (example)0 … 1Medi...ment
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
Treetree.pnghl7:approachSiteCode
CD (example)0 … *Medi...ment
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
Treetree.pnghl7:doseQuantity
IVL_PQNPMedi...ment
Treetree.pnghl7:rateQuantity
IVL_PQNPMedi...ment
Treetree.pnghl7:maxDoseQuantity
RTO_PQ_PQ0 … 1Medi...ment
Treetree.pnghl7:administrationUnitCode
CENPMedi...ment
Treetree.pnghl7:subject
0 … 1CPatient: The patient that takes the medicine.
Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)		Medi...ment
 ConstraintCondition: This can be omitted if the patient context that is provided in the CDA header is identical to the subject
ChoiceElements to choose from:
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (simple)
Contains 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)		Medi...ment
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (detail)
Contains 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)		Medi...ment
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Choice
Required author of the medication statement: healthcare professional or patient
Elements to choose from:
  • hl7:author containing template 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
  • hl7:participant[@typeCode='AUT']
Treeblank.pngTreetree.pnghl7:author
Use this if the author of the medication statement is a healthcare professional
Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)		Medi...ment
 Example
Author of the medication statement is a healthcare professional
<author>
  <time value="20170221"/>  <assignedAuthor>
    <id root="1.2.3.99.99.99" extension="75487435893498"/>    <assignedPerson>
      <name>
        <given qualifier="IN">Ampu</given>        <prefix qualifier="VV">L.</prefix>        <family>Lee</family>      </name>    </assignedPerson>  </assignedAuthor></author>
Treeblank.pngTreetree.pnghl7:participant
Use this if the author of the medication statement is the patientMedi...ment
where [@typeCode='AUT']
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FAUT
 Example
Author of the medication statement is the patient
<participant typeCode="AUT">
  <time value="20170121091548"/>  <participantRole classCode="PAT"/></participant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:time
TS1 … 1RMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:participantRole
1 … 1MMedi...ment
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPAT
Choice
Optional informants of the medication statement: healthcare professional or patient contact party (related party)
Elements to choose from:
  • hl7:informant[exists(hl7:assignedEntity)]
  • hl7:participant[@typeCode='INF']
  • hl7:informant[exists(hl7:relatedEntity)]
Treeblank.pngTreetree.pnghl7:informant
Use this if the informant of the medication statement is a healthcare professionalMedi...ment
where [exists(hl7:assignedEntity)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FINF
Treeblank.pngTreeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Example
Informant of the medication statement is a healthcare professional
<informant>
  <assignedEntity>
    <id root="1.2.3.99.99.99" extension="75487435893498"/>    <assignedPerson>
      <name>
        <given qualifier="IN">Ampu</given>        <prefix qualifier="VV">L.</prefix>        <family>Lee</family>      </name>    </assignedPerson>  </assignedEntity></informant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:assignedEntity
1 … 1Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)Medi...ment
Treeblank.pngTreetree.pnghl7:participant
Use this if the informant of the medication statement is the patientMedi...ment
where [@typeCode='INF']
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FINF
 Example
Informant of the medication statement is the patient
<participant typeCode="INF">
  <time value="20170121091548"/>  <participantRole classCode="PAT"/></participant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:time
TS1 … 1RMedi...ment
Treeblank.pngTreeblank.pngTreetree.pnghl7:participantRole
1 … 1MMedi...ment
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPAT
Treeblank.pngTreetree.pnghl7:informant
Use this if the informant of the medication statement is a contact party (related party)Medi...ment
where [exists(hl7:relatedEntity)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FINF
Treeblank.pngTreeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Example
Informant of the medication statement is a contact party (related party)
<informant>
  <relatedEntity classCode="AGNT">
    <relatedPerson classCode="PSN" determinerCode="INSTANCE">
      <name>
        <!-- .. -->
      </name>    </relatedPerson>  </relatedEntity></informant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:relatedEntity
1 … 1Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC)Medi...ment
Treetree.pnghl7:participant
0 … 1Record Target: indicates the person who's medical record holds the documentation of this medication statement. This element is only populated when the document is placed in a medical record of someone other than the patient (subject).
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...ment
where [@typeCode='RCT']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRCT
Treetree.pnghl7:participant
0 … 1Verifier: The person or organization that has primary responsibility for the medication statement. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate.
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...ment
where [@typeCode='VRF']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FVRF
Treetree.pnghl7:entryRelationship
0 … *CSubordinate Substance Administration Statament as a component of the overall medication statement.
At least one subordinated <substanceAdministration> has to be present to convey information about dosages (dose, frequency of intakes,..) unless medications are unknown or known absent.
Subordinated <substanceAdministration> elements can be also used either to handle split dosing, or to support combination medications.
Contains 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC)		Medi...ment
where [exists(hl7:substanceAdministration)]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 ConstraintAt least one subordinate <substanceAdministration> element SHALL be present unless medications are unknown or known absent.</substanceAdministration>
 Example<entryRelationship typeCode="COMP">
  <!-- component: Subordinate Substance Administration Statement. -->
  <substanceAdministration classCode="SBADM" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.21.4.6"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1Sequence number of the Subordinate Substance Administration.Medi...ment
Treetree.pnghl7:entryRelationship
0 … *RMedication Order Reference.
Contains 2.16.840.1.113883.10.21.4.8 UV Medication Order Reference (DYNAMIC)		Medi...ment
where [@typeCode='REFR' and exists(hl7:substanceAdministration)]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <substanceAdministration classCode="SBADM" moodCode="RQO">
    <templateId root="2.16.840.1.113883.10.21.4.8"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treetree.pnghl7:entryRelationship
0 … *RDispense Event Reference.
Contains 2.16.840.1.113883.10.21.4.9 UV Dispense Event Reference (DYNAMIC)		Medi...ment
where [@typeCode='REFR' and exists(hl7:supply)]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <supply classCode="SPLY" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.21.4.9"/>    <!-- .. -->
  </supply></entryRelationship>
ChoiceElements to choose from:
  • hl7:entryRelationship[@typeCode='RSON' and exists(hl7:observation)] containing template 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)
  • hl7:entryRelationship[@typeCode='RSON' and exists(hl7:act)] containing template 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)		Medi...ment
where [@typeCode='RSON' and exists(hl7:observation)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<cda:entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <!-- template 2.16.840.1.113883.10.21.4.3 'UV ClinicalStatement Observation' (2016-05-01T00:00:00) -->
</cda:entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...ment
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)		Medi...ment
where [@typeCode='RSON' and exists(hl7:act)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <act>
    <!-- Clinical Statement Minimal -->
  </act></entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...ment


UV Medication Administration

The following graph gives an overview of the high-level template components of this template, followed by the actual definition.

