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Template Prohibition Instruction 2018‑01‑01

Id2.16.840.1.113883.10.20.22.4.206Effective Date2018‑01‑01
Statusdraft DraftVersion LabelC-CDA R2.1
NameProhibitionInstructionDisplay NameProhibition Instruction
Description
The Prohibition Instruction template is designed to be used within the Advance Directives Section. However, this information also may be relevant within an Interventions Section or a Plan of Treatment Section. It is an adaptation of the Instruction V2 template. It follows the structure of an instruction template, but modifies the semantics in several ways. First, the code element comes from a value set containing concepts that are types of care instructions about activities that a patient, or a patient's healthcare agent or other type of surrogate decision-maker (when the patient is unable to communicate) does not want care providers to perform. Second, the author of this template is the person who made the decision documented in the Prohibition Instruction. The Prohibition Instruction template and Obligation Instruction template are designed as a "matched pair" to permit either prohibitions or obligations to be clearly expressed in an unambiguous way. The use of negation is explicitly expressed, and the semantic design of the recommended value sets takes into consideration the logical meaning of an obligation versus a prohibition. . The Prohibition Instruction template explicitly requires the use of negationInd=”true”. It always expresses activities that care providers have been instructed not to perform. Coded concepts used in this template express activities in the positive and add sematics for negation through the structural negationInd attribute. For decisions that establish prohibition instructions, refer to the Prohibition Instruction template. For decisions that establish prohibition instructions, refer to the Prohibition Instruction.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.206
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Prohibition Instruction
<section>
  <!-- Narrative text for a Prohibition Instruction -->
  <content styleCode="Bold">Prohibition Instructions</content>  <br/>  <content>Associated Encounter: Inpatient Stay (8/7/2017- 8/10/2017) </content>  <br/>  <content>(Documented by: Nancy Nightingale, RN August 07, 2017 4:30 pm)</content>  <br/>  <table ID="ADPI">
    <thead>
      <tr>
        <th>Type of Care Prohibited:</th>        <th>As of:</th>        <th>Signed
by:
</th>
        <th>Patient Care Decision Form</th>      </tr>
    </thead>
    <tbody>
      <tr ID="ADPI-01">
        <td ID="ADPI-01-Care">Cardiopulmonary resuscitation</td>        <td>8/7/2017 11:30am</td>        <td>Jeff Zucker</td>        <td>
          <linkHtml href="Form_for_Patient_Care_Decision-making.pdf">Signed Care Decision-Making Form for this enounter</linkHtml>        </td>
      </tr>
    </tbody>
  </table>
  <!-- Corresponding Machine Readable Entry -->
  <!-- Prohibition Instruction for CPR-->
  <entry>
    <act classCode="ACT" moodCode="INT" negationInd="true">
      <templateId root="2.16.840.1.113883.10.20.22.4.206" extension="2018-01-01"/>      <code code="8966600" displayName="Cardiopulmonary resuscitation (procedure)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
        <originalText/>      </code>
      <text>
        <reference value="#ADPI-01"/>      </text>
      <statusCode code="Active"/>      <effectiveTime>
        <low value="201708071130"/>      </effectiveTime>
      <author>
        <time value="201708071630-0500"/>        <assignedAuthor>
          <id/>          <assignedPerson>
            <name>Nancy Nightingale, RN</name>          </assignedPerson>
        </assignedAuthor>
      </author>
      <participant typeCode="AUTHEN">
        <time value="201708071130-0500"/>        <participantRole>
          <id/>          <playingEntity>
            <name>Jeff
Zucker
</name>
          </playingEntity>
        </participantRole>
      </participant>
      <entryRelationship typeCode="COMP" inversionInd="true">
        <encounter classCode="ENC" moodCode="EVN">
          <id root="2a620155-9d11-439e-92b3-5d9815ff4de8" extension="2"/>          <!-- The referenced Encounter -->
          <code nullFlavor="NP"/>        </encounter>
      </entryRelationship>
    </act>
  </entry>
</section>
ItemDTCardConfDescriptionLabel
cda:act
Prohdotstion
@nullFlavor
cs0 … 1 MAY contain zero or one [0..1] @nullFlavor (CONF:X-X).
@classCode
cs1 … 1RSHALL contain exactly one [1..1] @classCode (CONF:X-X).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode (CONF:X-X).
@negationInd
bl0 … 1 MAY contain zero or one [0..1] @negationInd (CONF:X-X).
cda:realmCode
0 … *MAY contain zero or more [0..*] realmCode (CONF:X-X).Prohdotstion
cda:typeId
0 … 1MAY contain zero or one [0..1] typeId (CONF:X-X).Prohdotstion
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:3332-33042) such that itCONFdots3042
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.206CONFdots3048
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.206" (CONF:3332-33048).
@extension
st1 … 1F2018-01-01CONFdots3049
 SHALL contain exactly one [1..1] @extension="2018-01-01" (CONF:3332-33049).
cda:id
0 … *MAY contain zero or more [0..*] id (CONF:X-X).Prohdotstion
cda:code
1 … 1MSHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Obligation or Prohibition Instruction Type urn:oid:2.16.840.1.113883.11.20.9.69.17 DYNAMIC (CONF:3332-33044).CONFdots3044
@nullFlavor
cs0 … 1 This code MAY contain zero or one [0..1] @nullFlavor (CONF:3332-33053).

