OpenEHR Base package
0.1.0 - First Draft International flag

OpenEHR Base package, published by openEHR + HL7. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/openehr-base-ig/ and changes regularly. See the Directory of published versions

Logical Model: INSTRUCTION - XML Profile

Page standards status: Informative Maturity Level: 3

XML representation of the INSTRUCTION logical model.

Raw xml | Download


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="INSTRUCTION"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition INSTRUCTION</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-INSTRUCTION-definitions.html#INSTRUCTION" title="Used to specify actions in the future. Enables simple and complex specifications to be expressed, including in a fully-computable workflow form. Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enough details must be provided for the specification to be directly executed by an actor, either human or machine.">INSTRUCTION</a><a name="INSTRUCTION"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-CARE-ENTRY.html">CARE_ENTRY</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><br/>Elements defined in Ancestors:<a href="StructureDefinition-PATHABLE.html" title="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.">name</a>, <a href="StructureDefinition-PATHABLE.html" title="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology.">archetype_node_id</a>, <a href="StructureDefinition-PATHABLE.html" title="Optional globally unique object identifier for root points of archetyped structures.">uid</a>, <a href="StructureDefinition-PATHABLE.html" title="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions.">links</a>, <a href="StructureDefinition-PATHABLE.html" title="Details of archetyping used on this node.">archetype_details</a>, <a href="StructureDefinition-PATHABLE.html" title="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.">feeder_audit</a>, <a href="StructureDefinition-LOCATABLE.html" title="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.">name</a>, <a href="StructureDefinition-LOCATABLE.html" title="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology.">archetype_node_id</a>, <a href="StructureDefinition-LOCATABLE.html" title="Optional globally unique object identifier for root points of archetyped structures.">uid</a>, <a href="StructureDefinition-LOCATABLE.html" title="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions.">links</a>, <a href="StructureDefinition-LOCATABLE.html" title="Details of archetyping used on this node.">archetype_details</a>, <a href="StructureDefinition-LOCATABLE.html" title="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.">feeder_audit</a>, <a href="StructureDefinition-ENTRY.html" title="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages.">language</a>, <a href="StructureDefinition-ENTRY.html" title="Name of character set in which text values in this Entry are encoded. Coded from openEHR Code Set character sets.">encoding</a>, <a href="StructureDefinition-ENTRY.html" title="Other participations at ENTRY level.">other_participations</a>, <a href="StructureDefinition-ENTRY.html" title="Identifier of externally held workflow engine data for this workflow execution, for this subject of care.">workflow_id</a>, <a href="StructureDefinition-ENTRY.html" title="Id of human subject of this ENTRY, e.g.:

* organ donor
* foetus
* a family member
* another clinically relevant person">subject</a>, <a href="StructureDefinition-ENTRY.html" title="Optional identification of provider of the information in this ENTRY, which might be:

* the patient
* a patient agent, e.g. parent, guardian
* the clinician
* a device or software