  1. Entry
     UV Medication Administration (2.16.840.1.113883.10.21.4.13)
    1. Entry
       UV Use Period (2.16.840.1.113883.10.21.9.1)
    2. Entry
       CDA Subject (Body) (2.16.840.1.113883.10.12.320)
    3. Entry
       UV Medication Information (simple) (2.16.840.1.113883.10.21.4.10)
      1. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    4. Entry
       UV Medication Information (detail) (2.16.840.1.113883.10.21.4.11)
      1. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      2. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      3. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      4. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      5. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      6. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      7. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      8. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      9. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      10. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      11. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      12. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      13. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    5. Entry
       CDA Author (Body) (2.16.840.1.113883.10.12.318)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
      2. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      3. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    6. *
       CDA AssignedEntity (2.16.840.1.113883.10.12.153)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
      2. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    7. Entry
       CDA RelatedEntity (2.16.840.1.113883.10.12.316)
      1. *
         CDA Person (2.16.840.1.113883.10.12.152)
    8. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    9. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    10. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    11. Entry
       UV Subordinate Substance Administration (2.16.840.1.113883.10.21.4.6)
    12. Entry
       UV Substitution Event Adminstration (2.16.840.1.113883.10.21.4.14)
    13. Entry
       UV Medication Order Reference (2.16.840.1.113883.10.21.4.8)
      1. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
    14. Entry
       UV Dispense Event Reference (2.16.840.1.113883.10.21.4.9)
    15. Entry
       UV ClinicalStatement Observation (2.16.840.1.113883.10.21.4.3)
      1. Entry
         CDA Subject (Body) (2.16.840.1.113883.10.12.320)
      2. Entry
         CDA Specimen (2.16.840.1.113883.10.12.322)
      3. Entry
         CDA Performer (Body) (2.16.840.1.113883.10.12.323)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
      4. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
      5. Entry
         CDA Informant (Body) (2.16.840.1.113883.10.12.319)
        1. *
           CDA AssignedEntity (2.16.840.1.113883.10.12.153)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
          2. *
             CDA Organization (2.16.840.1.113883.10.12.151)
        2. Entry
           CDA RelatedEntity (2.16.840.1.113883.10.12.316)
          1. *
             CDA Person (2.16.840.1.113883.10.12.152)
      6. Entry
         CDA Participant (Body) (2.16.840.1.113883.10.12.321)
        1. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        2. Entry
           CDA PlayingEntity (2.16.840.1.113883.10.12.313)
      7. Entry
         CDA Reference (2.16.840.1.113883.10.12.324)
        1. Entry
           CDA ExternalAct (2.16.840.1.113883.10.12.325)
        2. Entry
           CDA ExternalObservation (2.16.840.1.113883.10.12.326)
        3. Entry
           CDA ExternalProcedure (2.16.840.1.113883.10.12.327)
        4. Entry
           CDA ExternalDocument (2.16.840.1.113883.10.12.328)
      8. Entry
         CDA Precondition (2.16.840.1.113883.10.12.329)
    16. Entry
       IPS Internal Reference (2.16.840.1.113883.10.22.4.31)

The boxes reflect the CDA Template Types. Symbols: * denotes templates with more than one classification, @ indicates a recursion in the definition

