There is no clear information | instruction on which CDA structure should | can be used to include pharmacist recommendation to the prescriber | nurse about patient's medications.

In the C-CDAR2 IG - CCDA Clinicnotes R1 DSTU21 2015 vol2:

3.6.7 Planned Medication Activity (V2) template contains the following:

• Indication (v2) (optional)
• Medication Information (v2) (required)
• Priority Preference (optional)
• Instruction (v2) (optional)
• Author Participation (optional)
• Precondition for Substance Administration (v2) (optional)

The Planned Medication Activity template, (as per the 2015 C-CDA IG), does not appear to include template | structure for pharmacist recommendations

C-CDA IG
3.45 Instruction (v2) - is used to record patient instructions within a Medication Activity; or
to record fill instructions within a supply order
Act.code - shall contain exactly one [1..1] code, which should be selected from ValuseSet Patient Education

This value set is not intended to support pharmacist recommendations on patient's medications or medication orders

Question:
Should the pharmacist recommendation (to prescriber) on patient's medication be included in the "Plan of treatment section.text?
Plan of treatment secton.text (free text)

If yes, this specification should provide clear instructions on how to use "Plan of treatment section.text" for such purpose
If no, what C-CDA structure should be used to carry pharmacist recommendations?