Id1.3.6.1.4.1.12559.11.10.1.3.1.3.32Effective Date2023‑07‑03 13:36:12
Statusretired RetiredVersion Label
NameeHDSIPSManufacturedMaterialDisplay NameeHDSI PS Manufactured Material
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 6 concepts
IdNameData Set
ehdsi-dataelement-93draft Strength(s) draft eHDSI Data Set
ehdsi-dataelement-94draft Active ingredient(s) draft eHDSI Data Set
ehdsi-dataelement-95draft Brand name draft eHDSI Data Set
ehdsi-dataelement-201draft Medicinal Product Package size draft eHDSI Data Set
ehdsi-dataelement-203draft Medicinal Product Package description draft eHDSI Data Set
ehdsi-dataelement-92draft Pharmaceutical dose form draft eHDSI Data Set
RelationshipVersion: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.32 eHDSI PS Manufactured Material (2023‑04‑26 13:23:27)
Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.32 eHDSI PS Manufactured Material (2022‑12‑07 15:44:34)
Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.32 eHDSI PS Manufactured Material (2022‑09‑21 12:29:12)
Version: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.32 eHDSI PS Manufactured Material (2022‑02‑04 17:30:00)
Generalization: template 2.16.840.1.113883.10.12.311 CDA Material (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:manufacturedMaterial
0 … *ReHDSdotsrial
@classCode
cs1 … 1FMMAT
@determinerCode
cs1 … 1FKIND
hl7:templateId
II.EPSOS1 … 1MeHDSdotsrial
@root
uid1 … 1F1.3.6.1.4.1.12559.11.10.1.3.1.3.32
hl7:code
CE.EPSOS0 … 1R
The element is used to convey a regional/national medicinal product code or MPID compliant with the IDMP system.
The element MUST NOT be used to convey:
  • ATC code (see generalizedMaterialKind instead)
  • Package code (national or PCID code compliant with the IDMP system). See containerPackagedProduct.code instead.
The <originalText> under the code MAY be included, but is not expected to be processed by the recipient of the document. If included, it SHALL contain a <reference> whose URI value points to the generic name and strength of the medication in the narrative, or just the generic name alone if strength is not relevant.

If the code is not available, the whole field SHOULD be skipped.
eHDSdotsrial
 Example
Acceptable 1
<code code="036772010" codeSystem="2.16.840.1.113883.2.9.6.1.5" codeSystemName="AIC" displayName="TIARTAN*28CPR RIV 600+12,5MG"/>
 Example
Acceptable 2
<code code="014094" codeSystem="1.2.246.537.6.55" codeSystemName="VNR" codeSystemVersion="2017.012" displayName="FORSTEO"/>
 Example
Acceptable 3
<code code="1008368" codeSystem="1.3.6.1.4.1.28284.6.2.4.44" codeSystemName="Ravimipreparaadi kood" displayName="MAREVAN FORTE">
  <originalText>
    <reference value="#ORIGNAME"/>  </originalText>
</code>
 Example
Unacceptable
<code code="C09BX01" codeSystem="2.16.840.1.113883.6.88" displayName="Triplixam, perindopril + indapamid + amlodipin / tbl. film obl. 30x(5 mg+1,25 mg+5 mg), C09BX01161"/>
hl7:name
EN0 … 1R
If present in the document, the element SHALL contain the brand name (invented name) of the medicinal product according to its marketing authorization. No additional information about the product (such as strength, dose form, package type, etc) is normally permitted, unless it is an inseparable part of the brand name, as authorized by a Medicines Agency.

