Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Medications Section

The Medications section defines a patient's current medications and pertinent medication history. At a minimum, the currently active medications are to be listed, with an entire medication history as an option. The section may also include a patient's prescription and dispense history.
This section requires that there be either an entry indicating the subject is not known to be on any medications, or that there be entries summarizing the subject's medications.

Optional Entries

[Section: templateId 2.16.840.1.113883.10.20.22.2.1]

The following constraints apply to a Medications Section in which entries are not required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7791 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.1"
  2. SHALL contain exactly one [1..1] code/@code="10160-0" History of medication use (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:7792)
  3. SHALL contain exactly one [1..1] title (CONF:7793)
  4. SHALL contain exactly one [1..1] text (CONF:7794)
  5. SHOULD contain zero or more [0..*] entry (CONF:7795, CONF:7573)
    1. Contains exactly one [1..1] Medication Activity (templateId: 2.16.840.1.113883.10.20.22.4.16)
  6. If medication use is unknown, the appropriate nullFlavor MAY be present (see unknown information in Section 1)

Required Entries

The following constraints apply to a Medications Section in which entries are required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7568, CONF:10433 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.1.1"
  2. SHALL conform to Medications Section Entries Optional template (templateId: 2.16.840.1.113883.10.20.22.2.1)
  3. SHALL contain exactly one [1..1] code/@code="10160-0" History of medication use (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:7569)
  4. SHALL contain exactly one [1..1] title (CONF:7570)
  5. SHALL contain exactly one [1..1] text (CONF:7571)
  6. SHALL contain at least one [1..*] entry (CONF:7572, CONF:7573)
    1. Contains exactly one [1..1] Medication Activity (templateId: 2.16.840.1.113883.10.20.22.4.16)
  7. If medication use is unknown, the appropriate nullFlavor MAY be present (see unknown information in Section 1)