Mapping for medication 'in reserve'

[ziegm]

Update mapping for FHIR element 'Dosage.asNeededBoolean',
see profile dosage structured
and profile dosage unstructured

Example including this element: http://build.fhir.org/ig/ahdis/ch-emed-pmp/Bundle-1-1-MTPDafalgan.json.html

[ziegm]

see discussion in CH EMED: hl7ch/ch-emed#72

[oliveregger]

https://qligier.github.io/cara-emed-ig/cdachemed/mtp/#in-reserve

[oliveregger]

@qligier an MTP with the added "In reserve" extension, is not accepted by the PMP, returns the following error message:

INVALID_DOCUMENT_CONTENT

The document 'c9270a7b-d738-463f-9776-5a9176e3186d' is not valid: javax.xml.bind.ValidationException: XmlSchemaValidator.validate() - found XML Schema error\n - with linked exception:\n[org.xml.sax.SAXParseException; cvc-enumeration-valid: Value 'DEF' is not facet-valid with respect to enumeration '[ACT, ACCM, CONS, CTTEVENT, INC, INFRM, PCPR, REG, SPCTRT]'. It must be a value from the enumeration.]."

this comes from the

    <act classCode="DEF" moodCode="ACT">

Is this an error in the spec or needs the validator of the PMP to be modified?

see cda example / response here: https://test.ahdis.ch/eprik-cara-pmp/#/transaction/d4c47c73-6d6d-46c3-b330-a457aa7a3438

[oliveregger]

https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.10&effectiveDate=2022-02-24T09:27:22&language=en-US

[qligier]

It should be

<act classCode="ACT" moodCode="DEF">

I fixed a document with this issue yesterday but I see the error comes from the integration guide, I'll fix it there too.

[oliveregger]

Now I get a schematron error: https://test.ahdis.ch/eprik-cara-pmp/index.html#/transaction/7ce33e95-e16f-479f-99fd-f1ce640c85f5 :

The document 'ed308296-48d6-44c7-8265-387e30206cf2' is not valid: Schematron error: {[[Text@0x4e1f6333: content=[(MedicationTreatmentPlanEntryContentModule)/d42e12243-true-d242096e0: 'substanceAdministration' is defined as closed, and this element 'entryRelationship' is not allowed, or not allowed with this content. This may concern the templateId, code or id. Expected in this context: hl7:templateId[@root = '2.16.756.5.30.1.1.10.4.34'] | hl7:templateId[@root = '1.3.6.1.4.1.19376.1.9.1.3.7'] | hl7:templateId[@root = '2.16.840.1.113883.10.20.1.24'] | hl7:templateId[@root = '1.3.6.1.4.1.19376.1.5.3.1.4.7'] | hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.7.1'] | hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.8'] | hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] | hl7:id[not(@nullFlavor)] | hl7:text[not(@nullFlavor)][hl7:reference] | hl7:statusCode[@code = 'completed'] | hl7:effectiveTime[@xsi:type='IVL_TS'] | hl7:effectiveTime[@operator='A' and @xsi:type='EIVL_TS'] | hl7:effectiveTime[@operator='A' and @xsi:type='SXPR_TS'] | hl7:repeatNumber | hl7:routeCode[concat(@code, @codesystem) = doc('include/voc-2.16.756.5.30.1.1.11.2-DYNAMIC.xml')//valueSet[1]/conceptList/concept/concat(@code, @codesystem) or @nullFlavor] | hl7:approachSiteCode | hl7:doseQuantity | hl7:rateQuantity | hl7:consumable[not(@nullFlavor)][hl7:manufacturedProduct] | hl7:author | hl7:author | hl7:entryRelationship[@typecode='COMP' and hl7:substanceAdministration and (../hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.8'] or ../hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.10'] or ../hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.9'] or ../hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.11']) and not(hl7:substanceAdministration/hl7:templateId)] | hl7:entryRelationship[hl7:act[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.4.1']]] | hl7:entryRelationship[hl7:observation] | hl7:entryRelationship[@typecode='REFR'] | hl7:entryRelationship[hl7:act[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.3']]] | hl7:entryRelationship[hl7:act[hl7:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.3.1']]] | hl7:entryRelationship[hl7:supply[@Classcode='SPLY' and @moodcode='RQO']] | hl7:entryRelationship[hl7:act[hl7:templateId[@root='1.3.6.1.4.1.19376.1.9.1.3.9.1']]] | hl7:reference[@typecode = 'XCRPT'] | hl7:precondition[hl7:criterion] | hl7:entryRelationship[hl7:substanceAdministration[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.52']]] | hl7:entryRelationship[hl7:act[hl7:templateId[@root='2.16.756.5.30.1.1.10.4.2']]] (rule-reference: d42e12243-true-d242096e0)]]; fpi=null; icon=null; lang=null; see=null; space=null]} in {/hl7:ClinicalDocument/hl7:component/hl7:structuredBody/hl7:component/hl7:section/hl7:entry/hl7:substanceAdministration/hl7:entryRelationship}." errorCode="InvalidDocumentContent" severity="urn:oasis:names:tc:ebxml-regrep:ErrorSeverityType:Error"/>
</ns3:RegistryErrorList>

              <entryRelationship typeCode="COMP">
                <act classCode="ACT" moodCode="DEF">
                  <templateId root="2.16.756.5.30.1.1.10.10"/>
                  <code code="225761000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED Clinical Terms" displayName="As required (qualifier value)"/>
                  <statusCode code="completed"/>
                </act>
              </entryRelationship>

@qligier do you see what is wrong with the template? if I remove the template it works, but that's not what I would like to achieve ...

[qligier]

Probably because the Schematron uses the old definitions, it should be fixed with the new deployment. I don't see an issue with your XML.