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draft Template  IPS Medication Information (detail)

Id 2.16.840.1.113883.10.22.4.2 Effective Date 2016‑11‑10
Status draft Draft Version Label
Name IPSManufacturedProduct Display Name IPS Medication Information (detail)
Description This entry describes the consumable subject of the medication statement.
All the information about the medication is provided in the included IPS Manufactured Material template.
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
hl7ips-dataelement-2 draft Medicinal Product draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as Name Version
2.16.840.1.113883.10.22.4.4 Containment draft IPS Medication Statement 2016‑11‑11
2.16.840.1.113883.10.22.3.1 link draft IPS Medication Summary Section 2016‑11‑11
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2017‑04‑11
Uses as Name Version
2.16.840.1.113883.10.22.4.3 Include draft IPS Manufactured Material DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.12.312 (2005‑09‑07)
Specialization: template 2.16.840.1.113883.10.21.4.11 (DYNAMIC)
Example
Example
<manufacturedProduct classCode="MANU">
  <templateId root="2.16.840.1.113883.10.22.4.2"/>  <!-- include template 2.16.840.1.113883.10.22.4.3 'IPS Manufactured Material' (dynamic) 1..1 R -->
</manufacturedProduct>
notice There is an open issue with this item:
Item DT Card Conf Description Label
hl7:manufacturedProduct
0 … * R (IPSdotsuct)
 
target
hl7ips-dataelement-2 draft Medicinal Product draft CEN/TC 251 prEN 17269
@classCode
cs 0 … 1 F MANU
hl7:templateId
II 1 … 1 M (IPSdotsuct)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.2
Included 1 … 1 R from 2.16.840.1.113883.10.22.4.3 IPS Manufactured Material (DYNAMIC)
hl7:manufacturedMaterial
1 … 1 R (IPSdotsuct)
@classCode
cs 0 … 1 F MMAT
@determinerCode
cs 0 … 1 F KIND
hl7:templateId
II 1 … 1 M (IPSdotsuct)
@root
oid 1 … 1 F 2.16.840.1.113883.10.22.4.3
hl7:code
CE.IPS 0 … 1 R This element is generally used to identify a medicinal product.
When the IDMP identifiers will be concretely available for usage this element will be used for conveying the Medicinal Product Identifier (MPID).
For the time being, it could be optionally used for conveying jurisdictional or agreed cross jurisdictional medicinal product code.
(IPSdotsuct)
 
target
hl7ips-dataelement-105 draft Product Code draft CEN/TC 251 prEN 17269
hl7:name
EN 0 … 1 R
This element is supposed to be valorized with the complete Medicinal Product Name as approved by the Medicines Regulatory Agency in a jurisdiction.
The name may be applicable in one or more country/language combinations.
(IPSdotsuct)
 
target
hl7ips-dataelement-171 draft Product Common Name (and Strength) draft CEN/TC 251 prEN 17269
hl7ips-dataelement-117 draft Brand Name draft CEN/TC 251 prEN 17269
pharm:formCode
CE.IPS 0 … 1 R Administrable Pharmaceutical Dose Form.
This code represents the form of the medication (e.g. tablet, capsule, liquid)

Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms;Pakages and Route of Administration.

It is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT.
(IPSdotsuct)
 
target
hl7ips-dataelement-227 draft Pharmaceutical dose form draft CEN/TC 251 prEN 17269
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.25 Medicine Doseform (DYNAMIC)
  Example <pharm:formCode code="10211000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Capsule, soft">...</pharm:formCode>
pharm:asContent
0 … * This 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:capacityQuantity> element described the capacity of the packaging. For example, to represent 30 tablets, the <pharm:formCode> element at the <manufacturedMaterial> level must indicate tablets as the form, value attribute of the <pharm:capacityQuantity> element must have the value of 30, and the unit attribute can be 1 or {tablet} or omitted. In the cases where the unit attribute is not 1, UCUM units shall be used. 