Id2.16.840.1.113883.10.21.4.13Effective Date2023‑01‑30 08:31:37
Other versions this id:
  • Kblank.png UVMedicationadministration as of 2019‑02‑17
StatusKyellow.png DraftVersion Label2023
NameUVMedicationadministrationDisplay NameUV Medication Administration
Description
Universal Medication Administration: This includes information about an actual administration of a medication. Medication administrations include information about medication use where the medications have been prescribed or not prescribed. Medication administrations may include "negative" statements such as "the patient was not given medication ABC". Due to implementation experience, dosage information is always put into the subordinate substance administration entries.
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.13
LabelMedicationAdministration
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 14 templates
Uses as NameVersion
2.16.840.1.113883.10.21.9.1IncludeKyellow.png UV Use Period (2023)DYNAMIC
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.21.4.10ContainmentKorange.png UV Medication Information (simple) (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.11ContainmentKyellow.png UV Medication Information (detail) (2023)DYNAMIC
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.153ContainmentKgreen.png CDA AssignedEntityDYNAMIC
2.16.840.1.113883.10.12.316ContainmentKgreen.png CDA RelatedEntityDYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.21.4.6ContainmentKyellow.png UV Subordinate Substance Administration (2023)DYNAMIC
2.16.840.1.113883.10.21.4.14ContainmentKyellow.png UV Substitution Event Adminstration (2023)DYNAMIC
2.16.840.1.113883.10.21.4.8ContainmentKorange.png UV Medication Order Reference (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.9ContainmentKorange.png UV Dispense Event Reference (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.3ContainmentKorange.png UV ClinicalStatement Observation (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.22.4.31ContainmentKorange.png IPS Internal Reference (STU1)DYNAMIC
RelationshipVersion: template 2.16.840.1.113883.10.21.4.13 UV Medication Administration (2019‑02‑17)
Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.13"/>  <id root="1.2.3.99.99.99" extension="988437489739"/>  <code code="DRUG" codeSystem="2.16.840.1.113883.5.4"/>  <text>...</text>  <statusCode code="active"/>  <effectiveTime value="..."/>  <repeatNumber value="..."/>  <routeCode code="SOAK" codeSystem="2.16.840.1.113883.5.112" displayName="Immersion (soak)"/>  <approachSiteCode code="..." codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="PUFF" displayName="Puff" codeSystem="2.16.840.1.113883.5.85"/>  <consumable typeCode="CSM">
    <!-- Consumable -->
  </consumable>  <participant typeCode="DEV">
    <!-- Device -->
  </participant>  <participant typeCode="LOC">
    <!-- Location -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- Subordinate Substance Administrations -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- Annotations -->
  </entryRelationship>  <precondition>
    <!-- Precondition -->
  </precondition></substanceAdministration>
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.13"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="DRUG" codeSystem="2.16.840.1.113883.5.4"/>  <text>...</text>  <statusCode code="active"/>  <!-- include template 'UV Use Period' (dynamic) .. O -->
  <routeCode code="SOAK" displayName="Immersion (soak)" codeSystem="2.16.840.1.113883.5.112"/>  <approachSiteCode code="--code--" codeSystem="2.16.840.1.113883.5.1052"/>  <administrationUnitCode code="APPFUL" displayName="Applicatorful" codeSystem="2.16.840.1.113883.5.85"/>  <subject>
    <!-- template 'CDA Subject (Body)' (dynamic) -->
  </subject>  <consumable typeCode="CSM">
    <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (dynamic) -->
  </consumable>  <!-- choice: 1..1
element hl7:author
element hl7:participant[@typeCode='AUT']
-->
  <participant typeCode="RCT">
    <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="VRF">
    <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (dynamic) -->
  </participant>  <entryRelationship typeCode="COMP">
    <sequenceNumber value="1"/>    <!-- template 2.16.840.1.113883.10.21.4.6 'Subordinate Substance Administration' (dynamic) -->
  </entryRelationship>  <entryRelationship typeCode="REFR">
    <!-- template 2.16.840.1.113883.10.21.4.8 'UV Medication Order Reference' (dynamic) -->
  </entryRelationship>  <entryRelationship typeCode="REFR">
    <!-- template 2.16.840.1.113883.10.21.4.9 'UV Dispense Event Reference' (dynamic) -->
  </entryRelationship></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
Medi...tion
Treetree.png@classCode
cs1 … 1FSBADM
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1MMedi...tion
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.13
Treetree.pnghl7:id
II0 … *RMedi...tion
 ConstraintIf the use case requires updates on the order, the ID shall be made mandatory.
Treetree.pnghl7:code
CD (extensible)0 … 1The code element is valorized with the ACT code from the indicated value set unless it is used for asserting the known absence of medication treatments or no information about them.Medi...tion
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
or
The value of @code should be drawn from value set 2.16.840.1.113883.11.21.5 Unknown or absent medication (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1Medi...tion
Treetree.pnghl7:statusCode
CS (required)1 … 1MMedi...tion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Included from 2.16.840.1.113883.10.21.9.1 UV Use Period (DYNAMIC)
Choice1 … 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)]
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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.		Medi...tion
where [hl7:low or
[not(hl7:width)]
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS1 … 1RMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
IVXB_TS0 … 1RMedi...tion
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...tion
where [hl7:width] [not(hl7:lowor
hl7:high)]
 Example
2 week period
<effectiveTime type="IVL_TS">
  <width value="2" unit="w"/></effectiveTime>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
NPMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
NPMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:center
NPMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...tion
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1CCase 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)		Medi...tion
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>
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
IVXB_TS0 … 1CMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:width
PQ1 … 1RMedi...tion
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs1 … 1R
 CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.21.1 Medication Time Units (UCUM) (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1Medi...tion
Treetree.pnghl7:routeCode
CE (example)0 … 1Medi...tion
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
Treetree.pnghl7:approachSiteCode
CD (example)0 … *Medi...tion
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
Treetree.pnghl7:doseQuantity
IVL_PQNPMedi...tion
Treetree.pnghl7:rateQuantity
IVL_PQNPMedi...tion
Treetree.pnghl7:maxDoseQuantity
RTO_PQ_PQ0 … 1Medi...tion
Treetree.pnghl7:administrationUnitCode
CENPMedi...tion
Treetree.pnghl7:subject
0 … 1CPatient: The patient that takes the medicine.
Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)		Medi...tion
 ConstraintCondition: This can be omitted if the patient context that is provided in the CDA header is identical to the subject
Choice1 … 1Elements to choose from:
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)
  • hl7:consumable containing template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (simple)
Contains 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)		Medi...tion
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Treeblank.pngTreetree.pnghl7:consumable
0 … 1RConsumable: The medication that is administered (detail)
Contains 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)		Medi...tion
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FCSM
Choice1 … 1
Required author of the medication administration: healthcare professional or patient
Elements to choose from:
  • hl7:author containing template 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
  • hl7:participant[@typeCode='AUT']
Treeblank.pngTreetree.pnghl7:author
Use this if the author of the medication statement is a healthcare professional
Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)		Medi...tion
 Example
Author of the medication statement is a healthcare professional
<author>
  <time value="20170221"/>  <assignedAuthor>
    <id root="1.2.3.99.99.99" extension="75487435893498"/>    <assignedPerson>
      <name>
        <given qualifier="IN">Ampu</given>        <prefix qualifier="VV">L.</prefix>        <family>Lee</family>      </name>    </assignedPerson>  </assignedAuthor></author>
Treeblank.pngTreetree.pnghl7:participant
Use this if the author of the medication administration is the patientMedi...tion
where [@typeCode='AUT']
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FAUT
 Example
Author of the medication statement is the patient
<participant typeCode="AUT">
  <time value="20170121091548"/>  <participantRole classCode="PAT"/></participant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:time
TS1 … 1RMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:participantRole
1 … 1MMedi...tion
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPAT
Choice0 … 1
Optional informants of the medication administration: healthcare professional or patient contact party (related party)
Elements to choose from:
  • hl7:informant[exists(hl7:assignedEntity)]
  • hl7:participant[@typeCode='INF']
  • hl7:informant[exists(hl7:relatedEntity)]
Treeblank.pngTreetree.pnghl7:informant
Use this if the informant of the medication statement is a healthcare professionalMedi...tion
where [exists(hl7:assignedEntity)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FINF
Treeblank.pngTreeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Example
Informant of the medication statement is a healthcare professional
<informant>
  <assignedEntity>
    <id root="1.2.3.99.99.99" extension="75487435893498"/>    <assignedPerson>
      <name>
        <given qualifier="IN">Ampu</given>        <prefix qualifier="VV">L.</prefix>        <family>Lee</family>      </name>    </assignedPerson>  </assignedEntity></informant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:assignedEntity
1 … 1Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)Medi...tion
Treeblank.pngTreetree.pnghl7:participant
Use this if the informant of the medication statement is the patientMedi...tion
where [@typeCode='INF']
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FINF
 Example
Informant of the medication statement is the patient
<participant typeCode="INF">
  <time value="20170121091548"/>  <participantRole classCode="PAT"/></participant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:time
TS1 … 1RMedi...tion
Treeblank.pngTreeblank.pngTreetree.pnghl7:participantRole
1 … 1MMedi...tion
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPAT
Treeblank.pngTreetree.pnghl7:informant
Use this if the informant of the medication statement is a contact party (related party)Medi...tion
where [exists(hl7:relatedEntity)]
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs0 … 1FINF
Treeblank.pngTreeblank.pngTreetree.png@context​Control​Code
cs0 … 1FOP
 Example
Informant of the medication statement is a contact party (related party)
<informant>
  <relatedEntity classCode="AGNT">
    <relatedPerson classCode="PSN" determinerCode="INSTANCE">
      <name>
        <!-- .. -->
      </name>    </relatedPerson>  </relatedEntity></informant>
Treeblank.pngTreeblank.pngTreetree.pnghl7:relatedEntity
1 … 1Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC)Medi...tion
Treetree.pnghl7:participant
0 … 1Record Target: indicates the person who's medical record holds the documentation of this medication statement. This element is only populated when the document is placed in a medical record of someone other than the patient (subject).
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...tion
where [@typeCode='RCT']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRCT
Treetree.pnghl7:participant
0 … 1Verifier: The person or organization that has primary responsibility for the medication statement. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate.
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...tion
where [@typeCode='VRF']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FVRF
Treetree.pnghl7:participant
0 … 1Location
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		Medi...tion
where [@typeCode='LOC']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FLOC
Treetree.pnghl7:entryRelationship
0 … *CSubordinate Substance Administration Statament as a component of the overall medication statement.
At least one subordinated <substanceAdministration> has to be present to convey information about dosages (dose, frequency of intakes,..) unless medications are unknown or known absent.
Subordinated <substanceAdministration> elements can be also used either to handle split dosing, or to support combination medications.
Contains 2.16.840.1.113883.10.21.4.6 UV Subordinate Substance Administration (DYNAMIC)		Medi...tion
where [hl7:substanceAdministration]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 ConstraintAt least one subordinate <substanceAdministration> element SHALL be present unless medications are unknown or known absent.</substanceAdministration>
 Example<entryRelationship typeCode="COMP">
  <!-- component: Subordinate Substance Administration Statement. -->
  <substanceAdministration classCode="SBADM" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.21.4.6"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1Sequence number of the Subordinate Substance Administration.Medi...tion
Treetree.pnghl7:entryRelationship
0 … 1RInformation about any substitutions in medication that have been made.
Contains 2.16.840.1.113883.10.21.4.14 UV Substitution Event Adminstration (DYNAMIC)		Medi...tion
where [@typeCode='COMP']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
 Example<entryRelationship typeCode="COMP">
  <act classCode="ACT" moodCode="EVN">
    <!-- .. -->
  </act></entryRelationship>
Treetree.pnghl7:entryRelationship
0 … *RMedication Order Reference.
Contains 2.16.840.1.113883.10.21.4.8 UV Medication Order Reference (DYNAMIC)		Medi...tion
where [@typeCode='REFR'] [hl7:substanceAdministration]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <substanceAdministration classCode="SBADM" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.21.4.8"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treetree.pnghl7:entryRelationship
0 … *RDispense Event Reference.
Contains 2.16.840.1.113883.10.21.4.9 UV Dispense Event Reference (DYNAMIC)		Medi...tion
where [@typeCode='REFR'] [ [hl7:supply]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <supply classCode="SPLY" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.21.4.9"/>    <!-- .. -->
  </supply></entryRelationship>
Choice0 … *Elements to choose from:
  • hl7:entryRelationship containing template 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)
  • hl7:entryRelationship containing template 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.21.4.3 UV ClinicalStatement Observation (DYNAMIC)		Medi...tion
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<cda:entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <!-- template 2.16.840.1.113883.10.21.4.3 'UV ClinicalStatement Observation' (2016-05-01T00:00:00) -->
</cda:entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...tion
Treeblank.pngTreetree.pnghl7:entryRelationship
0 … *RReason: Specifies the reason (indication) for authoring the order.
Contains 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC)		Medi...tion
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FRSON
 Example<entryRelationship typeCode="RSON">
  <priorityNumber value="1"/>  <act>
    <!-- Clinical Statement Minimal -->
  </act></entryRelationship>
Treeblank.pngTreeblank.pngTreetree.pngpharm:priorityNumber
INT.​NONNEG0 … 1RIndicates the priority of this reason for the order in relation to its sibling reasons.Medi...tion


