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pending Template  Medication Dispense

Template 2.16.840.1.113883.10.20.22.4.18 - MedicationDispense
Id 2.16.840.1.113883.10.20.22.4.18
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.18
Open/Closed Open (other than defined elements are allowed)
Description This template records the act of supplying medications (i.e., dispensing).
Used by / Uses
Used by / Uses 99 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.16 Containment MedicationActivity Medication Activity 2013‑01‑31
2.16.840.1.113883.10.20.22.2.1 link MedicationsSectionentriesoptional Medications Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.3 link HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 link ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.6 link ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.9 link ProgressNote Progress Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.1.1 link MedicationsSectionentriesrequired Medications Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.25 link AnesthesiaSection Anesthesia Section 2013‑01‑31
2.16.840.1.113883.10.20.22.1.7 link OperativeNote Operative Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.38 link MedicationsAdministeredSection Medications Administered Section 2013‑01‑31
2.16.840.1.113883.10.20.22.4.12 link ProcedureActivityAct Procedure Activity Act 2013‑01‑31
2.16.840.1.113883.10.20.22.2.7 link ProceduresSectionentriesoptional Procedures Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.2.7.1 link ProceduresSectionentriesrequired Procedures Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.13 link ProcedureActivityObservation Procedure Activity Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.14 link ProcedureActivityProcedure Procedure Activity Procedure 2013‑01‑31
2.16.840.1.113883.10.20.22.4.9 link ReactionObservation Reaction Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.52 link ImmunizationActivity Immunization Activity 2013‑01‑31
2.16.840.1.113883.10.20.22.2.2 link ImmunizationsSectionentriesoptional Immunizations Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.2.1 link ImmunizationsSectionentriesrequired Immunizations Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.7 link Allergy-IntoleranceObservation Allergy - Intolerance Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.30 link AllergyProblemAct Allergy Problem Act 2013‑01‑31
2.16.840.1.113883.10.20.22.2.6 link AllergiesSectionentriesoptional Allergies Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.6.1 link AllergiesSectionentriesrequired Allergies Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.24.3.90 link SubstanceorDeviceAllergy-IntoleranceObservation Substance or Device Allergy - Intolerance Observation 2013‑01‑31
2.16.840.1.113883.10.20.22.4.35 link DischargeMedication Discharge Medication 2013‑01‑31
2.16.840.1.113883.10.20.22.2.11 link HospitalDischargeMedicationsSectionentriesoptional Hospital Discharge Medications Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.11.1 link HospitalDischargeMedicationsSectionentriesrequired Hospital Discharge Medications Section (entries required) 2013‑01‑31
2.16.840.1.113883.10.20.22.4.36 link AdmissionMedication Admission Medication 2013‑01‑31
2.16.840.1.113883.10.20.22.2.44 link HospitalAdmissionMedicationsSectionentriesoptional Hospital Admission Medications Section (entries optional) 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.23 Containment MedicationInformation DYNAMIC
2.16.840.1.113883.10.20.22.4.54 Containment ImmunizationMedicationInformation DYNAMIC
2.16.840.1.113883.10.20.22.4.17 Containment MedicationSupplyOrder DYNAMIC
Item DT Card Conf Description Label
cda:supply
A supply act SHALL contain one product/Medication Information or one product/Immunization Medication Information template (MedicationDispense)
treetree @classCode
1 .. 1 F SPLY
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7453) such that it conf‑7453
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.18
treetree cda:id
1 .. * M SHALL contain at least one [1..*] id (CONF:7454). conf‑7454
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet Medication Fill Status 2.16.840.1.113883.3.88.12.80.64 DYNAMIC (CONF:7455). conf‑7455
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.64 Medication Fill Status (DYNAMIC)
treetree cda:effectiveTime
0 .. 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:7456). conf‑7456
treetree cda:repeatNumber
0 .. 1 R SHOULD contain zero or one [0..1] repeatNumber (CONF:7457).

In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a dispense act means that the current dispensation is the 3rd.
conf‑7457
treetree cda:quantity
0 .. 1 R SHOULD contain zero or one [0..1] quantity (CONF:7458). conf‑7458
treetree cda:product
where
[cda:manufacturedProduct [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.23']]
0 .. 1 conf‑7459
  Contains 2.16.840.1.113883.10.20.22.4.23 Medication Information (DYNAMIC)
treetree cda:product
where
[cda:manufacturedProduct [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.54']]
0 .. 1 conf‑9331
  Contains 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (DYNAMIC)
treetree cda:performer
0 .. 1 MAY contain zero or one [0..1] performer (CONF:7461). conf‑7461
treeblank treetree cda:assignedEntity
1 .. 1 M The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:7467). conf‑7467
treeblank treeblank treetree cda:addr
0 .. 1 R This assignedEntity SHOULD contain zero or one [0..1] addr (CONF:7468).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)
conf‑7468
  Schematron assert role red error
  test cda:performer/cda:assignedEntity/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))]
  Message The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)
treetree cda:entryRelationship
where
[cda:supply [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.17']]
0 .. 1 conf‑7473
treeblank treetree @typeCode
1 .. 1 F REFR
  Contains 2.16.840.1.113883.10.20.22.4.17 Medication Supply Order (DYNAMIC)
  Schematron assert role red error
  test cda:product/cda:manufacturedProduct[cda:templateId/@root='2.16.840.1.113883.10.20.22.4.23' or cda:templateId/@root='2.16.840.1.113883.10.20.22.4.54']
  Message A supply act SHALL contain one product/Medication Information or one product/Immunization Medication Information template