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.
(IPSdotsuct)
@classCode
cs 1 … 1 F CONT
  Example
Packaged Medicinal Product with multiple layers packaging
<pharm:asContent>
  <pharm:containerPackagedProduct>
    <!-- Inner Package -->
    <pharm:code codeSystem="..." code="..." displayName="..."/>    <pharm:asContent>
      <pharm:containerPackagedProduct>
        <!-- Intermediate Package -->
        <pharm:asContent>
          <pharm:containerPackagedProduct>
            <!-- Outer Package / Packaged Medicinal Product -->
          </pharm:containerPackagedProduct>
        </pharm:asContent>
      </pharm:containerPackagedProduct>
    </pharm:asContent>
  </pharm:containerPackagedProduct>
</pharm:asContent>
  Example
Packaged Medicinal Product with formCode
<pharm:asContent>
  <pharm:containerPackagedProduct>
    <!-- Packaged Medicinal Product -->
    <pharm:code codeSystem="1.999.999" code="PC_ID" displayName="Packaged Product Name"/>    <pharm:name>100 MIRACLE PILLS(TM)</pharm:name>    <pharm:formCode codeSystem="0.4.0.127.0.16.1.1.2.1" code="30009000" displayName="Box" CodeSystemName="EDQM"/>  </pharm:containerPackagedProduct>
</pharm:asContent>
pharm:quantity
PQ 0 … 1 (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
pharm:containerPackagedProduct
1 … 1 R
It represents the most inner Package Item or the Packaged Medicinal Product.


(IPSdotsuct)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
pharm:code
0 … 1
If this is the most inner  <pharm:containerPackagedProduct> than the <code> element can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage).
 
The presence of the PCID indicates that that element represents the "Packaged Medicinal Product".
(IPSdotsuct)
pharm:name
ST 0 … 1 It represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is the most inner  <pharm:containerPackagedProduct> than this element can be used for the brand name.
(IPSdotsuct)
 
target
hl7ips-dataelement-117 draft Brand Name draft CEN/TC 251 prEN 17269
  Example <pharm:name>AMOXIFEN(R) 20 compresse 20 mg</pharm:name>
pharm:formCode
CE.IPS 0 … 1 R This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.

Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration.
(IPSdotsuct)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC)
  Example <pharm:formCode code="30007000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" codeSystemVersion="2010" displayName="Blister">...</pharm:formCode>
pharm:capacityQuantity
PQ 0 … 1 R It represents the functional capacity of the container: e.g. blister containing 20 tablets or ampule of 10 ml. (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
  Example <pharm:capacityQuantity value="20" unit="{tablet}"/>
  Example <pharm:capacityQuantity value="10" unit="mL"/>
pharm:asContent
0 … * R 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. 
(IPSdotsuct)
@classCode
cs 1 … 1 F CONT
pharm:quantity
PQ 0 … 1 (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
pharm:containerPackagedProduct
1 … 1 R
It represents the intermediate Package Item or the Packaged Medicinal Product
(IPSdotsuct)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
pharm:code
CD.IPS 0 … 1
If this is the most inner  <pharm:containerPackagedProduct> than the <code> element can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage).
 
The presence of the PCID indicates that that element represents the "Packaged Medicinal Product".
(IPSdotsuct)
pharm:name
ST 0 … 1 R It represents the Name of the Package Item or of the Packaged Medicinal Product.
If this is the most inner  <pharm:containerPackagedProduct> than this element can be used for the brand name.
(IPSdotsuct)
  Example <pharm:name>...</pharm:name>
pharm:formCode
CE.IPS 1 … 1 R This element encodes the type of the most inner package item or of the or the Packaged Medicinal Product.

Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration.
(IPSdotsuct)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC)
pharm:capacityQuantity
PQ 0 … 1 R It represents the functional capacity of the container: e.g. blister containing 20 tablets or ampule of 10 ml. (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
  Example <pharm:capacityQuantity value="20" unit="{tablet}"/>
  Example <pharm:capacityQuantity value="10" unit="mL"/>
pharm: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. 
(IPSdotsuct)
@classCode
cs 1 … 1 F CONT
pharm:quantity
PQ 0 … 1 (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
pharm:containerPackagedProduct
1 … 1 R When present, it represents the the Packaged Medicinal Product (IPSdotsuct)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
pharm:code
CD.IPS 0 … * When present, it can be used to convey the (IDMP) Packaged Medicinal Product ID (e.g. the IDMP PCID when it will become actually available for usage). (IPSdotsuct)
pharm:name
ST 0 … * R When present, it can be used for the representing the brand name. (IPSdotsuct)
pharm:formCode
CE.IPS 1 … 1 R When present, it encodes the type of the outer package.

Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected  as referecne terminology for representing Pharmaceutical Dose forms; Packages and Route of Administration.
(IPSdotsuct)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.27 Medicine Package (DYNAMIC)
pharm:capacityQuantity
PQ 0 … 1 R It represents the functional capacity of the container: e.g. blister containing 20 tablets or ampule of 10 ml. (IPSdotsuct)
@unit
cs 0 … 1  
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.28 Quantity Units (DYNAMIC)
@value
1 … 1 R
  Example <pharm:capacityQuantity value="20" unit="{tablet}"/>
  Example <pharm:capacityQuantity value="10" unit="mL"/>
pharm:asSpecializedKind
0 … 1 R This 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.
(IPSdotsuct)
treeblank treeblank where [generalizedMaterialKind/code/@codeSystem='2.16.840.1.113883.6.73']
@classCode
cs 1 … 1 F GRIC
  Example <pharm:asSpecializedKind classCode="GRIC">
  <pharm:generalizedMaterialKind classCode="MMAT">
    <!-- Pharmaceutical Substance (ATC Code)-->
    <pharm:code code=" " codeSystem="2.16.840.1.113883.6.73" displayName=" " codeSystemName="WHO ATC"/>  </pharm:generalizedMaterialKind>
</pharm:asSpecializedKind>
pharm:generalizedMaterialKind
1 … 1 M (IPSdotsuct)
@classCode
cs 1 … 1 F MMAT
pharm:code
CD.IPS 1 … 1 R The element contains the ATC code of this medicine. (IPSdotsuct)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.29 WHO ATC (DYNAMIC)
  Example <pharm:code codeSystem="2.16.840.1.113883.6.73" code=" " displayName=" " codeSystemName="WHO ATC"/>
pharm:name
0 … 1 (IPSdotsuct)
pharm:asSpecializedKind
0 … * R The 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.
(IPSdotsuct)
@classCode
cs 1 … 1 F GRIC
  Example <pharm:asSpecializedKind classCode="GRIC">
  <pharm:generalizedMaterialKind classCode="MMAT">
    <pharm:code code="PhPID_Lvl1" codeSystem="1.999.999" displayName="Pharmaceutical Product Name" codeSystemName="PhPID Level 1"/>    <pharm:name/>  </pharm:generalizedMaterialKind>
</pharm:asSpecializedKind>
pharm:generalizedMaterialKind
R (IPSdotsuct)
@classCode
cs 1 … 1 F MMAT
pharm:code
CD.IPS 1 … 1 R When 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.
(IPSdotsuct)
pharm:name
0 … 1 R (IPSdotsuct)
 
target
hl7ips-dataelement-171 draft Product Common Name (and Strength) draft CEN/TC 251 prEN 17269
pharm:ingredient
0 … * R This module provides the list of the active substances used for this product; one or more substances may be present.
The classCode of "ACTI" indicates that this is an active ingredient.
(IPSdotsuct)
 
target
hl7ips-dataelement-170 draft Active ingredient List draft CEN/TC 251 prEN 17269
@classCode
cs 1 … 1 F ACTI
pharm:quantity
1 … 1 M 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. (IPSdotsuct)
 
target
hl7ips-dataelement-133 draft Strength draft CEN/TC 251 prEN 17269
  Example <pharm:quantity>...</pharm:quantity>
hl7:numerator
PQ 1 … 1 R (IPSdotsuct)
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.30 Medicine Strength Numerator (DYNAMIC)
@value
1 … 1 R
hl7:denominator
PQ 1 … 1 R (IPSdotsuct)
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.11.22.31 Medicine Strength Denominator (DYNAMIC)
@value
1 … 1 R
pharm:ingredientSubstance
1 … 1 R The active substance used for this product. 
The <code> element contains the coded representation of the ingredient and the <name> element may be used for the plain text representation. 
(IPSdotsuct)
@classCode
cs 1 … 1 F MMAT
@determinerCode
cs 1 … 1 F KIND
pharm:code
CD.IPS (extensible) 0 … 1 C The IDMP ISO 11238 standard addresses the identification and exchange of regulated information on substances. 
The Global Ingredient Archival System (GInAS)  will provide a common global identifier for all of the substances used in medicinal products, providing a definition of substances globally consistent with this standard.
Those identifiers however are yet available for concrete usage, therefore in this version of the template, SNOMED CT has been chosen as reference terminology also for the active substances.
This choice will be revised based on the availability and the maturity of GInAS.
(IPSdotsuct)
 
target
hl7ips-dataelement-132 draft Substance code draft CEN/TC 251 prEN 17269
  CONF
The value of @code should be drawn from value set 2.16.840.1.113883.11.22.32 Medicine Active Substances (DYNAMIC)
hl7:originalText
ED 0 … * (IPSdotsuct)
hl7:reference
TEL 0 … * (IPSdotsuct)
hl7:translation
CD 0 … * This element can be used to provide alternative identifications for the described substance. (IPSdotsuct)
pharm:name
0 … 1 C Name of the substance (IPSdotsuct)
  Schematron assert role red error  
  test pharm:code or pharm:name  
  Message Either the name or the code of the substance (or both) shall be provided