If the information about the brand name is not available (for example it cannot be extracted from the long textual description of the medicinal product or the prescription is active ingredient based), the whole field SHOULD be skipped.
eHDSdotsrial
 
target
ehdsi-dataelement-95draft Brand name draft eHDSI Data Set
 Example
Acceptable 1
<name>TIARTAN</name>
 Example
Acceptable 2
<name>HUMALOG MIX25 KWIKPEN</name>
 Example
Acceptable 3
<name>FUROSEMIDA APOTEX 40 mg COMPRIMIDOS EFG</name>
 Example
Unacceptable 1
<name>LIPITOR F.C.TAB 20MG/TAB ΒTx 14 (BLIST 2x 7)</name>
 Example
Unacceptable 2
<name>TIARTAN*28CPR RIV 600+12,5MG</name>
 Example
Unacceptable 3
<name>Triplixam, perindopril + indapamid + amlodipin / tbl. film obl. 30x(5 mg+1,25 mg+5 mg), C09BX01161</name>
 Example
Unacceptable 4
<name>amoxicillin</name>
 Example
Unacceptable 5
<name>FUROSEMIDA APOTEX 40 mg COMPRIMIDOS EFG, 10 comprimidos</name>
pharm:desc
EN0 … 1R Free-text representation of the strength. eHDSdotsrial
 Example<desc>20/12,5 mg</desc>
pharm:formCode
CE.EPSOS0 … 1RThis code represents the form of the medication (e.g. tablet, capsule, liquid). The value of this code affects the units used in the substance administration quantity element – if the form is a tablet, for example, the unit is 1; if the form is a liquid, the unit will be part of UCUM. The value set is eHDSIDoseForm, OID: 1.3.6.1.4.1.12559.11.10.1.3.1.42.2.
eHDSdotsrial
 
target
ehdsi-dataelement-92draft Pharmaceutical dose form draft eHDSI Data Set
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.2 eHDSIDoseForm (DYNAMIC)
 Example<formCode code="10211000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" codeSystemVersion="2017-04-14" displayName="Capsule, soft">...</formCode>
pharm:asContent
0 … 1RThis structure describes the packaging of the medication.
The <pharm:formCode> element provides the code for the particular package. If the package has a brand name, it can be described in the <pharm:name> element. The <pharm:quantity> represents 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.

When the IDMP Packaged Medicinal Product ID (PCID) will become actually available for usage, the most inner package <code> element will be used to convey the IDMP PCID.
eHDSdotsrial
@classCode
cs1 … 1FCONT
pharm:quantity
PQ1 … 1MThis element describes how many content items are present in the package.

The preferred way is to provide the quantity in a coded form using the @unit and @value attributes.
If no coded information is available and even the use of UCUM annotations is not sufficient and more information is available within the national infrastructure, the originalText element can be used to add additional information:

<hl7:translation>
<hl7:originalText>Tablet</hl7:originalText>
</hl7:translation>
To improve understanding for the receiver, the additional information has to be provided in English.

3 possible uses for the @unit attribute are allowed:

  1. The preferred situation where value of the unit attibute comes from the eHDSIUnit value set.
  2. A UCUM annotation can be used in the unit attribute. In the case of countable items, the content between curly brackets must be a concept from the eHDSIQuantityUnit value set.
  3. For countable units, the unit attribute can also be set to '1', and the translation element can be used to convey the type of content item.
eHDSdotsrial
 
target
ehdsi-dataelement-201draft Medicinal Product Package size draft eHDSI Data Set
@value
1 … 1R
 Example<quantity value="20" unit="{tablet}"/>
 Example<quantity value="10" unit="mL"/>
pharm:containerPackagedProduct
1 … 1RIt represents the most inner Package Item or the Packaged Medicinal Product.
eHDSdotsrial
@classCode
cs1 … 1FCONT
@determinerCode
cs1 … 1FKIND
 Example<containerPackagedProduct classCode="CONT" determinerCode="KIND">...</containerPackagedProduct>
pharm:code
CE.EPSOS0 … 1R
If this is also the most outer <pharm:containerPackagedProduct> then the <code> element is used to convey the national package identification code or the IDMP Packaged Medicinal Product Identifier (PCID) when it will become actually available for usage.
eHDSdotsrial
pharm:name
ST0 … *R
If present, the element SHALL contain a sufficiently detailed description of the prescribed medicinal product/package. The description may contain information on the brand name, dose form, package (including its type or brand name), strength, etc.