UV Medication Dispense

The following graph gives an overview of the high-level template components of this template, followed by the actual definition.

  1. Entry
     UV Medication Dispense (2.16.840.1.113883.10.21.4.15)
    1. Entry
       CDA Subject (Body) (2.16.840.1.113883.10.12.320)
    2. Entry
       UV Medication Information (simple) (2.16.840.1.113883.10.21.4.10)
      1. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    3. Entry
       UV Medication Information (detail) (2.16.840.1.113883.10.21.4.11)
      1. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      2. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      3. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      4. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      5. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      6. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      7. Entry
         UV Content (2.16.840.1.113883.10.21.4.17)
      8. Entry
         UV Generalized Medicine Class (2.16.840.1.113883.10.21.4.19)
      9. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      10. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      11. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      12. Entry
         UV Ingredient (2.16.840.1.113883.10.21.4.18)
      13. *
         CDA Organization (2.16.840.1.113883.10.12.151)
    4. Entry
       CDA Performer (Body) (2.16.840.1.113883.10.12.323)
      1. *
         CDA AssignedEntity (2.16.840.1.113883.10.12.153)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. *
           CDA Organization (2.16.840.1.113883.10.12.151)
    5. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    6. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    7. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    8. Entry
       CDA Participant (Body) (2.16.840.1.113883.10.12.321)
      1. Entry
         CDA Device (2.16.840.1.113883.10.12.315)
      2. Entry
         CDA PlayingEntity (2.16.840.1.113883.10.12.313)
    9. Entry
       UV Medication Order Reference (2.16.840.1.113883.10.21.4.8)
      1. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)
    10. Entry
       UV Comment Activity (2.16.840.1.113883.10.21.4.12)
      1. Entry
         CDA Author (Body) (2.16.840.1.113883.10.12.318)
        1. *
           CDA Person (2.16.840.1.113883.10.12.152)
        2. Entry
           CDA Device (2.16.840.1.113883.10.12.315)
        3. *
           CDA Organization (2.16.840.1.113883.10.12.151)

The boxes reflect the CDA Template Types. Symbols: * denotes templates with more than one classification, @ indicates a recursion in the definition