Generally only used when the recorder needs to make it explicit. Otherwise, Composition composer and other participants are assumed.">provider</a>, <a href="StructureDefinition-CARE-ENTRY.html" title="Description of the method (i.e. how) the information in this entry was arrived at. For OBSERVATIONs, this is a description of the method or instrument used. For EVALUATIONs, how the evaluation was arrived at. For INSTRUCTIONs, how to execute the Instruction. This may take the form of references to guidelines, including manually followed and executable; knowledge references such as a paper in Medline; clinical reasons within a larger care process.">protocol</a>, <a href="StructureDefinition-CARE-ENTRY.html" title="Optional external identifier of guideline creating this Entry if relevant.">guideline_id</a><br/>Used to specify actions in the future<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-INSTRUCTION-definitions.html#INSTRUCTION.narrative" title="Mandatory human-readable version of what the Instruction is about.">narrative</a><a name="INSTRUCTION.narrative"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-DV-TEXT.html">DV_TEXT</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Mandatory human-readable version of what the Instruction is about</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-INSTRUCTION-definitions.html#INSTRUCTION.expiry-time" title="Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired. This helps prevent false listing of Instructions as Active when they clearly must have been terminated in some way or other.">expiry_time</a><a name="INSTRUCTION.expiry_time"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-DV-DATE-TIME.html">DV_DATE_TIME</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-INSTRUCTION-definitions.html#INSTRUCTION.wf-definition" title="Optional workflow engine executable expression of the Instruction.">wf_definition</a><a name="INSTRUCTION.wf_definition"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-DV-PARSABLE.html">DV_PARSABLE</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Optional workflow engine executable expression of the Instruction</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-INSTRUCTION-definitions.html#INSTRUCTION.activities" title="List of all activities in Instruction.">activities</a><a name="INSTRUCTION.activities"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-ACTIVITY.html">ACTIVITY</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">List of all activities in Instruction<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/web-source">
    <valueUrl
              value="https://specifications.openehr.org/releases/RM/development/ehr.html#_instruction_class"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
    <valueCode value="element-view-replace-cardinality"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://openehr.org/fhir/StructureDefinition/INSTRUCTION"/>
  <version value="0.1.0"/>
  <name value="INSTRUCTION"/>
  <title value="INSTRUCTION"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-12-31T18:45:58+10:00"/>
  <publisher value="openEHR + HL7"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.openehr.org"/>
    </telecom>
  </contact>
  <description
               value="Used to specify actions in the future. Enables simple and complex specifications to be expressed, including in a fully-computable workflow form. Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enough details must be provided for the specification to be directly executed by an actor, either human or machine. Not to be used for plan items which are only specified in general terms."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://openehr.org/fhir/StructureDefinition/INSTRUCTION"/>
  <baseDefinition
                  value="http://openehr.org/fhir/StructureDefinition/CARE-ENTRY"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="0.1.0"/>
    </extension>
    <element id="INSTRUCTION">
      <path value="INSTRUCTION"/>
      <short value="Used to specify actions in the future"/>
      <definition
                  value="Used to specify actions in the future. Enables simple and complex specifications to be expressed, including in a fully-computable workflow form. Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enough details must be provided for the specification to be directly executed by an actor, either human or machine."/>
      <comment
               value="Not to be used for plan items which are only specified in general terms."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="INSTRUCTION.name">
      <path value="INSTRUCTION.name"/>
      <short
             value="Runtime name of this fragment, used to build runtime paths"/>
      <definition
                  value="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="PATHABLE.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.archetype-node-id">
      <path value="INSTRUCTION.archetype_node_id"/>
      <short
             value="Design-time archetype identifier of this node taken from its generating archetype"/>
      <definition
                  value="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology."/>
      <comment
               value="At an archetype root point, the value of this attribute is always the stringified form of the archetype_id found in the archetype_details object."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="PATHABLE.archetype_node_id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.uid">
      <path value="INSTRUCTION.uid"/>
      <short
             value="Optional globally unique object identifier for root points of archetyped structures"/>
      <definition
                  value="Optional globally unique object identifier for root points of archetyped structures."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PATHABLE.uid"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.links">
      <path value="INSTRUCTION.links"/>
      <short value="Links to other archetyped structures"/>
      <definition
                  value="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PATHABLE.links"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/LINK"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.archetype-details">
      <path value="INSTRUCTION.archetype_details"/>
      <short value="Details of archetyping used on this node"/>
      <definition value="Details of archetyping used on this node."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PATHABLE.archetype_details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ARCHETYPED"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.feeder-audit">
      <path value="INSTRUCTION.feeder_audit"/>
      <short
             value="Audit trail from non-openEHR system of original commit of information forming the content of this node"/>
      <definition
                  value="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PATHABLE.feeder_audit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.language">
      <path value="INSTRUCTION.language"/>
      <short
             value="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages"/>
      <definition
                  value="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ENTRY.language"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/CODE-PHRASE"/>
      </type>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element id="INSTRUCTION.encoding">
      <path value="INSTRUCTION.encoding"/>
      <short
             value="Name of character set in which text values in this Entry are encoded"/>
      <definition
                  value="Name of character set in which text values in this Entry are encoded. Coded from openEHR Code Set character sets."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ENTRY.encoding"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/CODE-PHRASE"/>
      </type>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="https://specifications.openehr.org/fhir/valueset-character_sets"/>
      </binding>
    </element>
    <element id="INSTRUCTION.other-participations">
      <path value="INSTRUCTION.other_participations"/>
      <short value="Other participations at ENTRY level"/>
      <definition value="Other participations at ENTRY level."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ENTRY.other_participations"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/PARTICIPATION"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.workflow-id">
      <path value="INSTRUCTION.workflow_id"/>
      <short
             value="Identifier of externally held workflow engine data for this workflow execution, for this subject of care"/>
      <definition
                  value="Identifier of externally held workflow engine data for this workflow execution, for this subject of care."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ENTRY.workflow_id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/OBJECT-REF"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.subject">
      <path value="INSTRUCTION.subject"/>
      <short
             value="Id of human subject of this ENTRY, e.g. organ donor, foetus, a family member, or another clinically relevant person"/>
      <definition
                  value="Id of human subject of this ENTRY, e.g.:

