InstructionObservation

Instruction Observation

draftC-CDA Templates4.0.0logical9 key elements

The Instruction observation 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. Though not defined in this template, a Vaccine Information Statement (VIS) document could be referenced through observation/reference/externalDocument, and patient awareness of the instructions can be represented with the generic participant and the participant/awarenessCode.

The value element represents the actual instructions given to the patient. Typically recorded as a string or a narrative reference, the value may also be coded, though this template enforces no limits on the set of codes that can be used.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/InstructionObservation
ID
InstructionObservation
Type
Base Definition
Observation
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:instruction1..1
1+
templateId.root
1+
templateId.extension
1+
code.code
1+
code.codeSystem
1+
LOINC
statusCode
1+
statusCode.code
1+
value1..1
http://hl7.org/cda/stds/core/StructureDefinition/EDhttp://hl7.org/cda/stds/core/StructureDefinition/SThttp://hl7.org/cda/stds/core/StructureDefinition/CD
1+
The actual instructions provided