Id2.16.840.1.113883.10.21.4.15Effective Date2023‑01‑30 08:33:47
Other versions this id:
  • Kblank.png UVMedicationDispense as of 2023‑01‑30 08:28:25
  • Kblank.png UVMedicationDispense as of 2021‑08‑04 16:35:09
  • Kblank.png UVMedicationDispense as of 2019‑02‑17
StatusKyellow.png DraftVersion Label2023
NameUVMedicationDispenseDisplay NameUV Medication Dispense
Description
Universal Medication Dispense (Supply Event)
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.15
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 7 templates
Uses as NameVersion
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.21.4.10ContainmentKorange.png UV Medication Information (simple) (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.11ContainmentKyellow.png UV Medication Information (detail) (2023)DYNAMIC
2.16.840.1.113883.10.12.323ContainmentKgreen.png CDA Performer (Body)DYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.21.4.8ContainmentKorange.png UV Medication Order Reference (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.12ContainmentKorange.png UV Comment Activity (R1-STU2-ballot)DYNAMIC
RelationshipVersion: template 2.16.840.1.113883.10.21.4.15 UV Medication Dispense (2021‑08‑04 16:35:09)
Specialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07)
ref
ad1bbr-
Example
Example
<supply classCode="SPLY" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.15"/>  <id root="..." extension="--example only--"/>  <code/>  <text/>  <statusCode code="active"/>  <effectiveTime value="20170601"/>  <independentInd value="false"/>  <quantity value="1"/>  <expectedUseTime>
    <low value="20170601"/>    <low value="20170615"/>  </expectedUseTime>  <subject>
    <!-- template 'CDA Subject (Body)' (dynamic) -->
  </subject>  <product typeCode="PRD">
    <!-- template 'CDA ManufacturedProduct' (dynamic) -->
  </product>  <performer>
    <!-- template 'CDA Performer (Body)' (dynamic) -->
  </performer>  <participant typeCode="ORG">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="DST">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="RCV">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="LOC">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- template 'DispenseRequest' (dynamic) -->
  </entryRelationship></supply>
ItemDTCardConfDescriptionLabel
hl7:supply
(UVM...nse)
Treetree.png@classCode
cs1 … 1FSPLY
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(UVM...nse)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.15
Treetree.pnghl7:id
II0 … *(UVM...nse)
Treetree.pnghl7:code
CD (extensible)0 … 1(UVM...nse)
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.16208 ActPharmacySupplyType (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1(UVM...nse)
Treetree.pnghl7:statusCode
CS0 … 1(UVM...nse)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treetree.pnghl7:effectiveTime
TS0 … 1Date/Time of Dispense(UVM...nse)
Treetree.pnghl7:independentInd
BL0 … 1(UVM...nse)
Treetree.pnghl7:quantity
PQ0 … 1(UVM...nse)
Treetree.pnghl7:expectedUseTime
IVL_TS0 … 1(UVM...nse)
Treetree.pnghl7:subject
0 … 1Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)(UVM...nse)
Choice0 … 1Elements to choose from:
  • hl7:product containing template 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)
  • hl7:product containing template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:product
0 … 1RConsumable: The medication that is administered (simple)
Contains 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC)		(UVM...nse)
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FPRD
Treeblank.pngTreetree.pnghl7:product
0 … 1RConsumable: The medication that is administered (detail)
Contains 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC)		(UVM...nse)
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FPRD
Treetree.pnghl7:performer
0 … *Dispenser
Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)		(UVM...nse)
Treetree.pnghl7:participant
0 … 1Origin
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVM...nse)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FORG
Treetree.pnghl7:participant
0 … 1Destination
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVM...nse)
where [@typeCode='DST']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FDST
Treetree.pnghl7:participant
0 … *Receiver
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVM...nse)
where [@typeCode='RCV']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRCV
Treetree.pnghl7:participant
0 … 1Location
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVM...nse)
where [@typeCode='LOC']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FLOC
Treetree.pnghl7:entryRelationship
0 … *RReference to the fulfilled Medication Order
Contains 2.16.840.1.113883.10.21.4.8 UV Medication Order Reference (DYNAMIC)		(UVM...nse)
where [@typeCode='REFR'] [hl7:substanceAdministration]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <substanceAdministration classCode="SBADM" moodCode="RQO">
    <templateId root="2.16.840.1.113883.10.21.4.8"/>    <!-- .. -->
  </substanceAdministration></entryRelationship>
Treetree.pnghl7:entryRelationship
0 … *Annotations: The Medication Dispense can be the subject of annotations.
Contains 2.16.840.1.113883.10.21.4.12 UV Comment Activity (DYNAMIC)		(UVM...nse)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP


Entry Level Templates

These entry level templates are used Section "Use Case Entry Level Templates".

UV ClinicalStatement Encounter

Id2.16.840.1.113883.10.21.4.4Effective Date2017‑01‑02
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVClinicalStatementMinimalEncounterDisplay NameUV ClinicalStatement Encounter
DescriptionUniversal Clinical Statement Minimal Encounter
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.4
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.302 CDA Encounter (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.22.4.49 Encounter Activity (V3) (DYNAMIC)
ref
ccda-
ItemDTCardConfDescriptionLabel
hl7:encounter
(UVC...ter)
Treetree.png@classCode
cs1 … 1FENC
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1R(UVC...ter)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.4
Treetree.pnghl7:id
II0 … *(UVC...ter)

UV ClinicalStatement Observation

Id2.16.840.1.113883.10.21.4.3Effective Date2016‑05‑01
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVClinicalStatementMinimalObservationDisplay NameUV ClinicalStatement Observation
DescriptionUniversal Clinical Statement Minimal Observation
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 8 templates
Uses as NameVersion
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.12.322ContainmentKgreen.png CDA SpecimenDYNAMIC
2.16.840.1.113883.10.12.323ContainmentKgreen.png CDA Performer (Body)DYNAMIC
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.12.324ContainmentKgreen.png CDA ReferenceDYNAMIC
2.16.840.1.113883.10.12.329ContainmentKgreen.png CDA PreconditionDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:observation
(UVC...ion)
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1R(UVC...ion)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.3
Treetree.pnghl7:id
II0 … *(UVC...ion)
Treetree.pnghl7:code
CD1 … 1RThis code (e.g. drawn from LOINC) specifies the type of observation, e.g. a lab value (creatinine) or a measurement of the body weight or a body surface.(UVC...ion)
 CONF
shall be drawn from concept domain "ObservationCode"
Treetree.pnghl7:derivationExpr
ST0 … 1(UVC...ion)
Treetree.pnghl7:text
ED0 … 1(UVC...ion)
Treetree.pnghl7:statusCode
CS0 … 1(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1(UVC...ion)
Treetree.pnghl7:priorityCode
CE0 … 1(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1(UVC...ion)
Treetree.pnghl7:language​Code
CS0 … 1(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Treetree.pnghl7:value
ANY0 … *(UVC...ion)
Treetree.pnghl7:interpretationCode
CE0 … *(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Treetree.pnghl7:methodCode
CE0 … *(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
Treetree.pnghl7:target​Site​Code
CD0 … *(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
Treetree.pnghl7:subject
0 … 1Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)(UVC...ion)
Treetree.pnghl7:specimen
0 … *Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)(UVC...ion)
Treetree.pnghl7:performer
0 … *Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)(UVC...ion)
Treetree.pnghl7:author
0 … *Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)(UVC...ion)
Treetree.pnghl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(UVC...ion)
Treetree.pnghl7:participant
0 … *Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)(UVC...ion)
Treetree.pnghl7:reference
0 … *Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)(UVC...ion)
Treetree.pnghl7:precondition
0 … *Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)(UVC...ion)
Treetree.pnghl7:referenceRange
0 … *(UVC...ion)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFV
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1R(UVC...ion)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FOBS
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN.CRT
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD0 … 1(UVC...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF0 … 1F2.16.840.1.113883.5.4 (Act Code)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
ED0 … 1(UVC...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY0 … 1(UVC...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1(UVC...ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)

UV Comment Activity

Id2.16.840.1.113883.10.21.4.12Effective Date2018‑03‑21
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVCommentactivityDisplay NameUV Comment Activity
Description
Comments that the provider makes about the activity, e.g. order or dispense. Comments are free text data that cannot otherwise be recorded using data elements already defined by this specification. They are not to be used to record information that can be recorded elsewhere. For example, a free text description of the severity of an allergic reaction would not be recorded in a comment.
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:act
(UVC...ity)
Treetree.png@classCode
1 … 1FACT
Treetree.png@moodCode
1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(UVC...ity)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.12
Treetree.pnghl7:code
CD1 … 1M(UVC...ity)
Treeblank.pngTreetree.png@code
CONF1 … 1F48767-8
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Treetree.pnghl7:text
1 … 1M(UVC...ity)
Treeblank.pngTreetree.pnghl7:reference
TEL1 … 1R(UVC...ity)
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNA
Treetree.pnghl7:author
0 … 1Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)(UVC...ity)

UV Content

Id2.16.840.1.113883.10.21.4.17Effective Date2022‑03‑18 08:28:51
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVasContentDisplay NameUV Content
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
ItemDTCardConfDescriptionLabel
pharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVa...ent)
pharm:containerPackagedProduct
1 … 1R(UVa...ent)
Treetree.png@classCode
cs1 … 1FCONT
Treetree.png@determiner​Code
cs1 … 1FKIND
Treetree.pngpharm:code
CE0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVa...ent)
Treetree.pngpharm:name
EN0 … *
It represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.
(UVa...ent)
Treetree.pngpharm:formCode
CE0 … 1This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.
(UVa...ent)
Treetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVa...ent)
Treeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreetree.png@unit
cs0 … 1 
Treetree.pngpharm:asContent
0 … *In case of multiple layers of packaging (5 vials 10 ml; box with 2 blisters of 20 tablets) this element can be used for describing the intermediate Packaged Medicinal Product Item or the Packaged Medicinal Product.


