The value for “ClinicalDocument/code” SHALL be “61356-2” “Medication Pharmaceutical Advice” 2.16.840.1.113883.6.1 LOINC STATIC. 6.3.1.2 15 A Pharmacy Pharmaceutical Advice (templateId 1.3.6.1.4.1.19376.1.9.1.1.2) SHALL be a conformant Medical Document (templateId 1.3.6.1.4.1.19376.1.5.3.1.1.1). 6.3.1.2.2 15 Service Event SHALL NOT be present in a Pharmaceutical Advice. 6.3.1.2.4 16 Pharmacy Pharmaceutical Advice SHALL contain exactly one Pharmaceutical Advice section (templateId 1.3.6.1.4.1.19376.1.9.1.2.2). 6.3.1.2.5 17 The Pharmaceutical Advice section SHALL contain Section/code. The value for “Section/code” SHALL be “61357-0” “MEDICATION PHARMACEUTICAL ADVICE.BRIEF” 2.16.840.1.113883.6.1 LOINC STATIC. 6.3.3.2 19 The Pharmaceutical Advice section SHALL contain one or more pharmaceutical advice item entry (templateId 1.3.6.1.4.1.19376.1.9.1.3.3). 6.3.3.2 19 A Pharmaceutical Advice identifier SHALL be represented in the section id Element. The data type of the ID is II. Although HL7 allows for multiple identifiers, one and only one SHALL be used. If this section is used in a Pharmaceutical Advice document, this identifier SHALL be set equal to the document ID (ClinicalDocument/id). 6.3.3.2.2 20 The observation element SHALL be present and represents the actual pharmaceutical advice. The moodCode attribute SHALL be EVN to reflect that the pharmaceutical advice as already taken place. 6.3.4.3.3.1 23 The value for “Observation/@classCode” in a pharmaceutical advice item entry SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC. 6.3.4.3.3.1 23 This id represents the Pharmaceutical Advice Item ID and SHALL be present. 6.3.4.3.3.3 23 A pharmaceutical advice item entry SHALL contain exactly one Observation/code. 6.3.4.3.3.4 23 The value for “Observation/code” in a pharmaceutical advice item entry SHALL be selected from ValueSet 1.3.6.1.4.1.19376.1.9.2.1 IHEPharmaceuticalAdviceStatusList STATIC. 6.3.4.3.3.4 23 An optional narrative comment to the result of the validation MAY be referenced in the text element. 6.3.4.3.3.5 25 The status code of a Pharmaceutical Advice SHALL be set to either “active” or “completed”, indicating whether the Pharmaceutical Advice is just a pre-release of the validation (active) or the final validation result (completed). 6.3.4.3.3.6 25 The reference to the Prescription Item by which this Pharmaceutical Advice was performed SHALL be present, containing a Prescription Item Entry described in the Pharmacy Prescription (PRE) Content Profile. 6.3.4.3.3.8 26 The value for “entryRelationship/@typeCode” in a relationship between a pharmaceutical advice item entry and prescription item entry SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. 6.3.4.3.3.8 26 The value for “Act/id/@NullFlavor” of an internal reference (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.4.1) of prescription item entry in the pharmaceutical advice item entry SHALL be “MSK”. 6.3.4.3.3.8 26 The value for “Act/code/@NullFlavor” of an internal reference (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.4.1) of prescription item entry in the pharmaceutical advice item entry SHALL be “MSK” or “NA”. 6.3.4.3.3.8 26 Optional one or more Pharmaceutical Advice Concern entries (representing ICAs to other prescription or Dispense Items) SHOULD be present in case of validation issues with the objective Prescription Item. They SHALL conform to the Pharmaceutical Advice Concern Entry Content Module template (1.3.6.1.4.1.19376.1.9.1.3.5). 6.3.4.3.3.9 27 The value for “entryRelationship/@typeCode” in a relationship between a pharmaceutical advice item entry and pharmaceutical advice concern entry SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. 6.3.4.3.3.9 27 The value for “entryRelationship/@inversionInd” in a relationship between a pharmaceutical advice item entry and pharmaceutical advice concern entry SHALL be “false”. 6.3.4.3.3.9 27 The Changed or Recommended Prescription Item Organizer SHALL be present, if the status of the Pharmaceutical Advice (code Element) is set to “Dispense with change expected”. In this case it SHALL indicate the changed Prescription Item(s), which are allowed to be dispensed instead of the original prescribed item. 6.3.4.3.3.10 28 The Changed or Recommended Prescription Item Organizer MAY be present,if the status of the Pharmaceutical Advice (code Element) is set to “Dispense, no change expected”. In this case it may recommend an alternative (drug, dosage, form, etc.) to the original Prescription Item. 6.3.4.3.3.10 28 The value for “entryRelationship/@typeCode” in a relationship between a pharmaceutical advice item entry and changed or recommended prescription item organizer SHALL be “REFR” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. 6.3.4.3.3.10 27 The value for “entryRelationship/@inversionInd” in a relationship between a pharmaceutical advice item entry and changed or recommended prescription item organizer SHALL be “false”. 6.3.4.3.3.10 27 The value for “Organizer/@classCode” in a changed or recommended prescription item organizer SHALL be “CLUSTER” 2.16.840.1.113883.5.6 ActClass STATIC. 6.3.4.3.3.10 27 The value for “Organizer/@moodCode” in a changed or recommended prescription item organizer SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC. 6.3.4.3.3.10 27 A changed or recommended prescription item organizer SHALL contain exactly one Organizer/statusCode. The value for “Organizer/statusCode” in a changed or recommended prescription item organizer SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC. 6.3.4.3.3.10 27 The Changed or Recommended Prescription Item Organizer SHALL NOT be present, if the status of the Pharmaceutical Advice (code Element) is set to “Refusal to dispense until further discussion with prescriber” or “Definite cancelation of the Prescription Item”. 6.3.4.3.3.10 28 The value for “Organizer/component/seperatableInd” in a changed or recommended prescription item organizer SHALL be “false”, if the changed prescription item present. 6.3.4.3.3.10 27 A pharmaceutical advice concern entry (templateId 1.3.6.1.4.1.19376.1.9.1.3.5) SHALL be presented with Act and SHALL be a conformant Concern Entry Content Module (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.5.1). 6.3.4.4.2 29 An optional narrative description of the ICA caused by the Prescription or Dispense Item MAY be referenced in the text element. 6.3.4.4.3.5 31 The status of the act element SHALL be present and must be set to "completed". The concern has occurred and has been placed. 6.3.4.4.3.6 31 Exactly one entry relationship SHALL be present identifying the referenced prescription or Dispense Item, which causes the concern. This entry SHALL conform to either the Prescription Item Entry Content Module (1.3.6.1.4.1.19376.1.9.1.3.2) or the Dispense Item Entry Content Module (1.3.6.1.4.1.19376.1.9.1.3.4) template. 6.3.4.4.3.9 32 The value for “Act/id/@NullFlavor” of an internal reference (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.4.1) of prescription item entry in the pharmaceutical advice concern entry SHALL be “MSK”. 6.3.4.4.3.9 32 The value for “Act/code/@NullFlavor” of an internal reference (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.4.1) of prescription item entry in the pharmaceutical advice concern entry SHALL be “MSK” or “NA”. 6.3.4.4.3.9 32 Exactly one optional Severity Observation (templateId 1.3.6.1.4.1.19376.1.5.3.1.4.1) MAY be present. 6.3.4.4.3.10 33