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retired Template  eHDSI Patient Medication Instructions

Id 1.3.6.1.4.1.19376.1.5.3.1.4.3 Effective Date 2020‑04‑16 13:04:04
Other versions this id:
Status retired Retired Version Label
Name eHDSIPatientMedicationInstructions Display Name eHDSI Patient Medication Instructions
Description

Any medication may be the subject of further instructions to the patient, for example to indicate that it should be taken with food, etc.

This structure is included in the target supply act using the <entryRelationship> element defined in the CDA Schema. The example below shows the recording of patient medication instruction for an <entry>, and is used as context for the following section.

Act classCode

<act classCode='ACT' moodCode='INT'>

The related statement is the intent (moodCode='INT') on how the related entry is to be performed.

Template Id root

<templateId root='2.16.840.1.113883.10.20.1.49'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.3'/>

These <templateId> elements identify this <act> as a medication instruction, allowing for validation of the content.

Code

<code code='PINSTRUCT' codeSystem='1.3.6.1.4.1.19376.1.5.3.2' codeSy s temName='IHEActCode' />

The <code> element indicates that this is a patient medication instruction. This element shall be recorded exactly as specified above.

Text-reference

<text><reference value='#comment'/></text>

The <text> element contains a free text representation of the instruction. This element SHALL contain a <reference>element to the link text of the comment in the narrative portion of the document. The comment itself is not the act being coded, so it appears in the <text> of the <observation>, not as part of the <code>.

Status Code

<statusCode code='completed' />

The code attribute of <statusCode> for all comments must be completed.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.3
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
epsos-dataelement-141 draft Instructions to patient draft epSOS Data Set
Used by / Uses
Used by 0 transactions and 6 templates, Uses 0 templates
Used by as Name Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired eHDSI Substance Administration 2020‑07‑02 13:56:15
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired eHDSI Substance Administration 2020‑04‑14 14:55:37
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired epSOS CDA substanceAdministration 2020‑03‑30 13:06:06
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired epSOS CDA substanceAdministration 2019‑11‑07 16:15:52
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired epSOS CDA substanceAdministration 2019‑03‑21 13:51:15
1.3.6.1.4.1.12559.11.10.1.3.1.3.2 Containment retired epSOS CDA substanceAdministration 2013‑12‑20
Relationship Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Example
<entry>
  <supply classCode="SPLY" moodCode="EVN">
    <!-- ... -->
    <entryRelationship typeCode="SUBJ" inversionInd="true">
      <act classCode="ACT" moodCode="INT">
        <templateId root="2.16.840.1.113883.10.20.1.49"/>        <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3"/>        <code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode"/>        <text>
          <reference value="#comment-2"/>        </text>
        <statusCode code="completed"/>      </act>
    </entryRelationship>
    <!-- ... -->
  </supply>
</entry>
Item DT Card Conf Description Label
hl7:act
0 … * R (eHDdotsons)
@classCode
1 … 1 F ACT
@moodCode
1 … 1 F INT
hl7:templateId
II.EPSOS 1 … 1 R (eHDdotsons)
@root
1 … 1 F 2.16.840.1.113883.10.20.1.49
hl7:templateId
1 … 1 M (eHDdotsons)
@root
1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.3
hl7:code
CD.EPSOS 1 … 1 R (eHDdotsons)
@code
CONF 0 … 1 F PINSTRUCT
@codeSystem
0 … 1 F 1.3.6.1.4.1.19376.1.5.3.2 (IHEActCode Vocabulary)
hl7:text
ED 0 … 1 R (eHDdotsons)
 
target
epsos-dataelement-141 draft Instructions to patient draft epSOS Data Set
hl7:reference
TEL 1 … 1 M (eHDdotsons)
@value
1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS 0 … 1 R (eHDdotsons)
@code
CONF 0 … 1 F completed