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draft Template  Medication Free Text Sig

Id 2.16.840.1.113883.10.20.22.4.147
ref
ccda-
Effective Date 2015‑08‑13
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 2.16.840.1.113883.10.20.22.4.147
Classification CDA Entry Level Template
Open/Closed Closed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 4 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.10.20.22.4.16 Containment draft Medication Activity (V2) (2.1) 2014‑06‑09
notice Circular reference found with 2.16.840.1.113883.10.20.22.4.16, please check
2.16.840.1.113883.10.20.22.4.14 link draft Procedure Activity Procedure (V2) (2.1) 2014‑06‑09
notice Circular reference found with 2.16.840.1.113883.10.20.22.4.14, please check
2.16.840.1.113883.10.20.22.4.9 link draft Reaction Observation (V2) (2.1) 2014‑06‑09
notice Circular reference found with 2.16.840.1.113883.10.20.22.4.9, please check
2.16.840.1.113883.10.20.22.4.52 link draft Immunization Activity (V3) (2.1) 2015‑08‑01
Relationship 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)
@classCode
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).
@moodCode
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 (DYNAMIC)
cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1198-32753) such that it CONFdots2753
@root
1 … 1 F 2.16.840.1.113883.10.20.22.4.147 CONFdots2772
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.147" (CONF:1198-32772).
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
@code
CONF 1 … 1 F 76662-6
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
cda:text
1 … 1 M SHALL contain exactly one [1..1] text (CONF:1198-32754). CONFdots2754
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
@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)  
cda:consumable
1 … 1 M SHALL contain exactly one [1..1] consumable (CONF:1198-32776). CONFdots2776
cda:manufacturedProduct
1 … 1 M This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:1198-32777). CONFdots2777
cda:manufacturedLabeledDrug
1 … 1 This manufacturedProduct SHALL contain exactly one [1..1] manufacturedLabeledDrug (CONF:1198-32778). CONFdots2778
@nullFlavor
1 … 1 F NA CONFdots2779
  This manufacturedLabeledDrug SHALL contain exactly one [1..1] @nullFlavor="NA" Not Applicable (CONF:1198-32779).