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Template Instructions 2013‑01‑31

Id	2.16.840.1.113883.10.20.22.4.20 ref ccda-	Gültigkeit ab	2013‑01‑31
Status	Entwurf	Versions-Label	1.1
Name	Instructions	Bezeichnung	Instructions
Beschreibung The Instructions 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 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.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.20
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 7 Transactions und 39 Templates, Benutzt 0 Templates Benutzt von als Name Version 2.16.840.1.113883.3.1937.99.3.4.4 Transaktion Progress Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.3 Transaktion Discharge Summary (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.5 Transaktion Procedure Note (US Realm – Release 1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.2 Transaktion Consultation Notes (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.1 Transaktion Continuity of Care Document (CCD) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.6 Transaktion Operative Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.7 Transaktion History and Physical (H and P) (Release 1.1) 2013‑01‑31 1.3.6.1.4.1.19376.1.4.1.2.22 Containment Plan of Care - Cardiac Section (1.0) 2017‑03‑28 22:31:43 2.16.840.1.113883.3.1937.99.61.26.10.52 Containment Procedure Activity Procedure (1.1) 2019‑03‑06 11:55:46 2.16.840.1.113883.3.1937.99.61.41.10.4 Discharge Summary (1.1) 2018‑02‑19 15:30:38 2.16.840.1.113883.3.1937.777.24.10.14 Containment Medication Activity (1.1) 2019‑01‑16 10:56:33 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.3 History and Physical (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.4 Consultation Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.6 Procedure Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.7 Operative Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.9 Progress Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.1 Medications Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.1.1 Medications Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.2 Immunizations Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.2.1 Immunizations Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.6 Allergies Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.6.1 Allergies Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.7 Procedures Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.7.1 Procedures Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.10 Containment Plan of Care Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.11 Hospital Discharge Medications Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.11.1 Hospital Discharge Medications Section (entries required) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.25 Anesthesia Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.38 Medications Administered Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.44 Hospital Admission Medications Section (entries optional) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.45 Containment Instructions Section (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.12 Containment Procedure Activity Act (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.13 Containment Procedure Activity Observation (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.14 Containment Procedure Activity Procedure (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.16 Containment Medication Activity (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.17 Containment Medication Supply Order (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.18 Medication Dispense (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.30 Allergy Problem Act (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.35 Discharge Medication (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.36 Admission Medication (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.4.52 Containment Immunization Activity (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.24.3.90 Substance or Device Allergy - Intolerance Observation (1.1) 2013‑01‑31
Alles ausklappenAlles einklappen Item DT Kard Konf Beschreibung Label cda:act Instions @classCode cs 1 … 1 F ACT conf‑7391 @moodCode cs 1 … 1 F INT conf‑7392 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:7393) such that it conf‑7393 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.20 conf0503 cda:code CD 1 … 1 SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Patient Education 2.16.840.1.113883.11.20.9.34 DYNAMIC (CONF:16884). conf6884   CONF Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.34 Patient Education (DYNAMIC) cda:text ED 0 … 1 R SHOULD contain zero or one [0..1] text (CONF:7395). conf‑7395 cda:reference 0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15577). This @value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) conf5577 @value 0 … 1   conf5578   Schematron assert role  error     test not(@value) or starts-with(@value, '#')     Meldung This @value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)   cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:7396). conf‑7396 @code CONF 1 … 1 F completed