2.16.840.1.113883.10.22.3.1/static-2016-11-11T000000

Id	2.16.840.1.113883.10.22.3.1	Gültigkeit ab	2016‑11‑11
Status	Unter Revision vor der Publikation	Versions-Label	STU1
Name	IPSMedicationSummarySection	Bezeichnung	IPS Medication Summary Section
Beschreibung The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary. The actual content could depend on the jurisdiction, it could report: the currently active medications;  the current and past medications considered relevant by the authoring GP;  the patient prescriptions or dispensations automatically extracted by a regional or a national EHR. In all those cases however medications are documented in the Patient Summary as medication statements. This section requires either an entry indicating the subject is known not to be on any medications; either an entry indicating that no information is available about medications; or entries summarizing the subject's medications. The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.3.1
Klassifikation	CDA Section level template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit	Assoziiert mit 2 Konzepte Id Name Datensatz hl7ips-data​element-16  Medication Summary  CEN/TC 251 prEN 17269 hl7ips-data​element-61  List of medication  CEN/TC 251 prEN 17269
Benutzt	Benutzt 4 Templates Benutzt als Name Version 2.16.840.1.113883.10.22.4.14 Inklusion IPS Body Author (STU1) DYNAMIC 2.16.840.1.113883.10.12.319 Containment CDA Informant (Body) DYNAMIC 2.16.840.1.113883.10.22.4.4 Containment IPS Medication Statement (STU2) DYNAMIC 2.16.840.1.113883.10.22.3.15 Containment IPS Translation Section (2021) DYNAMIC
Beziehung	Adaptation: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07) ref ad1bbr- Adaptation: Template 2.16.840.1.113883.10.20.1.8 Medication section (DYNAMIC) ref ccd1- Adaptation: Template 1.3.6.1.4.1.12559.11.10.1.3.1.2.3 Section Medication Summary (2013‑12‑20) ref epsos-
Beispiel	Beispiel <section classCode="DOCSECT">   <templateId root="2.16.840.1.113883.10.22.3.1"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" displayName="Terapie farmacologiche"/>  <title>Terapie farmacologiche</title>  <text>...</text>  <author>     <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->   </author>  <informant>     <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->   </informant>  <entry typeCode="COMP" contextConductionInd="true">     <!-- template 2.16.840.1.113883.10.22.4.4 'IPS Medication Entry' (dynamic) -->   </entry>  <component>     <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->   </component></section>
Item DT Kard Konf Beschreibung Label hl7:section 1 … 1 M   hl7ips-data​element-16  Medication Summary  CEN/TC 251 prEN 17269 @classCode cs 0 … 1 F DOCSECT hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.3.1 hl7:id II 0 … * hl7:code CE.IPS 1 … 1 M History of medication use @code CONF 1 … 1 F 10160-0 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) hl7:title ST 1 … 1 M Medication Summary hl7:text SD.TEXT 1 … 1 M Section text Eingefügt 0 … * von 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7:author 0 … * hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R hl7:assignedAuthor 1 … 1 M hl7:id II 1 … * R hl7:code 0 … 1 R Auswahl 0 … 1 Elemente in der Auswahl: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document   Beispiel <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R hl7:given 1 … * R hl7:assigned​Authoring​Device 0 … 1 C   Beispiel <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> Eingefügt von 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 hl7:manufacturer​Model​Name SC 0 … 1 hl7:softwareName SC 0 … 1 hl7:represented​Organization 0 … 1 hl7:id II 0 … * hl7:name 0 … * hl7:telecom TEL 0 … * hl7:addr AD 0 … * hl7:informant 0 … * Beinhaltet 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) hl7:entry 1 … * R Beinhaltet 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (DYNAMIC)   hl7ips-data​element-61  List of medication  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 R   CONF Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) @context​Conduction​Ind bl 0 … 1 F true hl7:component 0 … * Beinhaltet 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)