Med every 4-6 hours

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Example metadata last updated 2017-09-11 05:11:32.510000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 1/30/2014
  • SDWG: 2/6/2014
  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

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Comments:

  • This is an example of a medication (Sudafed) which to be administered every 4-6 hours, a common dosing pattern. Representing the range of potential of hours is done through a low and high child element of the period within effectiveTime of PIVL_TS.

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

Full sample: Medications in empty CCD

Example: download example view on GitHub

<section>
    <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"/>
    <!-- Medication Section (entries required) -->
    <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 Dates (start - stop)</th>
                    <th>Status</th>
                </tr>
            </thead>
            <tbody>
                <tr ID="Medication_1">
                    <td>
                        <content ID="MedicationName_1" xmlns="urn:hl7-org:v3">Sudafed 30mg Oral Tablet</content>
                    </td>
                    <td>
                        <content ID="MedicationSig_1" xmlns="urn:hl7-org:v3">take 2 tablets every 4-6 hours</content>
                    </td>
                    <td>
                        <content ID="MedicationDosage_1" xmlns="urn:hl7-org:v3">30 MG</content>
                    </td>
                    <td>Jan-18-2014 - </td>
                    <td>Active</td>
                </tr>
            </tbody>
        </table>
    </text>
    <entry typeCode="DRIV">
        <substanceAdministration classCode="SBADM" moodCode="INT">
            <!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". 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="36edd5f0-0b15-49f6-a395-7752b4f18b77"/>
            <text>
                <!-- This reference refers to medication information in unstructured portion of section-->
                <reference value="#Medication_1"/>
            </text>
            <statusCode code="active"/>
            <!-- This first effectiveTime shows that medication was prescribed on January 18, 2014 (not known to have stopped)-->
            <effectiveTime xsi:type="IVL_TS">
                <low value="20140118"/>
                <high nullFlavor="NI"/>
            </effectiveTime>
            <!-- This second effectiveTime represents every 4-6 hours from medication sig. -->
            <!-- InstituionSpecified = "false" is implied in ths omission of this attribute and means that it must be administered exactly once per day-->
            <!-- InstituionSpecified = "true"which is not default would mean that receiving institution has flexibility in dosing schedule-->
            <!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
            <effectiveTime xsi:type="PIVL_TS" operator="A">
                <period xsi:type="IVL_PQ">
                    <low value="4" unit="h"/>
                    <high value="6" unit="h"/>
                </period>
            </effectiveTime>
            <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
            <!-- This relates directly to the code used for medication. Since it's a tablet, then only specified needed in dose is 2x per administration-->
            <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"/>
                    <id root="0be61984-eaa5-46b3-b75b-1d1ba28b5fff"/>
                    <manufacturedMaterial>
                        <!-- Medications should be specified at a level corresponding to prescription when possible, such as 30mg oral tablet (branded)-->
                        <code code="1049529" displayName="Sudafed 30 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
                            <originalText>
                                <reference value="#MedicationName_1"/>
                            </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="20140118"/>
                <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="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>
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