For example in the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
it describes the "2 blisters" 


In the case of 
  \--Box 
  \-----5 vials
it represents the Packaged Medicinal Product. 		(UVa...ent)
Treeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreetree.pngpharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVa...ent)
Treeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1RIt represents the intermediate Package Item or the Packaged Medicinal Product
(UVa...ent)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreetree.pngpharm:code
CD0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVa...ent)
Treeblank.pngTreeblank.pngTreetree.pngpharm:name
ST0 … 1RIt represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.		(UVa...ent)
Treeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE1 … 1RThis element encodes the type of the intermediate package item or of the or the Packaged Medicinal Product.
(UVa...ent)
Treeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 
Treeblank.pngTreeblank.pngTreetree.pngpharm:asContent
0 … *R
In case of multiple layers of packaging (box with 2 blisters of 20 tablets) this element is used for describing the most outer Packaged Medicinal Product Item or the Packaged Medicinal Product.
For example in the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
it describes the Packaged Medicinal Product. 
(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1R(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1RWhen present, it represents the Packaged Medicinal Product(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CD0 … 1When present, it can be used to convey the Packaged Medicinal Product ID.
(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
ST0 … 1R(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE1 … 1R(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVa...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 


UV Dispense Request

Id2.16.840.1.113883.10.21.4.2Effective Date2016‑05‑01
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVDispenseRequestDisplay NameUV Dispense Request
DescriptionUniversal Dispense Request (Supply Request)
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.2
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 4 templates
Uses as NameVersion
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.12.312ContainmentKgreen.png CDA ManufacturedProductDYNAMIC
2.16.840.1.113883.10.12.323ContainmentKgreen.png CDA Performer (Body)DYNAMIC
2.16.840.1.113883.10.12.321ContainmentKgreen.png CDA Participant (Body)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07)
ref
ad1bbr-
Example
Example
<supply classCode="SPLY" moodCode="RQO">
  <templateId root="2.16.840.1.113883.10.21.4.2"/>  <id root="..." extension="--example only--"/>  <code/>  <text/>  <statusCode code="active"/>  <effectiveTime xsi:type="IVL_TS">
    <low value="20170601"/>    <high value="20170801"/>  </effectiveTime>  <repeatNumber/>  <independentInd value="false"/>  <quantity value="1"/>  <expectedUseTime>
    <low value="20160511153724"/>  </expectedUseTime>  <subject>
    <!-- template 'CDA Subject (Body)' (dynamic) -->
  </subject>  <product typeCode="PRD">
    <!-- template 'CDA ManufacturedProduct' (dynamic) -->
  </product>  <performer>
    <!-- template 'CDA Performer (Body)' (dynamic) -->
  </performer>  <participant typeCode="ORG">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="DST">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="RCV">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <participant typeCode="LOC">
    <!-- template 'CDA Participant (Body)' (dynamic) -->
  </participant>  <entryRelationship typeCode="COMP">
    <!-- template 'DispenseRequest' (dynamic) -->
  </entryRelationship></supply>
ItemDTCardConfDescriptionLabel
hl7:supply
(UVD...est)
Treetree.png@classCode
cs1 … 1FSPLY
Treetree.png@moodCode
cs1 … 1FRQO
Treetree.pnghl7:templateId
II1 … 1M(UVD...est)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.2
Treetree.pnghl7:id
II0 … *(UVD...est)
Treetree.pnghl7:code
CD (extensible)0 … 1(UVD...est)
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.16208 ActPharmacySupplyType (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1(UVD...est)
Treetree.pnghl7:statusCode
CS0 … 1(UVD...est)
Treeblank.pngTreetree.png@code
CONF0 … 1Factive
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1Validity period of the Dispense Request(UVD...est)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1(UVD...est)
Treetree.pnghl7:independentInd
BL0 … 1(UVD...est)
Treetree.pnghl7:quantity
PQ0 … 1(UVD...est)
Treetree.pnghl7:expectedUseTime
IVL_TS0 … 1(UVD...est)
Treetree.pnghl7:subject
0 … 1Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)(UVD...est)
Treetree.pnghl7:product
0 … 1RContains 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (DYNAMIC)(UVD...est)
Treeblank.pngTreetree.png@typeCode
cs0 … 1FPRD
Treetree.pnghl7:performer
0 … *Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)(UVD...est)
Treetree.pnghl7:participant
0 … 1Origin
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVD...est)
Treeblank.pngTreetree.png@typeCode
1 … 1FORG
Treetree.pnghl7:participant
0 … 1Destination
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVD...est)
where [@typeCode='DST']
Treeblank.pngTreetree.png@typeCode
1 … 1FDST
Treetree.pnghl7:participant
0 … *Receiver
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVD...est)
where [@typeCode='RCV']
Treeblank.pngTreetree.png@typeCode
1 … 1FRCV
Treetree.pnghl7:participant
0 … 1Location
Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)		(UVD...est)
where [@typeCode='LOC']
Treeblank.pngTreetree.png@typeCode
1 … 1FLOC

UV Dispense Event Reference

Id2.16.840.1.113883.10.21.4.9Effective Date2017‑03‑30
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVDispenseEventReferenceDisplay NameUV Dispense Event Reference
DescriptionThis is a reference to a Dispense Event
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.9
LabelDispenseEventReference
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07)
ref
ad1bbr-
Example
Example
<supply classCode="SPLY" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.21.4.9"/>  <id root="1.2.3.99.99.99" extension="978437489739"/></supply>
ItemDTCardConfDescriptionLabel
hl7:supply
Disp...ence
Treetree.png@classCode
cs1 … 1FSPLY
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1MDisp...ence
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.9
Treetree.pnghl7:id
II1 … 1RDisp...ence

