Id1.3.6.1.4.1.19376.1.5.3.1.4.3.1Effective Date2013‑12‑20
Statusdraft DraftVersion Label
NameEntryMedicationFulFillmentInstructionsDisplay NameEntry Medication FulFillment Instructions
Description
Any medication may be the subject of further instructions to the pharmacist, for example to indicate that it should be labeled in Spanish, et cetera. This structure is included in the target substance administration or supply act using the element defined in the CDA Schema. The figure below is an example of recording an instruction for an , and is used as context for the sections to follow.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.3.1
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 8 transactions and 62 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.11.4.23Transactiondraft Return MRO2013‑11‑02
2.16.840.1.113883.3.1937.777.11.4.12Transactiondraft Return PS of country A2012‑05‑02
2.16.840.1.113883.3.1937.777.11.4.19Transactiondraft Return eP from country A2013‑11‑02
2.16.840.1.113883.3.1937.777.11.4.21Transactiondraft Send HCER to country A2013‑11‑02
1.3.6.1.4.1.19376.1.5.3.1.4.4Transactiondraft IHE Referral Summary2016‑09‑29 13:42:51
1.3.6.1.4.1.19376.1.5.3.1.4.9Transactiondraft IHE Emergency Department Referral2017‑03‑30 09:26:33
1.3.6.1.4.1.19376.1.5.3.1.4.12Transactiondraft IHE PHR Extract2017‑03‑30 09:29:02
1.3.6.1.4.1.19376.1.5.3.1.4.11Transactiondraft IHE Immunization Content2017‑03‑30 09:28:26
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
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkdraft epSOS-Patient Summary2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkretired epSOS-Patient Summary2018‑11‑14 10:53:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkretired eHDSI Patient Summary2020‑04‑14 13:03:47
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkretired eHDSI Patient Summary2020‑09‑02 10:19:44
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkretired eHDSI Patient Summary2022‑09‑12 13:44:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3linkactive eHDSI Patient Summary2024‑04‑19 10:03:32
1.3.6.1.4.1.12559.11.10.1.3.1.1.4linkdraft epSOS-Health Care Encounter Report2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4linkretired epSOS-Health Care Encounter Report2018‑11‑14 09:02:41
1.3.6.1.4.1.12559.11.10.1.3.1.1.5linkdraft epSOS-Medication Related Overview2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5linkretired epSOS-Medication Related Overview2018‑11‑14 09:03:13
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
1.3.6.1.4.1.12559.11.10.1.3.1.2.3linkdraft Section Medication Summary2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.2.3linkretired Section Medication Summary2019‑04‑08 12:31:22
1.3.6.1.4.1.12559.11.10.1.3.1.2.3linkretired eHDSI Medication Summary2020‑04‑16 12:19:40
1.3.6.1.4.1.12559.11.10.1.3.1.2.3linkactive eHDSI Medication Summary2020‑09‑07 09:56:57
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
1.3.6.1.4.1.12559.11.10.1.3.1.3.4Containmentdraft Medication Item2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.3.4Containmentretired Medication Item2019‑04‑08 12:46:30
1.3.6.1.4.1.12559.11.10.1.3.1.3.4Containmentretired Medication Item2019‑12‑03 08:26:05
1.3.6.1.4.1.12559.11.10.1.3.1.3.4Containmentretired Medication Item2020‑03‑24 15:58:29
1.3.6.1.4.1.12559.11.10.1.3.1.3.4Containmentretired eHDSI Medication Item2020‑04‑15 15:15:45
1.3.6.1.4.1.19376.1.5.3.1.1.3linkactive IHE Referral Summary Document (2014)2016‑09‑29 13:41:44
1.3.6.1.4.1.19376.1.5.3.1.1.5linkactive IHE PHR Extract Specification (2016)2017‑03‑20 14:10:24
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
1.3.6.1.4.1.19376.1.5.3.1.1.10linkactive IHE Emergency Department Referral Specification (2016)2017‑03‑20 10:34:16
1.3.6.1.4.1.19376.1.5.3.1.1.18.1.2linkactive IHE Immunization Content Specification (2016)2017‑03‑20 09:59:31
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
1.3.6.1.4.1.19376.1.5.3.1.3.23linkactive IHE Immunizations Section (2014)2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.23linkretired eHDSI Immunizations2020‑04‑16 12:18:30
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
1.3.6.1.4.1.19376.1.5.3.1.4.7linkactive IHE Medications Entry (2014)2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.7.3Containmentactive IHE Supply Entry (2014)2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.12linkactive IHE Immunizations Entry (2014)2013‑12‑20
1.3.6.1.4.1.19376.1.9.1.1.1linkdraft Pharmacy Prescription Document (PRE2016)2016‑01‑07 22:13:03
1.3.6.1.4.1.19376.1.9.1.1.4linkdraft Community Medication Administration Document Content Module (rev. 1.1)2018‑03‑02 14:08:00
1.3.6.1.4.1.19376.1.9.1.1.6linkdraft IHE Community Medication Treatment Plan Document Content Module (Rev. 1.3)2017‑04‑03 07:57:37
1.3.6.1.4.1.19376.1.9.1.3.2Containmentdraft Prescription Item Entry Content Module (PRE2016)2016‑01‑08 13:04:49
1.3.6.1.4.1.19376.1.9.1.3.7Containmentpending 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
2.16.756.5.30.1.1.10.4.34Containmentdraft Medication Treatment Plan Item Entry Content Module (2021)2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.4.43Containmentdraft Prescription Item Entry Content Module (2021)2019‑09‑11 17:05:49
Example
Example
<act classCode="ACT" moodCode="INT">
  <templateId root="2.16.840.1.113883.10.20.1.43"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3.1"/>  <code code="FINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode"/>  <text>
    <reference value="#comment-2"/>  </text>  <statusCode code="completed"/></act>
ItemDTCardConfDescriptionLabel
hl7:act
Entrdotsions
@classCode
cs0 … 1FACT
@moodCode
cs0 … 1FINT
hl7:templateId
II.EPSOS1 … 1M(CCD)Entrdotsions
@root
uid1 … 1F2.16.840.1.113883.10.20.1.43
hl7:templateId
II.EPSOS1 … 1M(IHE PCC)Entrdotsions
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.3.1
hl7:code
CD.EPSOS0 … 1RThe element indicates that this is a medication fulfilment instruction.Entrdotsions
@code
CONF0 … 1FFINSTRUCT
@codeSystem
0 … 1F1.3.6.1.4.1.19376.1.5.3.2
@codeSystemName
0 … 1FIHEActCode
hl7:text
ED0 … 1RThe element contains a free text representation of the instruction. For CDA this SHALL 1520 contain a 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 of the , not as part of the .Entrdotsions
hl7:reference
0 … 1RThe URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. Entrdotsions
 Example<reference value="#eP_as_text"/>
hl7:statusCode
CS1 … 1MThe code attribute of for all comments must be completed.Entrdotsions
@code
CONF1 … 1Fcompleted