* organ donor
* foetus
* a family member
* another clinically relevant person"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ENTRY.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/PARTY-PROXY"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.provider">
      <path value="INSTRUCTION.provider"/>
      <short
             value="Optional identification of provider of the information in this ENTRY, which might be the patient, a patient agent, the clinician, a device"/>
      <definition
                  value="Optional identification of provider of the information in this ENTRY, which might be:

* the patient
* a patient agent, e.g. parent, guardian
* the clinician
* a device or software


Generally only used when the recorder needs to make it explicit. Otherwise, Composition composer and other participants are assumed."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ENTRY.provider"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/PARTY-PROXY"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.protocol">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-group"/>
        </extension>
        <extension url="value">
          <valueString value="Protocol"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-order"/>
        </extension>
        <extension url="value">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <path value="INSTRUCTION.protocol"/>
      <short
             value="Description of the method (i.e. how) the information in this entry was arrived at"/>
      <definition
                  value="Description of the method (i.e. how) the information in this entry was arrived at. For OBSERVATIONs, this is a description of the method or instrument used. For EVALUATIONs, how the evaluation was arrived at. For INSTRUCTIONs, how to execute the Instruction. This may take the form of references to guidelines, including manually followed and executable; knowledge references such as a paper in Medline; clinical reasons within a larger care process."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CARE_ENTRY.protocol"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.guideline-id">
      <path value="INSTRUCTION.guideline_id"/>
      <short
             value="Optional external identifier of guideline creating this Entry if relevant"/>
      <definition
                  value="Optional external identifier of guideline creating this Entry if relevant."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CARE_ENTRY.guideline_id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/OBJECT-REF"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.narrative">
      <path value="INSTRUCTION.narrative"/>
      <short
             value="Mandatory human-readable version of what the Instruction is about"/>
      <definition
                  value="Mandatory human-readable version of what the Instruction is about."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="INSTRUCTION.narrative"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.expiry-time">
      <path value="INSTRUCTION.expiry_time"/>
      <short
             value="Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired"/>
      <definition
                  value="Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired. This helps prevent false listing of Instructions as Active when they clearly must have been terminated in some way or other."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="INSTRUCTION.expiry_time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-DATE-TIME"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.wf-definition">
      <path value="INSTRUCTION.wf_definition"/>
      <short
             value="Optional workflow engine executable expression of the Instruction"/>
      <definition
                  value="Optional workflow engine executable expression of the Instruction."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="INSTRUCTION.wf_definition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-PARSABLE"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.activities">
      <path value="INSTRUCTION.activities"/>
      <short value="List of all activities in Instruction"/>
      <definition value="List of all activities in Instruction."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="INSTRUCTION.activities"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ACTIVITY"/>
      </type>
      <isModifier value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="INSTRUCTION">
      <path value="INSTRUCTION"/>
      <short value="Used to specify actions in the future"/>
      <definition
                  value="Used to specify actions in the future. Enables simple and complex specifications to be expressed, including in a fully-computable workflow form. Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enough details must be provided for the specification to be directly executed by an actor, either human or machine."/>
      <comment
               value="Not to be used for plan items which are only specified in general terms."/>
      <min value="0"/>
      <max value="*"/>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.narrative">
      <path value="INSTRUCTION.narrative"/>
      <short
             value="Mandatory human-readable version of what the Instruction is about"/>
      <definition
                  value="Mandatory human-readable version of what the Instruction is about."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.expiry-time">
      <path value="INSTRUCTION.expiry_time"/>
      <short
             value="Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired"/>
      <definition
                  value="Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired. This helps prevent false listing of Instructions as Active when they clearly must have been terminated in some way or other."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-DATE-TIME"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.wf-definition">
      <path value="INSTRUCTION.wf_definition"/>
      <short
             value="Optional workflow engine executable expression of the Instruction"/>
      <definition
                  value="Optional workflow engine executable expression of the Instruction."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-PARSABLE"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="INSTRUCTION.activities">
      <path value="INSTRUCTION.activities"/>
      <short value="List of all activities in Instruction"/>
      <definition value="List of all activities in Instruction."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ACTIVITY"/>
      </type>
      <isModifier value="false"/>
    </element>
  </differential>
</StructureDefinition>