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Template Instruction (V2) 2014‑06‑09

Id2.16.840.1.113883.10.20.22.4.20
ref
ccda-
Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NameInstructionV2Display NameInstruction (V2)
Description
The Instruction template can be used in several ways, such as to record patient instructions within a Medication Activity or to record fill instructions within a supply order. The template's moodCode can only be INT. If an instruction was already be given, the Procedure Activity Act template (instead of this template) should be used to represent the already occurred instruction. The act/code defines the type of instruction. Though not defined in this template, a Vaccine Information Statement (VIS) document could be referenced through act/reference/externalDocument, and patient awareness of the instructions can be represented with the generic participant and the participant/awarenessCode.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.20
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 11 transactions and 101 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.28Transactionfinal Procedure Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26Transactionfinal History and Physical (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
1.3.6.1.4.1.32722.77.77.1.4.6Transactiondraft nl-NL Verzenden gegevens voor behandeling Longregistratie2012‑12‑27 14:12:19
2.16.840.1.113883.3.1937.99.3.4.27Transactionfinal Operative Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
1.2.276.0.76.3.1.135.8.10.4linkdraft Medical Equipment Section (V2) (2.1)2015‑12‑02 12:50:20
1.2.276.0.76.3.1.135.8.10.99linkcancelled 16: eRezept (duplicate)2018‑11‑02 09:37:45
1.2.276.0.76.10.3117linkdraft Medications Section (entries optional) (V2) (06) (2.1)2016‑09‑06 17:26:48
1.3.6.1.4.1.19376.1.4.1.4.14Containmentdraft Procedure Activity Procedure - Cardiac (1.0)2017‑04‑12 20:35:17
1.3.6.1.4.1.19376.1.4.1.4.35Containmentdraft Procedure Activity Procedure Medical History - Cardiac (1.0)2017‑03‑21 20:50:51
1.3.6.1.4.1.19376.1.4.1.4.36Containmentdraft Procedure Activity Observation Medical History - Cardiac (1.0)2017‑03‑21 22:51:53
1.3.6.1.4.1.19376.1.4.1.4.38Containmentdraft Planned Procedure - Cardiac (1.0)2017‑03‑23 15:57:39
1.3.6.1.4.1.19376.1.4.1.4.41Containmentdraft Medication Activity - Cardiac (1.0)2017‑03‑24 00:35:10
1.3.6.1.4.1.32722.77.77.1.10.7linkdraft Radiotherapeutische Longregistratie voor aanvang behandeling2013‑02‑20
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.1937.99.61.8.10.3.2Containmentdraft Plan of Care Section2014‑02‑04 13:11:29
2.16.840.1.113883.3.1937.99.61.8.10.3.4linkdraft Procedures Section (entries required)2014‑02‑04 13:13:02
2.16.840.1.113883.3.1937.99.61.17.10.2linkdraft SHN StructuredBody2015‑05‑09 11:18:02
2.16.840.1.113883.3.1937.99.61.17.10.3linkdraft SHN component2015‑05‑09 11:28:46
2.16.840.1.113883.3.1937.99.61.18.10.6linkdraft Выписной эпикриз2015‑06‑06 14:32:25
2.16.840.1.113883.3.1937.99.61.20.10.9linkdraft Medications Section (entries required) (V2) (2.1)2015‑11‑03 08:58:06
2.16.840.1.113883.3.1937.99.61.21.10.20linkdraft NH MI (fake) Recommendation (2.1)2019‑07‑25 23:56:49
2.16.840.1.113883.3.1937.99.61.26.10.54Containmentrejected Procedure Activity Procedure (V2) (2.1)2019‑03‑06 15:52:43
2.16.840.1.113883.3.1937.99.61.26.10.55linkdraft Allergy - Intolerance Observation (V2) (2.1)2019‑03‑08 04:36:16
2.16.840.1.113883.3.1937.99.61.26.10.61linkdraft Allergy Concern Act (V3) (2.1)2019‑03‑09 13:34:13
2.16.840.1.113883.3.1937.99.61.26.10.62linkrejected Allergies and Intolerances Section (entries optional) (V3) (2.1)2019‑03‑09 13:37:11
2.16.840.1.113883.3.1937.99.61.26.10.112linkrejected Adverse Events Section (entries optional) (V3) (2.1)2019‑03‑25 06:01:02
2.16.840.1.113883.3.1937.99.61.26.10.114Containmentrejected Medication Activity (V2) (2.1)2019‑03‑31 19:39:09
2.16.840.1.113883.3.1937.99.61.26.10.119Containmentdraft Planned Procedure (V2) (2.1)2019‑04‑29 08:33:00
2.16.840.1.113883.3.1937.99.61.26.10.120Containmentdraft Planned Medication Activity (V2) (2.1)2019‑04‑29 08:53:13
2.16.840.1.113883.3.1937.99.61.26.10.121Containmentdraft Planned Supply (V2) (2.1)2019‑04‑29 09:00:08
2.16.840.1.113883.3.1937.99.61.26.10.122linkdraft Nutrition Recommendation (2.1)2019‑04‑29 09:01:33
2.16.840.1.113883.3.1937.99.61.26.10.124Containmentdraft Planned Immunization Activity (2.1)2019‑04‑29 09:02:35
2.16.840.1.113883.3.1937.99.61.28.10.3linkdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.3.1937.99.61.30.10.54linkcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.30.10.58linkdraft _Allergy - Intolerance Observation (harmonization)) (wip)2020‑10‑16 15:17:11
2.16.840.1.113883.3.1937.99.61.30.10.60Containmentdraft _Immunization (harmonized) (IAT)2021‑07‑06 09:55:32
2.16.840.1.113883.3.1937.99.61.67.10.24linkcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25linkcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.7linkdraft Operative Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.1linkdraft Medications Section (entries optional) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.1.1linkdraft Medications Section (entries required) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.2linkdraft Immunizations Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.2.1linkdraft Immunizations Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.6linkdraft Allergies and Intolerances Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.6.1linkdraft Allergies and Intolerances Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.7linkdraft Procedures Section (entries optional)2012‑01‑12
