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draft Template  Medication Free Text Sig

Id 2.16.840.1.113883.10.20.22.2.70 Effective Date 2019‑03‑15 14:25:07
Other versions this id:
Status draft Draft Version Label 2.1
Name MedicationFreeTextSig Display Name Medication Free Text Sig
Description The template is available to explicitly identify the free text Sig within each medication. An example free text sig: Thyroxin 150 ug, take one tab by mouth every morning.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.70
Classification CDA Entry Level Template
Open/Closed Closed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 7 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.10.20.22.2.83 Containment draft Medication Activity (V2) (2.1) 2019‑03‑31 19:39:08
2.16.840.1.113883.10.20.22.2.82 link draft Discharge Medication (V2) (2.1) 2019‑03‑31 19:24:50
2.16.840.1.113883.10.20.22.2.11 link draft BC CDA Discharge Medications Section (entries optional) (V3) (2.1) 2019‑03‑15 14:34:42
2.16.840.1.113883.3.51.60.2.4.1 link draft BC CDA ClinicalDocumentDischargeSummary (V3) (2.1) 2019‑03‑19 14:15:51
2.16.840.1.113883.10.20.22.2.89 link draft Admission Medication (V2) (2.1) 2019‑04‑01 01:46:48
2.16.840.1.113883.10.20.22.2.43 link draft Admission Diagnosis Section (V3) (2.1) 2019‑03‑16 20:59:38
2.16.840.1.113883.10.20.22.2.44 link draft BC CDA Admission Medications Section (entries optional) (V3) (2.1) 2019‑03‑16 21:05:50
Relationship Specialization: template 2.16.840.1.113883.10.20.22.2.70 (2015‑08‑13)
ref
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Specialization: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-
Item DT Card Conf Description Label
cda:substanceAdministration
(MeddotsSig)
treetree @classCode
cs 1 … 1 F SBADM CONFdots2770
  SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-32770).
treetree @moodCode
cs 1 … 1 R SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1198-32771). CONFdots2771
  CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 MoodCodeEvnInt (2011‑04‑03)
treetree hl7:templateId
II 1 … 1 M (MeddotsSig)
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.20.22.2.70
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1198-32753) such that it CONFdots2753
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.20.22.2.70 CONFdots2772
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.147" (CONF:1198-32772).
treetree cda:code
1 … 1 M SHALL contain exactly one [1..1] code (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32775).

a. This code SHALL contain exactly one [1..1] @code="76662-6" Instructions Medication (CONF:1198-32780).
b. This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:1198-32781).

CONFdots2775
treeblank treetree @code
CONF 1 … 1 F 76662-6
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:text
1 … 1 M SHALL contain exactly one [1..1] text (CONF:1198-32754). CONFdots2754
treeblank treetree cda:reference
1 … 1 M This text SHALL contain exactly one [1..1] reference (CONF:1198-32755).

Reference into the section/text to a tag that only contains free text sig.

 CONFdots2755
treeblank treeblank treetree @value
0 … 1   This reference SHOULD contain zero or one [0..1] @value (CONF:1198-32756). CONFdots2756
  Schematron assert role red error  
  test not(@value) or starts-with(@value, '#')  
  Message This 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)  
treetree cda:consumable
1 … 1 M SHALL contain exactly one [1..1] consumable (CONF:1198-32776). CONFdots2776
treeblank treetree cda:manufacturedProduct
1 … 1 M This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:1198-32777). CONFdots2777
treeblank treeblank treetree cda:manufacturedLabeledDrug
1 … 1 This manufacturedProduct SHALL contain exactly one [1..1] manufacturedLabeledDrug (CONF:1198-32778). CONFdots2778
treeblank treeblank treeblank treetree @nullFlavor
cs 1 … 1 F NA CONFdots2779
  This manufacturedLabeledDrug SHALL contain exactly one [1..1] @nullFlavor="NA" Not Applicable (CONF:1198-32779).