Item |
DT |
Card |
Conf |
Desc |
Label |
|
|
0 .. * |
|
The <supply> element shall be present. The moodCode attribute shall be INT to reflect
that a medication has been prescribed, or EVN to indicate that the prescription has
been filled.
|
(epSOSCDASupply) |
 |
@classCode
|
|
|
1 .. 1 |
F |
SPLY |
 |
@moodCode
|
|
cs |
1 .. 1 |
|
|
|
CONF |
The value of @moodCode shall be drawn from value set DocumentSubstanceMood (DYNAMIC)
 |
Error: Cannot find value set "DocumentSubstanceMood" |
|
|
|
Example |
<supply classCode="SPLY" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.34"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/>
<templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.3"/>
<id root="" extension=""/>
<quantity value="" unit=""/>
<product> ... </product>
<performer typeCode="PRF">
<assignedEntity>
<id root="" extension=""/>
<telecom use="" value=""/>
<assignedPerson>
</assignedPerson>
<representedOrganization>
</representedOrganization> </assignedEntity> </performer>
<!-- related prescription -->
<entryRelationship typeCode="REFR">
<substanceAdministration classCode="SBADM" moodCode="INT"> ... </substanceAdministration> </entryRelationship>
<!-- Optional Substitution Act -->
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN"> ... </act> </entryRelationship>
<entryRelationship typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="INT">
</substanceAdministration> </entryRelationship>
<!-- Optional Patient instrctions -->
<entryRelationship typeCode="SUBJ"> ... </entryRelationship> </supply> |
 |
hl7:templateId
|
|
II |
1 .. 1 |
M |
|
(epSOSCDASupply) |
 |
 |
@root
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.10.20.1.34 |
 |
hl7:templateId
|
|
II |
1 .. 1 |
M |
|
(epSOSCDASupply) |
 |
 |
@root
|
|
|
1 .. 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.7.3 |
 |
hl7:templateId
|
|
II |
1 .. 1 |
M |
|
(epSOSCDASupply) |
 |
 |
@root
|
|
|
1 .. 1 |
F |
1.3.6.1.4.1.12559.11.10.1.3.1.3.3 |
 |
hl7:id
|
|
II |
1 .. * |
|
Each supply act shall have an identifier to uniquely identify the dispensation of
this particular medication.
|
(epSOSCDASupply) |
 |
hl7:quantity
|
|
PQ |
0 .. 1 |
|
The supply entry should indicate the quantity supplied (such as tablets or containers).
The value attribute shall be present and indicates the quantity of medication supplied.
If the medication is supplied in dosing units (tablets or capsules), then the unit
attribute need not be present (and should be set to 1 if present). Otherwise, the
unit element shall be present to indicate the quantity (e.g., volume or mass) of medication
supplied.
|
(epSOSCDASupply) |
 |
hl7:product where [hl7:manufacturedProduct [hl7:templateId [@root='1.3.6.1.4.1.12559.11.10.1.3.1.3.1']]] |
|
|
1 .. 1 |
R |
Product
The <product> element shall be present, and shall contain a <manufacturedProduct>
entry, conforming to the Medicine Entry template. This is the actual medication dispensed,
and may include packaging information.
|
(epSOSCDASupply) |
 |
 |
@typeCode
|
|
|
0 .. 1 |
F |
PRD |
|
Contains |
inherited template rules epSOS CDA ManufacturedProduct (DYNAMIC) with overridden cardinality 1 .. 1 Required
|
 |
hl7:performer
|
|
|
1 .. 1 |
|
Dispenser
The <performer> element shall be present to indicate who actually filled (moodCode='EVN')
the prescription. The dispenser is described within the specific entry structure of
the prescription under the /ClinicalDocument/component/structuredBody/component/section/entry/supply/performer
XML element.
Data element |
HL7 V3 Data Type |
CDA Header position (relative XPath expression) |
Dispensation Time |
TS |
performer/time |
Dispenser Name |
PN |
performer/assignedEntity/assignedPerson/name |
Dispenser identifier |
II |
performer/assignedEntity/id |
Pharmacy Organization Identifier |
II |
performer/assignedEntity/representedOrganization/id |
Pharmacy Organization Name |
ON |
performer/assignedEntity/representedOrganization/name |
Pharmacy Organization Address |
AD |
performer/assignedEntity/representedOrganization/addr |
|
(epSOSCDASupply) |
|
Contains |
inherited template rules CDA Performer (Body) (DYNAMIC) with overridden cardinality 1 .. 1
|
 |
hl7:participant
|
|
|
1 .. * |
|
Dispenser Credentialing Organization
The organization which provided the credentialing for the dispenser needs to be expressed
via a <participant> structure, which is in addition to the <performer> element specified
earlier. The type code of the <participant> element shall be "PRF", and the class
code of the <participantRole> element shall be "LIC".
The ID of the participation role is optional, and when present it shall be the dispenser
ID as specified in the <performer> structure.