If the detailed description of the product is not available, the element SHALL be skipped.
eHDSdotsrial
 
target
ehdsi-dataelement-203draft Medicinal Product Package description draft eHDSI Data Set
 Example
Acceptable 1
<name>LIPITOR F.C.TAB 20MG/TAB ΒTx 14 (BLIST 2x 7)</name>
 Example
Acceptable 2
<name>TIARTAN*28CPR RIV 600+12,5MG</name>
 Example
Acceptable 3
<name>Triplixam, perindopril + indapamid + amlodipin / tbl. film obl. 30x(5 mg+1,25 mg+5 mg), C09BX01161</name>
 Example
Unacceptable 1
<name>EASYHALER</name>
 Example
Unacceptable 2
<name>amoxicillin</name>
 Example
Unacceptable 3
<name>TIARTAN</name>
pharm:formCode
CE.EPSOS1 … 1RThis element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.
eHDSdotsrial
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 eHDSIPackage (DYNAMIC)
 Example<formCode code="30009000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Box"/>
pharm:asContent
0 … 1
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. 
eHDSdotsrial
@classCode
cs1 … 1FCONT
 Example
Packaged Medicinal Product with multiple layers packaging
<asContent>
  <containerPackagedProduct>
    <!-- Inner Package -->
    <code codeSystem="..." code="..." displayName="..."/>    <asContent>
      <containerPackagedProduct>
        <!-- Intermediate Package -->
        <asContent>
          <containerPackagedProduct>
            <!-- Outer Package / Packaged Medicinal Product -->
          </containerPackagedProduct>
        </asContent>
      </containerPackagedProduct>
    </asContent>
  </containerPackagedProduct>
</asContent>
 Example
Packaged Medicinal Product with formCode
<asContent>
  <containerPackagedProduct>
    <!-- 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>
pharm:quantity
PQ1 … 1MThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.
eHDSdotsrial
@unit
cs0 … 1 

3 possible uses for the @unit attribute are allowed:

  1. The preferred situation where value of the unit attibute comes from the eHDSIUnit value set.
  2. A UCUM annotation can be used in the unit attribute. In the case of countable items, the content between curly brackets must be a concept from the eHDSIQuantityUnit value set.
  3. For countable units, the unit attribute can also be set to '1', and the translation element can be used to convey the type of content item.
If the @unit attribute is not provided, it is considered to have the default value '1'.
@value
1 … 1R
 Example
unit value is a UCUM annotation
<quantity value="20" unit="{tablet}"/>
 Example
unit value is from the eHDSIUnit value set
<quantity value="10" unit="mL"/>
pharm:containerPackagedProduct
1 … 1RIt represents the intermediate Package Item or the Packaged Medicinal Product.
eHDSdotsrial
@classCode
cs1 … 1FCONT
@determinerCode
cs1 … 1FKIND
 Example<containerPackagedProduct classCode="CONT" determinerCode="KIND">...</containerPackagedProduct>
pharm:code
CE.EPSOS0 … 1R
If this is also the most outer <pharm:containerPackagedProduct> then the <code> element is used to convey the national package identification code or the IDMP Packaged Medicinal Product Identifier (PCID) when it will become actually available for usage.
eHDSdotsrial
pharm:name
ST0 … *R
It represents the Name of the Package Item or of the Packaged Medicinal Product
If this is also the most inner  <pharm:containerPackagedProduct> than this element can be used for the brand name.
eHDSdotsrial
pharm:formCode
CE.EPSOS1 … 1RThis element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.
eHDSdotsrial
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 eHDSIPackage (DYNAMIC)
 Example<formCode code="30009000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Box"/>
pharm:asContent
0 … 1
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. 
eHDSdotsrial
@classCode
cs1 … 1FCONT
pharm:quantity
PQ1 … 1MThe quantity which specified how many inner packaged content entities are in an outer packaging container entity.eHDSdotsrial
@unit
cs0 … 1 

3 possible uses for the @unit attribute are allowed:

  1. The preferred situation where value of the unit attibute comes from the eHDSIUnit value set.
  2. A UCUM annotation can be used in the unit attribute. In the case of countable items, the content between curly brackets must be a concept from the eHDSIQuantityUnit value set.
  3. For countable units, the unit attribute can also be set to '1', and the translation element can be used to convey the type of content item.
If the @unit attribute is not provided, it is considered to have the default value '1'.
@value
1 … 1R
 Example<quantity value="20" unit="{tablet}"/>
 Example<quantity value="10" unit="mL"/>
pharm:containerPackagedProduct
1 … 1RWhen present, it represents the Packaged Medicinal Product.
eHDSdotsrial
@classCode
cs1 … 1FCONT
@determinerCode
cs1 … 1FKIND
 Example<containerPackagedProduct classCode="CONT" determinerCode="KIND">...</containerPackagedProduct>
pharm:code
CE.EPSOS0 … 1RIf this is also the most outer <pharm:containerPackagedProduct> then the <code> element is used to convey the national package identification code or the IDMP Packaged Medicinal Product Identifier (PCID) when it will become actually available for usage.
eHDSdotsrial
pharm:name
ST0 … *RWhen present, it can be used for the representing the brand name.
eHDSdotsrial
pharm:formCode
CE.EPSOS1 … 1RWhen present, it encodes the type of the outer package.
eHDSdotsrial
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 eHDSIPackage (DYNAMIC)
 Example<formCode code="30009000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Box"/>
pharm:asSpecializedKind
0 … 1RThis module is used for representing the classification of the Substance according to the WHO Anatomical Therapeutic Chemical (ATC) Classification System. 

The classCode of "GRIC" identifies this structure as the representation of a generic equivalent of the medication described in the current Medicine entry.

The <pharm:code> element contains the ATC code, and the <pharm:name> element may be used for the plain text representation.

eHDSdotsrial
where [generalizedMaterialKind/code/@codeSystem='2.16.840.1.113883.6.73']
@classCode
cs1 … 1FGRIC
 Example<asSpecializedKind classCode="GRIC">
  <generalizedMaterialKind classCode="MMAT">
    <code code=" " codeSystem="2.16.840.1.113883.6.73" codeSystemName="Anatomical Therapeutic Chemical" displayName=" "/>    <name/>  </generalizedMaterialKind>
</asSpecializedKind>
pharm:generalizedMaterialKind
1 … 1MeHDSdotsrial
@determinerCode
cs1 … 1FKIND
@classCode
cs1 … 1FMMAT
pharm:code
CD.EPSOS1 … 1RThe element contains the ATC code of this medicine.
eHDSdotsrial
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 eHDSIActiveIngredient (DYNAMIC)
pharm:name
0 … 1
The element SHALL be skipped if the generalizedMaterialKind/code element is present and contains a valid value (not a nullFlavor).

If present, the element SHALL contain a textual description of the generic equivalent of the medication described in the current Medicine entry.

If the prescription is generic (based on one or more active ingredients), the element, if present, SHALL contain the INN or a similar description of the prescribed medicine.
eHDSdotsrial
pharm:asSpecializedKind
0 … *RThe Medicinal Product can be classified according to various classification systems, which may be jurisdictional or international.

The classification system itself is specified using an appropriate identification system; the controlled term and the controlled term identifier shall be specified.

When the IDMP Pharmaceutical Product Identifier(s) (PhPID Set) will become actually available for use, the PhPID will be represented by the generalizedMaterialKind/code element.

eHDSdotsrial
@classCode
cs1 … 1FGEN
 Example<asSpecializedKind classCode="GEN">
  <generalizedMaterialKind classCode="MMAT">
    <code code="PhPID_Lvl1" codeSystem="1.999.999" displayName="Pharmaceutical Product Name" codeSystemName="PhPID Level 1"/>    <name/>  </generalizedMaterialKind>
</asSpecializedKind>
pharm:generalizedMaterialKind
1 … 1MeHDSdotsrial
@determinerCode
cs1 … 1FKIND
@classCode
cs1 … 1FMMAT
pharm:code
CD.EPSOS1 … 1RWhen the IDMP Pharmaceutical Product Identifier(s) (PhPID Set) will become actually available for use, this element will be used for representing the IDMP PhP Id. The level and the stratum of the PhPID will be distiguished by the OID of the code system.
eHDSdotsrial
pharm:name
0 … *eHDSdotsrial
pharm:ingredient
0 … *ROne or more active ingredients may be represented with this structure. The classCode of "ACTI" indicates that this is an active ingredient. The element contains the coded representation of the ingredient and the element may be used for the plain text representation.eHDSdotsrial
 
