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draft Template  XeH Medication Summary Section

Id 2.16.840.1.113883.2.51.10.41 Effective Date 2021‑10‑19 11:12:56
Status draft Draft Version Label
Name XeHMedicationSummarySection Display Name XeH 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 2.16.840.1.113883.2.51.10.41
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 4 templates
Used by as Name Version
2.16.840.1.113883.2.51.10.12 Containment draft XeH Hospital Discharge Report (0.1) 2021‑09‑10 14:49:32
2.16.840.1.113883.2.51.10.13 Containment draft XeH RD Patient Summary (0.1) 2021‑09‑10 14:50:49
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Containment pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.2.51.10.40 Containment draft XeH Medication Statement DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.22.3.1 IPS Medication Summary Section (2016‑11‑11)
ref
hl7ips-

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-
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 (XeHdotsion)
@classCode
 		cs 0 … 1 F DOCSECT
hl7:templateId
 		II 1 … 1 M (XeHdotsion)
@root
 		uid 1 … 1 F 2.16.840.1.113883.2.51.10.41
hl7:id
 		II 0 … * (XeHdotsion)
hl7:code
 		CE.IPS 1 … 1 M History of medication use (XeHdotsion)
@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 (XeHdotsion)
hl7:text
 		SD.TEXT 1 … 1 M Section text (XeHdotsion)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (XeHdotsion)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (XeHdotsion)
hl7:entry
 		1 … * R Contains 2.16.840.1.113883.2.51.10.40 XeH Medication Statement (DYNAMIC) (XeHdotsion)
@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) (XeHdotsion)