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MED_Med_Dose_Change.xml
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MED_Med_Dose_Change.xml
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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<!-- Medication Section (entries required) -->
<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 Dates (start - stop)</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="Medication_2">
<td>
<content ID="MedicationName_2" xmlns="urn:hl7-org:v3">Azithromycin 250mg Oral Tablet</content>
</td>
<td>
<content ID="MedicationSig_2" xmlns="urn:hl7-org:v3">take 2 tablets on day 1, 1 tablet days 2-5</content>
</td>
<td>
<content ID="MedicationDosage_2" xmlns="urn:hl7-org:v3">250 MG</content>
</td>
<td>Mar-10-2014 - Mar-14-2014</td>
<td>Active</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- This medication entry will be divided into two components -->
<!-- This first component describes day 1 which has a different dose than days 2 through 5, shown in the second component-->
<organizer xmlns="urn:hl7-org:v3" classCode="CLUSTER" moodCode="EVN">
<statusCode code="active"/>
<component>
<substanceAdministration classCode="SBADM" moodCode="INT">
<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". -->
<!-- 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"/>
<id root="bc22a9c5-bab4-4348-aa7e-a1b1897c9535"/>
<text>
<!-- This reference refers to medication information in unstructured portion of section-->
<reference value="#Medication_2"/>
</text>
<statusCode code="active"/>
<!-- This effectiveTime shows medication administration for day 1. -->
<!-- To include any times during the day, the high interval should either be set to end of day (as shown) or the day after last day of medication administration.-->
<!-- See C-CDA DSTU 383 more detail on effectiveTime/high -->
<effectiveTime xsi:type="IVL_TS">
<low value="20140310000000"/>
<high value="20140310235959" inclusive="true"/>
<!-- inclusive indicator is optional -->
</effectiveTime>
<!-- This second effectiveTime represents once per day from medication sig. -->
<!-- InstituionSpecified = "false" means that it must be administered exactly once per day-->
<!-- InstituionSpecified = "true" would mean that receiving institution has flexibility in dosing schedule-->
<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
<period value="1" unit="d"/>
</effectiveTime>
<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
<!-- This relates directly to the code used for medication. This medication is administered as an oral table, so no unit is needed -->
<!-- Azithromycin is commonly prescribed 2 tablets on day 1, which is shown below -->
<doseQuantity value ="2" />
<consumable>
<manufacturedProduct classCode="MANU">
<!-- ** Medication information ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<id root="a9a55f64-3953-4f2c-b52e-c77399b854ae"/>
<manufacturedMaterial>
<!-- Medications should be specified at a level corresponding to prescription when possible, such as 250mg oral tablet (non-branded)-->
<code code="308460" displayName="Azithromycin 250 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
<originalText>
<reference value="#MedicationName_2"/>
</originalText>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</component>
<component>
<substanceAdministration classCode="SBADM" moodCode="INT">
<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". 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"/>
<id root="bc22a9c5-bab4-4348-aa7e-a1b1897cxxxx"/>
<text>
<!-- This reference refers to medication information in unstructured portion of section-->
<reference value="#Medication_2"/>
</text>
<statusCode code="active"/>
<!-- This effectiveTime shows medication administration starting on day 2-->
<!-- To include any times during the day, the high interval should either be set to end of day or the day after last day of medication administration (as shown).-->
<!-- See C-CDA DSTU 383 more detail on effectiveTime/high -->
<effectiveTime xsi:type="IVL_TS">
<low value="20140311000000"/>
<high value="20140314235959" inclusive="true"/>
</effectiveTime>
<!-- This second effectiveTime represents once per day from medication sig. -->
<!-- InstituionSpecified = "false" means that it must be administered exactly once per day-->
<!-- InstituionSpecified = "true" would mean that receiving institution has flexibility in dosing schedule-->
<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
<period value="1" unit="d"/>
</effectiveTime>
<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
<!-- This relates directly to the code used for medication. This medication is administered as an oral table, so no unit is needed, but it has varying dosage over its course. -->
<!-- Azithromycin is commonly prescribed 2 tablets on day 1 then 1 tablet daily thereafter. -->
<doseQuantity value ="1" />
<consumable>
<manufacturedProduct classCode="MANU">
<!-- ** Medication information ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<id root="a9a55f64-3953-4f2c-b52e-c77399b8xxxx"/>
<manufacturedMaterial>
<!-- Medications should be specified at a level corresponding to prescription when possible, such as 250mg oral tablet (non-branded)-->
<code code="308460" displayName="Azithromycin 250 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
<originalText>
<reference value="#MedicationName_2"/>
</originalText>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</component>
</organizer>
</entry>
</section>