2.16.840.1.113883.10.20.22.2.7linkdraft Procedures Section (entries optional) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.7linkpending Procedures Section (entries optional) (V2) (2.1)2019‑03‑16 21:12:43
2.16.840.1.113883.10.20.22.2.7.1linkdraft Procedures Section (entries required) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.9linkdraft Assessment and Plan Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.10linkdraft Plan of Treatment Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.10Containmentdraft Plan of Treatment Section (V2) (2.1)2019‑03‑16 08:54:08
2.16.840.1.113883.10.20.22.2.11linkdraft Discharge Medications Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.11.1linkdraft Discharge Medications Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.14linkdraft Functional Status Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.14linkpending Functional Status Section (V2) (2.1)2019‑03‑16 20:25:20
2.16.840.1.113883.10.20.22.2.23linkdraft Medical Equipment Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.25linkdraft Anesthesia Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.30linkdraft Planned Procedure Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.38linkdraft Medications Administered Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.44linkdraft Admission Medications Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.45Containmentdraft Instructions Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.78Containmentdraft BC CDA Medication Activity (V2) (2.1)2019‑03‑15 14:29:33
2.16.840.1.113883.10.20.22.2.80linkdraft BC CDA Result Organizer (V3) (2.1)2019‑03‑16 19:52:40
2.16.840.1.113883.10.20.22.2.101linkdraft BC CDA Referral Note (V2) (2.1)2019‑04‑06 02:03:17
2.16.840.1.113883.10.20.22.4.7linkdraft Allergy - Intolerance Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.9linkdraft Reaction Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.12Containmentdraft Procedure Activity Act (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.13Containmentdraft Procedure Activity Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.14Containmentdraft Procedure Activity Procedure (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.16Containmentdraft Medication Activity (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.17Containmentdraft Medication Supply Order (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.18linkdraft Medication Dispense (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.30linkdraft Allergy Concern Act (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.35linkcancelled Discharge Medication (V3) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.35linkdraft Discharge Medication (V3) (2.1)2016‑03‑01
2.16.840.1.113883.10.20.22.4.36linkdraft Admission Medication (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.39Containmentdraft Planned Act (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.41Containmentdraft Planned Procedure (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.42Containmentdraft Planned Medication Activity (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.43Containmentdraft Planned Supply (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.44Containmentdraft Planned Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.50Containmentdraft Non-Medicinal Supply Activity (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.52Containmentdraft Immunization Activity (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.66linkdraft Functional Status Organizer (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.67linkdraft Functional Status Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.120Containmentdraft Planned Immunization Activity (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.130linkdraft Nutrition Recommendation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.131Containmentdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.132linkdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.135linkdraft Medical Equipment Organizer (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.136linkdraft Risk Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146Containmentdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.24.3.90linkdraft Substance or Device Allergy - Intolerance Observation (V2) (2.1)2014‑06‑09
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.20 Instructions (2013‑01‑31)
ref
ccda-
ItemDTCardConfDescriptionLabel
cda:act
InstdotsonV2
@classCode
cs1 … 1FACTCONFdots7391
 SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7391).
@moodCode
cs1 … 1FINTCONFdots7392
 SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7392).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.20
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-7393) such that itCONFdots7393
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.20CONFdots0503
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.20" (CONF:1098-10503).
@extension
st1 … 1F2014-06-09CONFdots2598
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32598).
cda:code
CD (extensible)1 … 1SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Patient Education urn:oid:2.16.840.1.113883.11.20.9.34 DYNAMIC (CONF:1098-16884).CONFdots6884
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.11.20.9.34 Patient Education (DYNAMIC)
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-7396).CONFdots7396
@code
CONF1 … 1Fcompleted