The credentialing organization (College) is represented by the <scopingEntity> element
with a class code of "ORG". The name is represented by the <desc> element, and the
credentialing organization (College) ID is represented by the <id> element of the
scoping entity
|
(epSOSCDASupply) |
|
Example |
<participant typeCode="PRF">
<participantRole classCode="LIC">
<id root=" " extension=" "/>
<scopingEntity classCode="ORG">
<id root=" " extension=" "/>
<desc>Name</desc> </scopingEntity> </participantRole> </participant> |
|
Contains |
inherited template rules CDA Participant (Body) (DYNAMIC) with overridden cardinality 1 .. *
|
 |
hl7:entryRelationship where [hl7:substanceAdministration [hl7:templateId [@root='2.16.840.1.113883.10.20.1.24'
or @root='1.3.6.1.4.1.12559.11.10.1.3.1.3.2' or @root='1.3.6.1.4.1.19376.1.5.3.1.4.7'
or @root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1' or @root='1.3.6.1.4.1.19376.1.5.3.1.4.11'
or @root='1.3.6.1.4.1.19376.1.5.3.1.4.9']]] |
|
|
0 .. * |
|
Related Prescription Item
The related prescription item is represented via an entry relationship of type code
"REFR", and containing a prescription entry as described in section 12.1.2.4. The
prescription item ID is required within the Dispensed Medication Entry.
|
(epSOSCDASupply) |
|
Example |
<entryRelationship typeCode="REFR">
<substanceAdministration classCode="SBADM" moodCode="INT"> ... </substanceAdministration> </entryRelationship> |
|
Contains |
inherited template rules epSOS CDA substanceAdministration (DYNAMIC) with overridden cardinality 0 .. *
|
 |
hl7:entryRelationship
|
|
|
0 .. 1 |
|
Substitution
An entry relationship may be present to inform that a substitution occured. When
present, this entry re-lationship SHALL contain one and only one act.
This act SHALL have the code element valorized with @code=’SUBST' and @codeSystem='2.16.840.1.113883.5.6';
|
(epSOSCDASupply) |
|
Contains |
an element from template CDA Clinical Statement (DYNAMIC) with overridden cardinality 0 .. 1
|
 |
hl7:entryRelationship where [hl7:substanceAdministration [hl7:templateId [@root='2.16.840.1.113883.10.20.1.24'
or @root='1.3.6.1.4.1.12559.11.10.1.3.1.3.2' or @root='1.3.6.1.4.1.19376.1.5.3.1.4.7'
or @root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1' or @root='1.3.6.1.4.1.19376.1.5.3.1.4.11'
or @root='1.3.6.1.4.1.19376.1.5.3.1.4.9']]] |
|
|
0 .. 1 |
|
Change of Dosage Information
If for some reason the dispense included a change in the dosing of the dispensed medication,
the new dosing informationis represented via an entry relationship of type code "COMP",
and containing a substance administration entry, which in turn contains the different
dosing information.
|
(epSOSCDASupply) |
|
Example |
<entryRelationship typeCode="COMP">
<substanceAdministration classCode="SBADM" moodCode="INT">
<!-- Only changed dosage/administration information should be recorded -->
<effectiveTime xsi:type="IVL_TS">
</effectiveTime>
<effectiveTime operator="A" xsi:type="TS|PIVL_TS|EIVL_TS|SXPR_TS"> : </effectiveTime>
<routeCode code=" " codeSystem=" " displayName=" " codeSystemName=" "/>
<doseQuantity value=" " unit=" "/>
<approachSiteCode code=" " codeSystem=" " displayName=" " codeSystemName=" "/>
<rateQuantity value=" " unit=" "/>
</substanceAdministration> </entryRelationship> |
|
Contains |
inherited template rules epSOS CDA substanceAdministration (DYNAMIC) with overridden cardinality 0 .. 1
|
 |
hl7:entryRelationship
|
|
|
0 .. 1 |
|
Patient Instructions
Any optional patient instructions can be specified as an entry relationship of type
"SUBJ". This entry relationship contains an Act as described in the Patient Medication
Instructions Entry Content Module.
|
(epSOSCDASupply) |
|
Example |
<entryRelationship typeCode="SUBJ" inversionInd="true">
<act classCode="ACT" moodCode="INT"> ... </act> </entryRelationship> |
|
Contains |
an element from template CDA Clinical Statement (DYNAMIC) with overridden cardinality 0 .. 1
|
 |
hl7:precondition
|
|
|
0 .. * |
|
In a CDA document, the preconditions for use of the medication are recorded in the
<precondition> element. The value attribute of the <reference> element is a URL that
points to the CDA narrative describing those preconditions.
|
(epSOSCDASupply) |
|
Example |
<precondition>
</precondition> |
|
Contains |
inherited template rules CDA Precondition (DYNAMIC) with overridden cardinality 0 .. *
|