Single administration of medication

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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>
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