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ref Template  OpenMed Material

Id 2.16.840.1.113883.3.1937.777.11.10.147 Effective Date valid from 2016‑05‑10 22:43:03
Status draft Draft Version Label
Name openMedMaterial Display Name OpenMed Material
Description
This Template maps the IDMP ( PhP, MP and PC )  and other identifiers and attributes proposed by the Open Medicine project into a CDA compliant structure.
This is done using CDA extensions derived by the Common Product Model CMET R2. 

It is an experimental version intended to be used for the Openmedicine Project
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.3.1937.777.11.10.146 Include draft OpenMed ManufacturedProduct 2016‑05‑10 22:32:31
Relationship Generalization: template 2.16.840.1.113883.10.12.311 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:manufacturedMaterial
0 … 1 R This element describes the IDMP Medicinal Product. 
(opedotsial)
@classCode
cs 1 … 1 F MMAT
@determinerCode
cs 1 … 1 F KIND
  Example <hl7:manufacturedMaterial>
  <!-- Example with all the IDMP Levels (PhPID,MPID, PCID) and other attributes used in epSOS (e.g. ingredients, ATC, strengths) -->
  <hl7:code codeSystem="" code="MPID" displayName="" CodeSystemName="MP EMA"/>  <hl7:name>Medicinal Product Name</hl7:name>  <cpm:formCode codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" code="10219000" displayName="tablet" CodeSystemName="EDQM"/>  <cpm:asContent>
    <!-- Packaged Medicinal Product (PC) -->
    <cpm:containerPackagedProduct>
      <!-- PC ID-->
      <cpm:code codeSystem=" " code="PCID" displayName=" "/>      <cpm:name>...</cpm:name>      <cpm:formCode codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" code="" displayName="" CodeSystemName="EDQM"/>    </cpm:containerPackagedProduct>
  </cpm:asContent>
  <cpm:asSpecializedKind classCode="GRIC">
    <!-- Pharmaceutical Substance (ATC Code)-->
    <cpm:generalizedMaterialKind classCode="MMAT">
      <!-- Pharmaceutical Substance (ATC Code)-->
      <cpm:code code=" " codeSystem="2.16.840.1.113883.6.73" displayName=" " codeSystemName="WHO ATC"/>    </cpm:generalizedMaterialKind>
  </cpm:asSpecializedKind>
  <cpm:asSpecializedKind>
    <!-- Pharmaceutical Product (PhP)-->
    <cpm:generalizedMaterialKind classCode="MMAT">
      <cpm:code code="PhPID" codeSystem=" " displayName=" " codeSystemName="PhP EMA"/>      <cpm:name>....</cpm:name>    </cpm:generalizedMaterialKind>
  </cpm:asSpecializedKind>
  <!-- list of active ingredients -->
  <cpm:ingredient classCode="ACTI" determinerCode="KIND">
    <cpm:quantity>
      <!-- strength -->
      <cpm:numerator unit="mg" value="20" xsi:type="PQ"/>      <cpm:denominator unit="1" value="{tablet}" xsi:type="PQ"/>    </cpm:quantity>
    <cpm:ingredientSubstance>
      <cpm:code codeSystem=" " code="SubstanceID" displayName=" " CodeSystemName="G-SRS"/>      <cpm:name>...</cpm:name>    </cpm:ingredientSubstance>
  </cpm:ingredient>
</hl7:manufacturedMaterial>
hl7:code
CE.EPSOS 0 … 1 R IDMP Medicinal Product ID (MPID)

< used in of epSOS to convey the “Country A Cross-border/regional/national medicinal product code. >

< REMOVE ? => In a CDA document, the <originalText> shall contain a <reference> whose URI value points to the generic name and strength of the medication in the narrative, or just the generic name alone if strength is not relevant. >

< ADD binding with the EMA MPID >
(opedotsial)
hl7:name
EN 0 … 1 R
IDMP Medicinal Product Name.
The complete Medicinal Product Name as approved by the Medicines Regulatory Agency in a jurisdiction.
The name may be applicable in one or more country/language combinations.