UV Generalized Medicine Class

Id2.16.840.1.113883.10.21.4.19Effective Date2023‑01‑29 21:57:12
Other versions this id:
  • Kblank.png UVgeneralizedMedicineClass as of 2022‑03‑18 08:39:53
StatusKyellow.png DraftVersion Label2023
NameUVgeneralizedMedicineClassDisplay NameUV Generalized Medicine Class
DescriptionUV generalized Medicine Class with determiner code KIND
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipVersion: template 2.16.840.1.113883.10.21.4.19 UV Generalized Medicine Class (2022‑03‑18 08:39:53)
ItemDTCardConfDescriptionLabel
pharm:generalizedMedicineKind
0 … *(UVg...ass)
Treetree.png@classCode
cs1 … 1FMMAT
Treetree.png@determiner​Code
cs1 … 1FKIND
Treetree.pngpharm:code
1 … 1R(UVg...ass)
Treetree.pngpharm:name
0 … *(UVg...ass)


UV Ingredient

Id2.16.840.1.113883.10.21.4.18Effective Date2022‑03‑18 08:34:40
StatusKorange.png Under pre-publication reviewVersion LabelR1-STU2-ballot
NameUVIngredientDisplay NameUV Ingredient
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
ItemDTCardConfDescriptionLabel
pharm:quantity
RTO_PQ_PQ0 … 1(UVI...ent)
 Example
10 mg of the ingredient per ml
<pharm:quantity>
  <cda:numerator xsi:type="PQ" value="10" unit="mg"/>  <cda:denominator xsi:type="PQ" value="1" unit="ml"/></pharm:quantity>
 Example
2% of the ingredient
<pharm:quantity>
  <cda:numerator xsi:type="PQ" value="2" unit="%"/>  <cda:denominator xsi:type="PQ" value="1"/></pharm:quantity>
 Example
5mg of the ingredient
<pharm:quantity>
  <cda:numerator xsi:type="PQ" value="5" unit="mg"/>  <cda:denominator xsi:type="PQ" value="1"/></pharm:quantity>
Treetree.pngcda:numerator
PQ0 … 1(UVI...ent)
Treetree.pngcda:denominator
PQ0 … 1(UVI...ent)
pharm:ingredientSubstance
0 … 1
The substance used for this product plying the role indicated in the ingredient classCode.
The <code> element contains the coded representation of the ingredient and the <name> element may be used for the plain text representation.
(UVI...ent)
Treetree.png@classCode
cs1 … 1FMMAT
Treetree.png@determiner​Code
cs1 … 1FKIND
Treetree.pngpharm:code
CD0 … 1C(UVI...ent)
Treetree.pngpharm:name
EN0 … 1C(UVI...ent)
 Schematron assertrole error 
 testpharm:code or pharm:name 
 MessageEither the name or the code of the substance (or both) shall be provided 


UV Medication Information (detail)

Id2.16.840.1.113883.10.21.4.11Effective Date2023‑02‑03 13:03:38
Other versions this id:
  • Kblank.png UVMedicationInformationdetail as of 2021‑08‑04 12:39:04
  • Kblank.png UVMedicationInformationdetail as of 2017‑05‑10
StatusKyellow.png DraftVersion Label2023
NameUVMedicationInformationdetailDisplay NameUV Medication Information (detail)
DescriptionUniversal Medication Information (detail)
ContextParent nodes of template element with id 2.16.840.1.113883.10.21.4.11
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 4 templates
Uses as NameVersion
2.16.840.1.113883.10.21.4.17IncludeKorange.png UV Content (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.21.4.19IncludeKyellow.png UV Generalized Medicine Class (2023)DYNAMIC
2.16.840.1.113883.10.21.4.18IncludeKorange.png UV Ingredient (R1-STU2-ballot)DYNAMIC
2.16.840.1.113883.10.12.151ContainmentKgreen.png CDA OrganizationDYNAMIC
RelationshipVersion: template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (2017‑05‑10)
Specialization: template 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 1.3.6.1.4.1.19376.1.9.1.3.1 IHE MedicineEntryContentModule (DYNAMIC)
ref
ch-pharm-
ItemDTCardConfDescriptionLabel
hl7:manufacturedProduct
(UVM...ail)
Treetree.png@classCode
cs1 … 1FMANU
Treetree.pnghl7:templateId
II1 … 1M(UVM...ail)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.21.4.11
Treetree.pnghl7:manufactured​Material
(UVM...ail)
Treeblank.pngTreetree.png@classCode
cs0 … 1FMMAT
Treeblank.pngTreetree.png@determiner​Code
cs0 … 1FKIND
Treeblank.pngTreetree.pnghl7:code
CE0 … 1RThe code describes the code of the medication. The medication may be either
  • a brand/product or
  • described as a generic/scientific name or
  • a descriptor of a magistral preparation/compound medicine
(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.pnghl7:originalText
ED0 … 1RThe originalText shoud contain a reference whose URI value points to the name and strength of the medication in the corresponding section.text, or just the name alone if strength is not relevant.(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:reference
TEL1 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.pnghl7:translation
CE0 … *Product code(s) from any organizational or juristdictional system(UVM...ail)
 CONF
shall be drawn from concept domain "Product Code"
Treeblank.pngTreetree.pnghl7:name
EN0 … 1RThe element SHOULD contain the name of the medication (e.g., "Adol 500mg Caplet"). The medication may be either
  • a brand/product or
  • described as a generic/scientific name or
  • a descriptor of a magistral preparation/compound medicine
(UVM...ail)
Treeblank.pngTreetree.pngpharm:desc
ED0 … 1(UVM...ail)
Treeblank.pngTreetree.pngpharm:formCode
CE0 … 1This code represents the pharmaceutical dose form (e.g., tablet, capsule, liquid) and SHOULD be present, if not implied by the product. It MAY be present if implied by the product. The value of this code may affect the units used in the substance administration quantity element.(UVM...ail)
Treeblank.pngTreetree.pnghl7:lotNumberText
ST0 … 1The lotNumberText element MAY be present and is a string representation of a lot number of this specific instance of the product. The provided lot number SHALL refer to the primary packaged item described in the Packaging element.(UVM...ail)
Treeblank.pngTreetree.pngpharm:expirationTime
TS0 … 1The pharm:expirationTime element MAY be present and SHALL contain a value attribute containing the date (e.g., specific date, specific date including time) of expiration of this specific instance of the product. The value given in the pharm:expirationTime element SHALL refer to the primary packaged item described in the Medicine Packaging element.(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreetree.pngpharm:asContent
0 … *This structure describes the packaging of the medication. It represents the primary description of the packaging of the medicine (e.g., the medicine is packaged in ampoules of 50ml volume each) and may include additional packaging information of how many of the primary packaged items are within an outer package (e.g., 5 ampoules are packaged in a box).
The primary description of the package should be consistent with the given pharmaceutical dose form (pharm:formCode of the medication). Example: a consistent pharmaceutical dose form to the package form “Ampoules” would be e.g., “Solution for injection”.
In case the package describes a product, the pharm:code element provides the code for the product.
In case the package describes a product, and the package has a brand name, it should be described in the pharm:name element (e.g., Xylocaine 1% with Adrenaline Inj, 5 injections package).
The pharm:formCode element represents the form of the product/contaner (e.g., tablet container, bottle, ...).


The <pharm:capacity​Quantity> element describes the capacity of the packaging, while the <pharm:quantity> the actual quantity of inner packaged items in the outer packaging container.


