1.3.6.1.4.1.19376.1.5.3.1.3.20

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Development Only

The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Admission Medication History Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.3.20
General Description The admission medication history section shall contain a narrative description of the relevant medications administered to a patient prior to admission to a facility. It shall include entries for medication administration as described in the Entry Content Module.
LOINC Code Opt Description
42346-7 R MEDICATIONS ON ADMISSION
Entries Opt Description
1.3.6.1.4.1.19376.1.5.3.1.4.7 R Medications



Sample Admission Medication History Section
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.20'/>
    <id root=' ' extension=' '/>
    <code code='42346-7' displayName='MEDICATIONS ON ADMISSION'
      codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <text>
      Text as described above
    </text>   
    <entry>
         :
      <!-- Required Medications element -->
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
         :
    </entry>
       
  </section>
</component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.20'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.20"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Admission Medication History can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "42346-7"]'> 
     Error: The section type code of a Admission Medication History must be 42346-7 
   </assert> 
   <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> 
     Error: The section type code must come from the LOINC code  
     system (2.16.840.1.113883.6.1). 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Admission Medication History Section must contain a(n) Medications Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.20
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Admission Medication History Section


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