Single administration of medication

back to homepage

Approval Status

  • Approval Status: Approved
  • Example Task Force: 3/13/2014

  • SDWG: 4/10/2014

  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.22.2.1:2014-06-09

  • 2.16.840.1.113883.10.20.22.2.1.1:2014-06-09

  • 2.16.840.1.113883.10.20.22.4.16:2014-06-09

  • 2.16.840.1.113883.10.20.22.4.23:2014-06-09

  • 2.16.840.1.113883.10.20.22.4.119

    Reference to full CDA sample:

  • Medications in empty CCD

Validation location

Comments

  • This is an example of two baby aspirin being administered at a single point in time. At the January 2014 San Antonio meeting of HL7, this approach was decided as appropriate for medication timing of a point in time. Subsequent to that meeting, the TTT validator was adjusted to accept this format for medication times.

    Custodian

  • John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • medications, Pre-coordinated medication code, single administration, point in time

Permalink

Links

 

Example: download example view on GitHub 

<component>
    <section>
        <!-- Medications section with entries required -->
        <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
        <templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
        <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Medication Use"/>
        <title>MEDICATIONS</title>
        <text>
            <table border="1" width="100%">
                <thead>
                    <tr>
                        <th>Medication</th>
                        <th>Instructions</th>
                        <th>Dosage</th>
                        <th>Effective Date</th>
                        <th>Status</th>
                    </tr>
                </thead>
                <tbody>
                    <tr ID="Medication_7">
                        <td ID="MedicationName_7">Aspirin 81mg Oral Tablet</td>
                        <td>take 2 tablets</td>
                        <td>162 MG</td>
                        <td>Sep-11-2013</td>
                        <td>Completed</td>
                    </tr>
                </tbody>
            </table>
        </text>
        <entry typeCode="DRIV">
            <substanceAdministration classCode="SBADM" moodCode="EVN">
                <!-- This medication use case is a medication administered a single time in the past. If it to be administered use moodCode = "INT". If an ordered drug then use moodCode = "RQO" -->
                <!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
                <templateId root="2.16.840.1.113883.10.20.22.4.16" />
                <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
                <id root="1061a257-3b5c-4b09-9dc7-23e59b788b18"/>
                <text>
                    <!-- This reference refers to medication information in unstructured portion of section-->
                    <reference value="#Medication_7" />
                </text>
                <statusCode code="completed"/>
                <!-- This is a one-time administration, so low and high times are not used -->
                <!-- It is xsi:type = "TS", but that cannot be explicitly declared given the base CDA schema -->
                <!-- This format was determined as appropriate in San Antonio meeting, January 2014 -->
                <!-- See DSTU 423 of C-CDA 1.1 for more information http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=423 -->
                <effectiveTime value="201309111603-0700"/>
                <!-- Since this is a one-time administration, there is no inclusion ofa second effectiveTIme to represent dose frequency (PIVL_TS or EIVL_TS)-->
                <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Oral Route of Administration" codeSystemName="National Cancer Institute Thesaurus" />
                <doseQuantity value="2" />
                <consumable>
                    <manufacturedProduct classCode="MANU">
                        <!-- ** Medication information ** -->
                        <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
                        <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
                        <manufacturedMaterial>
                            <!-- Medications should be specified at a level corresponding to prescription when possible (non-branded below)-->
                            <code code="243670" codeSystem="2.16.840.1.113883.6.88" displayName="aspirin 81 MG Oral Tablet">
                                <originalText>
                                    <reference value="#MedicationName_7"/>
                                </originalText>
                            </code>
                        </manufacturedMaterial>
                    </manufacturedProduct>
                </consumable>
                <author>
                    <!-- Time the author noted that patient is on medication -->
                    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
                    <time value="201309111603-0700"/>
                    <assignedAuthor>
                        <id extension="66666" root="2.16.840.1.113883.4.6"/>
                        <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
                            displayName="Allopathic &amp; Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"/>
                        <addr>
                            <streetAddressLine>6666 StreetName St.</streetAddressLine>
                            <city>Silver Spring</city>
                            <state>MD</state>
                            <postalCode>20901</postalCode>
                            <country>US</country>
                        </addr>
                        <telecom value="tel:+1(301)666-6666" use="WP"/>
                        <assignedPerson>
                            <name>
                                <given>Heartly</given>
                                <family>Sixer</family>
                                <suffix>MD</suffix>
                            </name>
                        </assignedPerson>
                    </assignedAuthor>
                </author>
            </substanceAdministration>
        </entry>
    </section>
</component>

  1. C-CDA Example Search Help

    C-CDA Example Search Results
    This screen displays the results of executing the example search criteria against the existing examples recorded in the example database.

  2. Search Criteria Panel

    This panel allow you to further refine your queries and narrow the results

  3. Text Search Words

    Use this field to enter words related to your search. These words can appear in the title, the comments or as part of a special list of keywords associated with the example. The search words should be entered with spaces separating the items.

  4. Filter by example status

    By selecting the various statuses, the search results can be limited to only the example that are set to the selected status(es). By removing all status selections, the filtering is removed and examples from all statuses will be returned (based on any other filtering).

  5. Select only ONC Certified examples

    These are samples referenced in a government rule or certification companion guide.

  6. Execute the search based on the criteria entered (or retrieve all examples if no criteria specified).

  7. The number of results that match the query parameters can be found here.

  8. Use this link to jump back to the initial page of the application (that lists the sections).

  9. This columns list the names of the examples that match the criteria (and the comment for each example).

  10. This columns lists the area in the C-CDA specification (the specification is broken into distinct topics for the various exchangeable documents, the common header, and the sections that occur within the exchangeable documents) that the example demonstrates.

  11. This columns lists the state of the example in the example verification and approval process.

  12. You can select to download the examples directly or navigate to page with the full detailed description of the example.

  13. Tour Complete

    Return to the C-CDA Example Search Results page.