The product might have a single (30 pills bottle) or multiple (5 vials 10 ml; box with 2 blisters of 20 tablets) layers of packaging. In the latter case, the most inner (nested) item represents the most outer package item.
For example the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
is described as "20 tablets" contained by "a blister"; "2 blisters" contained by one box.
The most inner package represents the Packaged Medicinal Product.
(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
 Example
Packaged Medicinal Product with formCode
<asContent classCode="CONT">
  <containerPackagedProduct classCode="CONT" determinerCode="KIND">
    <!-- Packaged Medicinal Product -->
    <code codeSystem="1.999.999" code="PC_ID" displayName="Packaged Product Name"/>    <name>100 MIRACLE PILLS(TM)</name>    <formCode codeSystem="0.4.0.127.0.16.1.1.2.1" code="30009000" displayName="Box" CodeSystemName="EDQM"/>  </containerPackagedProduct></asContent>
 Example
General example
<asContent classCode="CONT">
  <quantity value=" " unit=" "/>  <containerPackagedProduct classCode="CONT" determinerCode="KIND">
    <!-- Medicinal product code (package-level) -->
    <code code=" " displayName=" " codeSystem=" " codeSystemName=" "/>    <!-- Brand name (package) -->
    <name> . . . </name>    <formCode code=" " displayName=" " codeSystem=" " codeSystemName=" "/>    <capacityQuantity value=" " unit=" "/>    <asContent>
      <containerPackagedProduct classCode="CONT" determinerCode="KIND">
        <capacityQuantity value=" " unit=" "/>      </containerPackagedProduct>    </asContent>  </containerPackagedProduct></asContent>
 Example
Medicinal product with pharmaceutical dose form ”Tablets”, available as a “Tablet container” with 30 tablets
<asContent classCode="CONT">
  <!-- 30 tablets in the package -->
  <quantity value="30" unit="{tablet}"/>  <containerPackagedProduct classCode="CONT" determinerCode="KIND">
    <!-- .. -->
    <formCode code=" " displayName="Tablet container" codeSystem=" " codeSystemName=" "/>  </containerPackagedProduct></asContent>
 Example
Medicinal product with pharmaceutical dose form 'Solution for injection', available as “Ampoules” with 50ml volume, packaged as 5 ampoules per box
<asContent classCode="CONT">
  <quantity value="50" unit="ml"/>  <!-- 50ml per ampoule -->
  <containerPackagedProduct classCode="CONT" determinerCode="KIND">
    <!-- .. -->
    <formCode code=" " displayName="Ampoules" codeSystem=" " codeSystemName=" "/>    <asContent>
      <!-- 5 ampoules in a box -->
      <quantity value="5"/>      <containerPackagedProduct classCode="CONT" determinerCode="KIND">
        <!-- .. -->
      </containerPackagedProduct>    </asContent>  </containerPackagedProduct></asContent>
 Example
Packaged Medicinal Product with multiple layers packaging
<asContent classCode="CONT">
  <containerPackagedProduct>
    <!-- Inner Package -->
    <code codeSystem="..." code="..." displayName="..."/>    <asContent>
      <containerPackagedProduct>
        <!-- Intermediate Package -->
        <asContent>
          <containerPackagedProduct>
            <!-- Outer Package / Packaged Medicinal Product -->
          </containerPackagedProduct>        </asContent>      </containerPackagedProduct>    </asContent>  </containerPackagedProduct></asContent>
Included from 2.16.840.1.113883.10.21.4.17 UV Content (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CE0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
EN0 … *
It represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE0 … 1This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:asContent
0 … *In case of multiple layers of packaging (5 vials 10 ml; box with 2 blisters of 20 tablets) this element can be used for describing the intermediate Packaged Medicinal Product Item or the Packaged Medicinal Product.


For example in the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
it describes the "2 blisters" 


In the case of 
  \--Box 
  \-----5 vials
it represents the Packaged Medicinal Product. 		(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1RIt represents the intermediate Package Item or the Packaged Medicinal Product
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CD0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
ST0 … 1RIt represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.		(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE1 … 1RThis element encodes the type of the intermediate package item or of the or the Packaged Medicinal Product.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:asContent
0 … *R
In case of multiple layers of packaging (box with 2 blisters of 20 tablets) this element is used for describing the most outer Packaged Medicinal Product Item or the Packaged Medicinal Product.
For example in the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
it describes the Packaged Medicinal Product. 
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1RWhen present, it represents the Packaged Medicinal Product(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CD0 … 1When present, it can be used to convey the Packaged Medicinal Product ID.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
ST0 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE1 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 
Treeblank.pngTreetree.pngpharm:asSpecializedKind
0 … *R
The Medicinal Product can be classified according to various classification systems, which may be jurisdictional or international as for example  the WHO ATC drug code, or the IDMP Pharmaceutical Product Identifier(s) (PhPID Set) when it will be available for use.
The generalizedMaterialKind/code element is used to covey these codes.
(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FGRIC
 Example<asSpecializedKind classCode="GRIC">
  <generalizedMedicineClass classCode="MMAT">
    <code code=" " displayName=" " codeSystem=" " codeSystemName=" "/>  </generalizedMedicineClass></asSpecializedKind>
Included from 2.16.840.1.113883.10.21.4.19 UV Generalized Medicine Class (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pngpharm:generalizedMedicineKind
0 … *(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FMMAT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
1 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
0 … *(UVM...ail)
Treeblank.pngTreetree.pngpharm:part
0 … *(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPART
Treeblank.pngTreeblank.pngTreetree.pngpharm:id
II0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreetree.pngpharm:partProduct
1 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CE0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
EN0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:desc
ED0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE0 … 1(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:asContent
0 … *(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Included from 2.16.840.1.113883.10.21.4.17 UV Content (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1R(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CE0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
EN0 … *
It represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:formCode
CE0 … 1This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:capacity​Quantity
PQ0 … 1Captures the number of product units the package would contain if fully loaded.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@value
1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@unit
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:asContent
0 … *In case of multiple layers of packaging (5 vials 10 ml; box with 2 blisters of 20 tablets) this element can be used for describing the intermediate Packaged Medicinal Product Item or the Packaged Medicinal Product.


For example in the case 
  \--Box 
  \-----2 blisters 
  \--------20 tablets 
it describes the "2 blisters" 


In the case of 
  \--Box 
  \-----5 vials
it represents the Packaged Medicinal Product. 		(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:quantity
PQ0 … 1RThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:containerPackagedProduct
1 … 1RIt represents the intermediate Package Item or the Packaged Medicinal Product
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FCONT
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs1 … 1FKIND
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:code
CD0 … 1
It represents the code of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used to convey the Packaged Medicinal Product ID.
(UVM...ail)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pngpharm:name
ST0 … 1RIt represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is also the most outer <pharm:containerPackagedProduct> than this element can be used for the brand name.		(UVM...ail)
Treeblank.pngTreeblank.png