< clarify if we should provide only the full name or also the parts >
 
< In an epSOS ePrescriprion or eDispensation document, the <name> element should contain the brand name of the medication. [NB: check if this still applies.. ]>
(opedotsial)
cpm:formCode
CE.EPSOS 1 … 1 R Pharmaceutical dose form.
This code represents the form of the medication (e.g. tablet, capsule, liquid)
(opedotsial)
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.2 epSOSDoseForm (DYNAMIC)
  Example <cpm:formCode code="10211000" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" codeSystemName="EDQM" codeSystemVersion="2015" displayName="Capsule, soft">...</cpm:formCode>
cpm:asContent
0 … * R This structure describes the packaging of the product. (opedotsial)
@classCode
cs 1 … 1 F CONT
  Example <cpm:asContent>
  <cpm:containerPackagedProduct>
    <!-- Inner Package -->
    <cpm:code codeSystem=" " code="" displayName=""/>    <cpm:asContent>
      <cpm:containerPackagedProduct>
        <!-- Intermediate Package -->
        <cpm:asContent>
          <cpm:containerPackagedProduct>
            <!-- Outer Package / Packaged Medicinal Product -->
          </cpm:containerPackagedProduct>
        </cpm:asContent>
      </cpm:containerPackagedProduct>
    </cpm:asContent>
  </cpm:containerPackagedProduct>
</cpm:asContent>
  Example <cpm:asContent>
  <cpm:containerPackagedProduct>
    <!-- Packaged Medicinal Product -->
    <cpm:code codeSystem=" " code="MPID" displayName="MP name"/>    <cpm:name>..</cpm:name>    <cpm:formCode codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" code=".." displayName="MP name" CodeSystemName="EDQM"/>  </cpm:containerPackagedProduct>
</cpm:asContent>
cpm:containerPackagedProduct
1 … * R
It shall be used for describing the IDMP Packaged Medicinal Product and - when needed - the Package Items.
       
The most inner (nested) item represent the most outer package item.
The presence of the PCID indicates that that element represents the "Packaged Medicinal Product".
If the package has a brand name, it can be described in the <name> element. [TO BE CHECKED] 

[ To be evaluated what to use or not the capacityQuantity the SPL uses the quantity element .... ] 
(opedotsial)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
cpm:code
0 … 1 (opedotsial)
cpm:name
ST 0 … 1 Name of the Packaged Medicinal Product / Package Item (opedotsial)
  Example <cpm:name>...</cpm:name>
cpm:formCode
CE.EPSOS 0 … 1 R (opedotsial)
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.2 epSOSDoseForm (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 epSOSPackage (DYNAMIC)
  Example <cpm:formCode code="30007000" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" codeSystemName="EDQM" codeSystemVersion="2010" displayName="Blister">...</cpm:formCode>
cpm:capacityQuantity
PQ 1 … 1 M (opedotsial)
@unit
cs 1 … 1 R
  CONF
The value of @unit shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.16 epSOSUnits (DYNAMIC)
@value
1 … 1 R
  Example <cpm:capacityQuantity unit="1" value="700">...</cpm:capacityQuantity>
cpm:asContent
0 … * R (opedotsial)
@classCode
cs 1 … 1 F CONT
  Example <cpm:asContent classCode="CONT">
  <cpm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
    <cpm:name/>    <cpm:formCode code=" " displayName=" " codeSystem=" " codeSystemName=" "/>    <cpm:capacityQuantity value=" " unit=" "/>  </cpm:containerPackagedMedicine>
</cpm:asContent>
cpm:containerPackagedProduct
1 … * R Used in this context for describing the Packaged Medicinal Product and or the Packaged Medicinal Product Item (opedotsial)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
  Example <cpm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">...</cpm:containerPackagedMedicine>
cpm:code
0 … * (opedotsial)
cpm:name
ST 0 … * R (opedotsial)
  Example <cpm:name>...</cpm:name>
cpm:formCode
CE.EPSOS 1 … 1 R (opedotsial)
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.2 epSOSDoseForm (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 epSOSPackage (DYNAMIC)
  Example <cpm:formCode code="30007000" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" codeSystemName="EDQM" codeSystemVersion="2010" displayName="Blister">...</cpm:formCode>
cpm:asContent
0 … * R This structure describes the packaging of the medication. The <cpm:formCode> element provides the code for the particular package. If the package has a brand name, it can be described in the <cpm:name> element.. The <cpm:capacityQuantity> element described the capacity of the packaging. For example, to represent 30 tablets, the <cpm:formCode> element at the <manufacturedMaterial> level must indicate tablets as the form, value attribute of the <cpm:capacityQuantity> element must have the value of 30, and the unit attribute must be 1. In the cases where the unit attribute is not 1, UCUM units shall be used. The value set is epSOSUnits, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.16 and epSOSDoseForm, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.2. (opedotsial)
@classCode
cs 1 … 1 F CONT
  Example <cpm:asContent classCode="CONT">
  <cpm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">
    <cpm:name/>    <cpm:formCode code=" " displayName=" " codeSystem=" " codeSystemName=" "/>    <cpm:capacityQuantity value=" " unit=" "/>  </cpm:containerPackagedMedicine>
</cpm:asContent>
cpm:containerPackagedProduct
1 … * R Used in this context for describing the Packaged Medicinal Product and or the Packaged Medicinal Product Item (opedotsial)
@classCode
cs 1 … 1 F CONT
@determinerCode
cs 1 … 1 F INSTANCE
  Example <cpm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE">...</cpm:containerPackagedMedicine>
cpm:code
0 … * (opedotsial)
cpm:name
ST 0 … * R (opedotsial)
  Example <cpm:name>...</cpm:name>
cpm:formCode
CE.EPSOS 1 … 1 R (opedotsial)
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.2 epSOSDoseForm (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.3 epSOSPackage (DYNAMIC)
  Example <cpm:formCode code="30007000" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.1" codeSystemName="EDQM" codeSystemVersion="2010" displayName="Blister">...</cpm:formCode>
cpm:quantity
PQ 0 … * (opedotsial)
cpm:asSpecializedKind
1 … 1 R This module is used for Representing the Pharmaceutical Substance according to the WHO Anatomical Therapeutic Chemical (ATC) Classification System.

