Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Instructions

[Act: templateId 2.16.840.1.113883.10.20.22.4.20]

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.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7393, CONF:10503 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.20"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:7391)
  3. SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:7392)
  4. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet PatientEducation 2.16.840.1.113883.11.20.9.34 DYNAMIC (CONF:7394)
  5. SHOULD contain zero or one [0..1] text (CONF:7395)
  6. SHALL contain exactly one [1..1] statusCode/@code="completed" Completed (CodeSystem: 2.16.840.1.113883.5.14 ActStatus) (CONF:7396)
  7. This text, if present, SHOULD contain zero or one [0..1] reference (CONF:15577)
  8. reference SHOULD contain exactly one [1..1] @value (CONF:15578)
  9. reference/@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) (CONF:15579)

Instructions example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="845003860"/>
  <code code="68118840"/>
  <text>Text Value</text>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
</act>