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Template epSOS Patient Medication Instructions 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.3Effective Date2013‑12‑20
Statusdraft DraftVersion Label
NameepsosPatientMedicationInstructionsDisplay NameepSOS 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' codeSystemName='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.

ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 37 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.11.4.19Transactiondraft Return eP from country A2013‑11‑02
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkdraft epSOS-ePrescription2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired epSOS-ePrescription2018‑11‑14 10:49:44
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired eHDSI ePrescription2020‑04‑16 10:42:14
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired eHDSI ePrescription2020‑06‑17 09:25:30
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired eHDSI ePrescription2020‑09‑09 12:19:36
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired eHDSI ePrescription2020‑09‑09 12:22:47
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkretired eHDSI ePrescription2022‑09‑12 13:39:27
1.3.6.1.4.1.12559.11.10.1.3.1.1.1linkactive eHDSI ePrescription2024‑04‑19 09:57:14
1.3.6.1.4.1.12559.11.10.1.3.1.2.1linkdraft Section Prescription2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.2.1linkretired eHDSI Prescription2020‑04‑16 12:20:48
1.3.6.1.4.1.12559.11.10.1.3.1.2.1linkretired eHDSI Prescription2020‑09‑07 10:11:58
1.3.6.1.4.1.12559.11.10.1.3.1.2.1linkactive eHDSI Prescription2023‑07‑05 12:36:43
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentdraft epSOS CDA substanceAdministration2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentretired epSOS CDA substanceAdministration2019‑03‑21 13:51:15
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentretired epSOS CDA substanceAdministration2019‑11‑07 16:15:52
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentretired epSOS CDA substanceAdministration2020‑03‑30 13:06:06
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentretired eHDSI Substance Administration2020‑04‑14 14:55:37
1.3.6.1.4.1.12559.11.10.1.3.1.3.2Containmentretired eHDSI Substance Administration2020‑07‑02 13:56:15
1.3.6.1.4.1.19376.1.5.3.1.1.9.40linkactive IHE Procedure Care Plan Section (2016)2017‑03‑24 10:20:07
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1linkactive IHE Provider Orders Section (2016)2017‑03‑24 10:55:21
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1.9999linkactive IHE Notifications, Alerts, and Reminders Section (2016)2017‑03‑24 14:07:53
1.3.6.1.4.1.19376.1.5.3.1.3.19linkactive IHE Medications section (2014)2015‑10‑05 15:22:43
1.3.6.1.4.1.19376.1.5.3.1.3.20linkactive IHE Admission Medication History Section (2016)2017‑03‑17 15:11:59
1.3.6.1.4.1.19376.1.5.3.1.3.21linkactive IHE Medications Administered Section (2016)2017‑03‑17 14:40:02
1.3.6.1.4.1.19376.1.5.3.1.3.22linkactive IHE Hospital Discharge Medications Section (2016)2017‑03‑17 14:35:32
1.3.6.1.4.1.19376.1.5.3.1.3.36linkactive IHE Coded Care Plan Section (2016)2017‑03‑24 10:39:19
1.3.6.1.4.1.19376.1.5.3.1.4.7Containmentactive IHE Medications Entry (2014)2013‑12‑20
1.3.6.1.4.1.19376.1.9.1.3.2Containmentdraft Prescription Item Entry Content Module (PRE2016)2016‑01‑08 13:04:49
1.3.6.1.4.1.19376.1.9.1.3.4Containmentpending IHE Dispense Item Entry Content Module (2017)2018‑01‑11 11:13:04
1.3.6.1.4.1.19376.1.9.1.3.4Containmentdraft IHE Dispense Item Entry Content Module (2022)2022‑02‑17 13:16:06
1.3.6.1.4.1.19376.1.9.1.3.7Containmentpending IHE Medication Treatment Plan Item Entry Content Module (2020)2017‑03‑31 14:43:01
1.3.6.1.4.1.19376.1.9.1.3.7Containmentdraft IHE Medication Treatment Plan Item Entry Content Module (2022)2022‑02‑24 11:14:07
2.16.756.5.30.1.1.10.4.34Containmentcancelled Medication Treatment Plan Item Entry Content Module (2017)2016‑06‑13
2.16.756.5.30.1.1.10.4.34Containmentdraft Medication Treatment Plan Item Entry Content Module (2021)2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.4.42Containmentdraft Dispense Item Entry Content Module (2021)2016‑06‑17
2.16.756.5.30.1.1.10.4.43Containmentcancelled Prescription Item Entry Content Module (2017)2016‑06‑25
2.16.756.5.30.1.1.10.4.43Containmentdraft Prescription Item Entry Content Module (2021)2019‑09‑11 17:05:49
RelationshipSpecialization: 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>
ItemDTCardConfDescriptionLabel
hl7:act
0 … *Repsodotsions
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FINT
hl7:templateId
II.EPSOS1 … 1Repsodotsions
@root
uid1 … 1F2.16.840.1.113883.10.20.1.49
hl7:templateId
1 … 1Mepsodotsions
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.3
hl7:code
CD.EPSOS1 … 1Repsodotsions
@code
CONF0 … 1FPINSTRUCT
@codeSystem
0 … 1F1.3.6.1.4.1.19376.1.5.3.2
hl7:text
ED0 … 1Repsodotsions
hl7:reference
TEL1 … 1Mepsodotsions
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS0 … 1Repsodotsions
@code
CONF0 … 1Fcompleted