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pending Template  IPS Medication Summary Section

Id 2.16.840.1.113883.10.22.3.1 Effective Date 2016‑11‑11
Status pending Under pre-publication review Version Label STU1
Name IPSMedicationSummarySection Display Name IPS Medication Summary Section
Description
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.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.3.1
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 2 concepts
Id Name Data Set
hl7ips-dataelement-16 draft Medication Summary draft CEN/TC 251 prEN 17269
hl7ips-dataelement-61 draft List of medication draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as Name Version
2.16.840.1.113883.10.22.1.1 Containment draft International Patient Summary (2021) 2020‑07‑14 16:08:21
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Include pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.10.22.4.4 Containment draft IPS Medication Statement (STU2) DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Relationship 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-
Example
Example
<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 Card Conf Description Label
hl7:section
 		1 … 1 M (IPSdotsion)
 
target
hl7ips-dataelement-16 draft Medication Summary draft CEN/TC 251 prEN 17269
@classCode
 		cs 0 … 1 F DOCSECT
hl7:templateId
 		II 1 … 1 M (IPSdotsion)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.3.1
hl7:id
 		II 0 … * (IPSdotsion)
hl7:code
 		CE.IPS 1 … 1 M History of medication use (IPSdotsion)
@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 (IPSdotsion)
hl7:text
 		SD.TEXT 1 … 1 M Section text (IPSdotsion)
Included 0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author
 		0 … * (IPSdotsion)
hl7:templateId
 		II 1 … 1 M (IPSdotsion)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.4.14
hl7:time
 		TS.IPS.TZ 1 … 1 R (IPSdotsion)
hl7:assignedAuthor
 		1 … 1 M (IPSdotsion)
hl7:id
 		II 1 … * R (IPSdotsion)
hl7:code
 		0 … 1 R (IPSdotsion)
Choice 0 … 1 Elements to choose from:
  • hl7:assignedPerson
  • hl7:assignedAuthoringDevice
hl7:assignedPerson
 		0 … 1 C (IPSdotsion)
@classCode
 		cs 0 … 1 F PSN
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:name
 		PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPSdotsion)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
 		1 … * R (IPSdotsion)
hl7:given
 		1 … * R (IPSdotsion)
hl7:assignedAuthoringDevice
 		0 … 1 C (IPSdotsion)
  Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)
@classCode
 		cs 0 … 1 F DEV
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:code
 		CE 0 … 1 (IPSdotsion)
hl7:manufacturerModelName
 		SC 0 … 1 (IPSdotsion)
hl7:softwareName
 		SC 0 … 1 (IPSdotsion)
hl7:representedOrganization
 		0 … 1 (IPSdotsion)
hl7:id
 		II 0 … * (IPSdotsion)
hl7:name
 		0 … * (IPSdotsion)
hl7:telecom
 		TEL 0 … * (IPSdotsion)
hl7:addr
 		AD 0 … * (IPSdotsion)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (IPSdotsion)
hl7:entry
 		1 … * R Contains 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (DYNAMIC) (IPSdotsion)
 
target
hl7ips-dataelement-61 draft List of medication draft CEN/TC 251 prEN 17269
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) (IPSdotsion)