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# Template IPS Medication Summary Section

Id | 2.16.840.1.113883.10.22.3.1 | Effective Date | 2016‑11‑11
Status | 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 | Dataset
--- | --- | ---
hl7ips-dataelement-16 | Medication Summary | CEN/TC 251 prEN 17269
hl7ips-dataelement-61 | List of medication | CEN/TC 251 prEN 17269
Used by / Uses |
Used by 0 transactions and 1 template, Uses 4 templates
Used by | as | Name | Version
--- | --- | --- | ---
2.16.840.1.113883.10.22.1.2 | Containment | International Patient Summary (2024) | 2024‑08‑02 13:02:39
Uses | as | Name | Version
2.16.840.1.113883.10.22.4.14 | Include | IPS Body Author (STU1) | DYNAMIC
2.16.840.1.113883.10.12.319 | Containment | CDA Informant (Body) | DYNAMIC
2.16.840.1.113883.10.22.4.4 | Containment | IPS Medication Statement (STU2) | DYNAMIC
2.16.840.1.113883.10.22.3.15 | Containment | 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 |  |
hl7ips-dataelement-16 | Medication Summary | CEN/TC 251 prEN 17269
@classCode | cs | 0 … 1 | F | DOCSECT
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.3.1
hl7:id | II | 0 … * |  |  |
hl7:code | CE.IPS | 1 … 1 | M | History of medication use |
@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 |
hl7:text | SD.TEXT | 1 … 1 | M | Section text |
Included | 0 … * |  | from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author |  | 0 … * |  |  |
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.14
hl7:time | TS.IPS.TZ | 1 … 1 | R |  |
hl7:assignedAuthor |  | 1 … 1 | M |  |
hl7:id | II | 1 … * | R |  |
hl7:code |  | 0 … 1 | R |  |
Choice | 0 … 1 |  | Elements to choose from: hl7:assignedPerson hl7:assignedAuthoringDevice
hl7:assignedPerson |  | 0 … 1 | C |  |
@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 |
| Example | <name> <given>John</given> <family>Español Smith</family></name>
hl7:family |  | 1 … * | R |  |
hl7:given |  | 1 … * | R |  |
hl7:assignedAuthoringDevice |  | 0 … 1 | C |  |
| 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 |  |  |
hl7:manufacturerModelName | SC | 0 … 1 |  |  |
hl7:softwareName | SC | 0 … 1 |  |  |
hl7:representedOrganization |  | 0 … 1 |  |  |
hl7:id | II | 0 … * |  |  |
hl7:name |  | 0 … * |  |  |
hl7:telecom | TEL | 0 … * |  |  |
hl7:addr | AD | 0 … * |  |  |
hl7:informant |  | 0 … * |  | Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) |
hl7:entry |  | 1 … * | R | Contains 2.16.840.1.113883.10.22.4.4 IPS Medication Statement (DYNAMIC) |
hl7ips-dataelement-61 | List of medication | 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) |