target
ehdsi-dataelement-94draft Active ingredient(s) draft eHDSI Data Set
@classCode
cs1 … 1FACTI
 Example<ingredient classCode="ACTI">...</ingredient>
pharm:quantity
1 … 1M The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication. The element contains the numerator and denominator of the strength ratio.

The denominator element should contain an amount with its corresponding unit. Only when the numerator comes in a fractional form and cannot be separated into the numerator and denominator form, or is related to a unit of administration, a unit of '1' in the denominator is allowed.

The units used must come from the eHDSIUnit Value Set. 

The preferred way is to provide the medication strength in a coded form using the @numerator and @denominator attributes. If no coded information is available and even the use of UCUM annotations is not sufficient and more information is available within the national infrastructure, the originalText element can be used to add additional information:
<hl7:translation> <hl7:originalText>mg/dose</hl7:originalText> </hl7:translation>
To improve understanding for the receiver, the additional information has to be provided in English.
eHDSdotsrial
 
target
ehdsi-dataelement-93draft Strength(s) draft eHDSI Data Set
 Example
Strength in normal representation
<quantity>
  <numerator value="5" unit="mg" type="PQ"/>  <denominator value="1" unit="mL" type="PQ"/></quantity>
 Example
Strength when fractional numerator unit not convertible
<quantity>
  <numerator value="5" unit="mg/mL" type="PQ"/>  <denominator value="1" unit="1" type="PQ"/></quantity>
 Example
Strength per unit of administration
<quantity>
  <numerator value="500" unit="mg" type="PQ"/>  <denominator value="1" unit="1" type="PQ"/></quantity>
 Example
Strength per unit of presentation which is not a unit of administration
<quantity>
  <numerator value="2" unit="g" type="PQ"/>  <denominator value="1" unit="{Tube}" type="PQ"/></quantity>
hl7:numerator
PQ1 … 1ReHDSdotsrial
@unit
cs1 … 1R
@value
1 … 1R
 Example<numerator unit="mg" value="20" type="PQ"/>
hl7:denominator
PQ1 … 1ReHDSdotsrial
@unit
cs1 … 1R

3 possible uses for the @unit attribute are allowed:

  1. The preferred situation where value of the unit attibute comes from the eHDSIUnit value set.
  2. A UCUM annotation can be used in the unit attribute. In the case of countable items, the content between curly brackets must be a concept from the eHDSIQuantityUnit value set.
  3. For countable units, the unit attribute can also be set to '1', and the translation element can be used to convey the type of content item.
@value
1 … 1R
 Example<denominator unit="1" value="1" type="PQ"/>
pharm:ingredientSubstance
1 … 1ReHDSdotsrial
@classCode
cs1 … 1FMMAT
@determinerCode
cs1 … 1FKIND
 Example<ingredientSubstance classCode="MMAT" determinerCode="KIND">
  <code code="C09CA02" codeSystem="2.16.840.1.113883.6.73" codeSystemName="Anatomical Therapeutic Chemical" displayName="Eprosartan"/>  <name>EPROSARTAN</name></ingredientSubstance>
pharm:code
CD.EPSOS1 … 1ReHDSdotsrial
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 eHDSIActiveIngredient (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (DYNAMIC)
hl7:originalText
ED0 … *eHDSdotsrial
hl7:reference
TEL0 … *eHDSdotsrial
hl7:translation
CD0 … *This element can be used to provide alternative identifications for the described substance.eHDSdotsrial
pharm:name
0 … 1Name of the substanceeHDSdotsrial