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Combined medication of two different strengths

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  • combined prescription of medication of two different strengths

There is no way to do that within a single substance administration instance, so the options I gave before were: 1) simply have two separate subsadmin entries, or 2) have an <organizer> entry, with two subsadmin components. I have not seen definitive guidance yet on which would be preferred, but I’ll go for the organizer option in this case:

<organizer classCode="CLUSTER" moodCode="EVN">
   <statusCode code="active"/>                                                                               
   <component>
       <substanceAdministration classCode="SBADM" moodCode="RQO">       
           <effectiveTime xsi:type="IVL_TS">                                                          
              <low value="20140218000000"/>
               <high value="20140417235959"/>
           </effectiveTime>
           <effectiveTime xsi:type="SXPR_TS" operator="A">                                 
               <comp xsi:type="PIVL_TS">                                                                  
                   <phase value="20140224"/>
                   <period value="1" unit="wk"/>
               </comp>
               <comp xsi:type="PIVL_TS" operator="I">
                   <phase value="20140218"/>
                   <period value="1" unit="wk"/>
               </comp>
               <comp xsi:type="PIVL_TS" operator="I">
                   <phase value="20140222"/>
                   <period value="1" unit="wk"/>
               </comp>
           </effectiveTime>
           <routeCode code="{code for PO}" codeSystem="{relevant code system}"/>
           <consumable>
               <manufacturedProduct>
                   <manufacturedLabeledDrug>
                       
                   </manufacturedLabeledDrug>
               </manufacturedProduct>
           </consumable>
       </substanceAdministration>
   </component>
   <component>                                                                                                       
       <substanceAdministration classCode="SBADM" moodCode="RQO">       
           <effectiveTime xsi:type="IVL_TS">                                                          
               <low value="20140218000000"/>
               <high value="20140417235959"/>
           </effectiveTime>
           <effectiveTime xsi:type="SXPR_TS" operator="A">                                 
               <comp xsi:type="PIVL_TS">
                   <phase value="20140219"/>
                   <period value="1" unit="wk"/>
               </comp>
               <comp xsi:type="PIVL_TS" operator="I">
                   <phase value="20140220"/>
                   <period value="1" unit="wk"/>
               </comp>
               <comp xsi:type="PIVL_TS" operator="I">
                   <phase value="20140221"/>
                   <period value="1" unit="wk"/>
               </comp>
           </effectiveTime>
           <routeCode code="{code for PO}" codeSystem="{relevant code system}"/>
           <consumable>
               <manufacturedProduct>
                   <manufacturedLabeledDrug>
                       
                   </manufacturedLabeledDrug>
               </manufacturedProduct>
           </consumable>
       </substanceAdministration>
   </component>
</organizer>