Use nullFlavor="OTH" for activities that do not have a code in the existing value set.
CONFdots3053
cda:originalText
0 … 1This code MAY contain zero or one [0..1] originalText (CONF:3332-33054).

OriginalText may be used any time to anchor the coded concept to the orginal information.
CONFdots3054
cda:translation
0 … *This code MAY contain zero or more [0..*] translation (CONF:3332-33055).

Use translation if a coded concept is available for the activity or if a more specific coded concept is available for the activity.
CONFdots3055
cda:text
0 … 1MAY contain zero or one [0..1] text (CONF:X-X).Prohdotstion
cda:statusCode
1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:3332-33043).CONFdots3043
cda:effectiveTime
1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:3332-33045).CONFdots3045
cda:low
1 … 1MThis effectiveTime SHALL contain exactly one [1..1] low (CONF:3332-33046).

The effectiveTime/low indicates the time when the obligation becomes effective.
CONFdots3046
@nullFlavor
cs1 … 1RThis low SHALL NOT contain [0..0] @nullFlavor (CONF:3332-33057).CONFdots3057
cda:high
0 … 1This effectiveTime MAY contain zero or one [0..1] high (CONF:3332-33058).

When present, the effectiveTime/high indicates the time when the prohibition instruction is no longer in effect.
CONFdots3058
cda:priorityCode
0 … 1MAY contain zero or one [0..1] priorityCode (CONF:X-X).Prohdotstion
cda:languageCode
0 … 1MAY contain zero or one [0..1] languageCode (CONF:X-X).Prohdotstion
cda:subject
0 … 1MAY contain zero or one [0..1] subject (CONF:X-X).Prohdotstion
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:X-X).Prohdotstion
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:X-X).Prohdotstion
cda:author
1 … 1MSHALL contain exactly one [1..1] author (CONF:3332-33047).

The author indicates the person who made the decision to put this obligation instruction into effect. It can be the patient, the appointed healthcare agent or other type of surrogate decision-maker if the patient cannot communicate, or a healthcare provider acting in the patient's interest when no healthcare agent or other type of surrogate decision-maker has been appointed and the patient cannot communicate.
CONFdots3047
@nullFlavor
cs1 … 1RThis author SHALL NOT contain [0..0] @nullFlavor (CONF:3332-33059).CONFdots3059
cda:time
1 … 1MThis author SHALL contain exactly one [1..1] time (CONF:3332-33060).

The author/time indicates when the prohibition instruction was established. (This could be in advance of when it takes effect.) It is the time the author made the decision issuing the prohibition instruction.
CONFdots3060
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:X-X).Prohdotstion
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:X-X).Prohdotstion
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:X-X).Prohdotstion
cda:reference
0 … *MAY contain zero or more [0..*] reference (CONF:X-X).Prohdotstion
cda:precondition
0 … *MAY contain zero or more [0..*] precondition (CONF:X-X).Prohdotstion
sdtc:precondition2
0 … *MAY contain zero or more [0..*] sdtc:precondition2 (CONF:X-X).Prohdotstion
sdtc:inFulfillmentOf1
0 … *MAY contain zero or more [0..*] sdtc:inFulfillmentOf1 (CONF:X-X).Prohdotstion