Med oral liquid PRN

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 3/5/2018
  • SDWG: 6/27/2019

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
  • 2.16.840.1.113883.10.20.22.4.25

Reference to full CDA sample:

  • Medications in empty CCD

Validation location

Comments

  • This is an example of a liquid medicaiotn PRN (as needed) with a cough precondition specified.

Custodian

  • Brett Marquard, brett@waveoneassociates.com (GitHub: brettmarquard)

Keywords

  • medications

Permalink

 

Example: download example view on GitHub

<!-- 
    the following example to represent a medication order for 6mg (2 milliliter of the antitussive, noscapine 3 mg/mL) 
    oral liquid every 4 to 6 hours prn for cough for 10 days.
-->

<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">Noscapine 3 MG/ML Oral Solution</content>
                    </td>
                    <td>
                        <content>every 4 to 6 hours prn for cough</content>
                    </td>
                    <td>
                        <content>6 mg (2 mL)</content>
                    </td>
                    <td>12/21/17 - 12/31/17</td>
                    <td>Active</td>
                </tr>
            </tbody>
        </table>
    </text>
    <entry typeCode="DRIV">
        <substanceAdministration classCode="SBADM" moodCode="INT">  <!-- the medication is intended to be taken -->
            <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="7482acd4-693c-4539-b0db-f21c2bf477c0" extension="1015" />
            <text>
                <!-- This reference refers to medication information in unstructured portion of section-->
                <reference value="#Medication_1"/>
            </text>
            <statusCode code="active" />  <!-- the medication order is currently active -->
            <effectiveTime xsi:type="IVL_TS">
                <low value="20171221"/>
                <high value="20171231"/>  <!-- take this medication for 10 days -->
            </effectiveTime>
            <!-- This second effectiveTime represents QID from medication sig. -->
            <!-- InstitutionSpecified = "true" means that it can be given 4 times per day but need not be exactly timed to every 6 hours-->
            <!-- InstitutionSpecified = "false" would mean that timing needs to be administered exactly as structured-->
            <!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
            <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" 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"/>
            <doseQuantity value="2" unit="mL" />
            <consumable>
                <manufacturedProduct classCode="MANU">
                    <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
                    <templateId root="2.16.840.1.113883.10.20.22.4.23" />
                    <id root="7482acd4-693c-4539-b0db-f21c2bf477c0" extension="1015" />
                    <manufacturedMaterial>
                        <code code="102494" codeSystem="2.16.840.1.113883.6.88" displayName="Noscapine 3 MG/ML Oral Solution" />
                    </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="201712210930-0500"/>
                <assignedAuthor>
                    <id extension="54321" root="2.16.840.1.113883.4.6"/>
                    <code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101"
                        codeSystemName="NUCC" displayName="Family Medicine"/>
                    <addr>
                        <streetAddressLine>9987 ProviderPractice St.</streetAddressLine>
                        <city>Anytown</city>
                        <state>NY</state>
                        <postalCode>99999</postalCode>
                        <country>US</country>
                    </addr>
                    <telecom value="tel:+1(212)123-4567" use="WP"/>
                    <assignedPerson>
                        <name>
                            <given>Vincent</given>
                            <family>Boombatz</family>
                            <suffix>MD</suffix>
                        </name>
                    </assignedPerson>
                </assignedAuthor>
            </author>
            <precondition typeCode="PRCN">
                <criterion>
                    <!-- ** Precondition for substance administration ** -->
                    <templateId root="2.16.840.1.113883.10.20.22.4.25"/>
                    <templateId root="2.16.840.1.113883.10.20.22.4.25" extension="2014-06-09"/>
                    <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
                    <!-- pre-condition PRN for cough specified for this medication. -->
                    <value xsi:type="CD" code="49727002" codeSystem="2.16.840.1.113883.6.96" displayName="cough" />
                </criterion>
            </precondition>
        </substanceAdministration>        
    </entry>
</section>
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