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I was given this email to report technical errors in the eHDSI PS specifications in ART-DECOR.
This template:https://art-decor.ehdsi.eu/publication/epsos-html-20240422T073854/tmp-1.3.6.1.4.1.12559.11.10.1.3.1.3.4-2024-01-25T135932.html<https://urldefense.com/v3/__https://art-decor.ehdsi.eu/publication/epsos-html-20240422T073854/tmp-1.3.6.1.4.1.12559.11.10.1.3.1.3.4-2024-01-25T135932.html__;!!DOxrgLBm!A6ckqYgTn5j4oMEYzqq2tyBuBvoUQG3npPv6tNKmIv-AvsVVxT5RpvgWHmUOAztOznNoD9CvPvSUp_ThBLCK7l8DDO7n3eqECfmVXpTWtg$>contains this example fragment for "No information available":
<substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.4"/> <templateId root="2.16.840.1.113883.10.20.1.24"/> <id root="2.999.1.1" extension="{}example only{}"/> <code code="no-medication-info" codeSystem="2.16.840.1.113883.5.1150.1" displayName="No information about medications"/> <statusCode code="completed"/> <effectiveTime nullFlavor="UNK" xsi:type="IVL_TS"/> <effectiveTime nullFlavor="NA"/> <consumable> <manufacturedProduct classCode="MANU"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.31"/> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration>
Using this fragment and validating the result against the ART-DECOR schematron yield an error:(eHDSIPSMedicationInformation): element hl7:manufacturedMaterial[hl7:templateId[@root = '1.3.6.1.4.1.12559.11.10.1.3.1.3.32']] is required [min 1x].
The example file we were referred to also gives the same error (https://code.europa.eu/ehdsi/ehdsi-general-repository/-/blob/main/cda%20documents/W7/PS/2-5678-W7.xml?ref_type=heads).
Changing the example to:
<substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.4" /> <templateId root="2.16.840.1.113883.10.20.1.24" /> <id root="2.999.1.1" extension="{}example only{}" /> <code code="no-known-medications" codeSystem="2.16.840.1.113883.5.1150.1" displayName="No known medications" /> <statusCode code="completed" /> <effectiveTime nullFlavor="UNK" xsi:type="IVL_TS" /> <effectiveTime nullFlavor="NA" /> <consumable> <manufacturedProduct classCode="MANU"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.31" /> <manufacturedMaterial classCode="MMAT" determinerCode="KIND" nullFlavor="NA"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.32"/> </manufacturedMaterial> </manufacturedProduct> </consumable> </substanceAdministration>
fixes the error. This would be a quick fix to the error.
A better solution is not to required consumable (which is 1..1 R) for "No information" cases.Simply saying:<consumable nullFlavor="NI"/>in the above template yields other errors now, but for "No information" the entire consumable section makes no sense.