The <code> element contains the ATC code, the <name> element may be used for the plain text representation. The classCode of "GRIC" identifies this structure as the representation of a generic equivalent of the medication described in the current Medicine entry.
(opedotsial)
@classCode
cs 1 … 1 F GRIC
  Example <cpm:asSpecializedKind classCode="GRIC">
  <cpm:generalizedMaterialKind classCode="MMAT">
    <!-- Pharmaceutical Substance (ATC Code)-->
    <cpm:code code=" " codeSystem="2.16.840.1.113883.6.73" displayName=" " codeSystemName="WHO ATC"/>  </cpm:generalizedMaterialKind>
</cpm:asSpecializedKind>
cpm:generalizedMaterialKind
R (opedotsial)
@classCode
cs 1 … 1 F MMAT
cpm:code
CD.EPSOS 1 … 1 R (opedotsial)
@codeSystem
CONF 0 … 1 F 2.16.840.1.113883.6.73 (WHO ATC)
  Example <cpm:code codeSystem="2.16.840.1.113883.6.73" code=" " displayName=" " codeSystemName="WHO ATC"/>
cpm:name
0 … 1 R (opedotsial)
cpm:asSpecializedKind
0 … * R This module can be used to represent the Pharmaceutical Product (Ids Set)
The Medicinal Product can be classified according to various classification systems, which may be jurisdictional or international. The classification system itself is specified using an appropriate identification system; the controlled term and the controlled term identifier shall be specified.
(opedotsial)
@classCode
cs 1 … 1 F GRIC
  Example <cpm:asSpecializedKind classCode="GRIC">
  <cpm:generalizedMaterialKind classCode="MMAT">
    <cpm:code code=" " codeSystem=" " displayName=" " codeSystemName="WHO ATC"/>    <cpm:name/>  </cpm:generalizedMaterialKind>
</cpm:asSpecializedKind>
cpm:generalizedMaterialKind
R (opedotsial)
@classCode
cs 1 … 1 F MMAT
cpm:code
CD.EPSOS 1 … 1 R IDMP PhP Id. The level and the startum of the PhPID is distiguished by the codeSystem OID <to be verified> (opedotsial)
cpm:name
0 … 1 R (opedotsial)
cpm:ingredient
0 … * R

This module proivdes the list of active ingredients used for this product. One or more active ingredients may be present.
The classCode of "ACTI" indicates that this is an active ingredient. 

Note: In this version the Pharmaceutical Substance ATC is no more provided as an ingredient but as a class of products (asSpecializedKind.generalizedMaterialKind.code element).

(opedotsial)
@classCode
cs 1 … 1 F ACTI
@determinerCode
cs 1 … 1 F KIND
  Example <cpm:ingredient classCode="ACTI">...</cpm:ingredient>
cpm:quantity
1 … 1 M The medication strength is represented as the ratio of the active ingredient(s) to a unit of medication. The <quantity> element contains the numerator and denominator of the strength ratio. (opedotsial)
  Example <cpm:quantity>...</cpm:quantity>
cpm:numerator
PQ 1 … 1 R (opedotsial)
@unit
cs 1 … 1 R
@value
1 … 1 R
  Example <cpm:numerator unit="mg" value="20" xsi:type="PQ">...</cpm:numerator>
cpm:denominator
PQ 1 … 1 R (opedotsial)
@unit
cs 1 … 1 R
@value
1 … 1 R
  Example <cpm:denominator unit="1" value="1" xsi:type="PQ">...</cpm:denominator>
cpm:ingredientSubstance
1 … 1 R Active ingredient used for this product.  The <code> element contains the coded representation of the ingredient and the <name> element may be used for the plain text representation. 
(opedotsial)
cpm:code
1 … 1 R Identifier of the substance. <binding with the vocabulary to be added likely the G-SRS (2.16.840.1.113883.4.9 SRS OID>
(opedotsial)
cpm:name
0 … 1 Name of the substance
(opedotsial)