Source | hl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0) |
resourceType | StructureDefinition |
id | 2.16.840.1.113883.10.20.22.4.48 |
canonical | http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48 |
version | 2.1 |
status | active |
publisher | Health Level Seven |
name | AdvanceDirectiveObservation |
title | Advance Directive Observation |
date | 2023-08-24T14:33:15+00:00 |
description | This clinical statement represents Advance Directive Observation findings (e.g., "resuscitation status is Full Code") rather than orders. It should not be considered a legal document or a substitute for the actual Advance Directive document. The related legal documents are referenced using the reference/externalReference element. The Advance Directive Observation describes the patient's directives, including but not limited to: * Medications * Transfer of Care to Hospital * Treatment * Procedures * Intubation and Ventilation * Diagnostic Tests * Tests The observation/value element contains the detailed patient directive which may be coded or text. For example, a category directive may be antibiotics, and the details would be intravenous antibiotics only. |
jurisdictions | us |
fhirVersion | 5.0.0 |
kind | logical |
abstract | false |
sdTtype | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
derivation | constraint |
base | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | CDAR2.Observation |
XML Namespace:
urn:hl7-org:v3 This logical model cannot be the target of a reference |
||
classCode | 1..1 | Fixed Value: OBS | ||
moodCode | 1..1 | Fixed Value: EVN | ||
Slices for templateId | 1 .. | Slice: Unordered, Open by value:root, value:extension | ||
templateId:primary | 1..1 | |||
root | 1..1 | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | ||
extension | 1..1 | Required Pattern: 2015-08-01 | ||
id | 1..* | |||
code | 1..1 | Binding: Advance Directive Type Code ( preferred ) | ||
Slices for translation | 1 .. | Slice: Unordered, Open by value:code, value:codeSystem | ||
translation:advanceDirective | 1..1 | |||
code | 1..1 | Required Pattern: 75320-2 | ||
codeSystem | 1..1 | Required Pattern: 2.16.840.1.113883.6.1 | ||
statusCode | 1..1 | SG 20230706: constraint not entered 'properly' deleted fixedString='Completed here - it's already in the next element and shoudln't be here - entered weird/wrong in TWB | ||
code | 1..1 | Fixed Value: completed | ||
effectiveTime | 1..1 | |||
low | 1..1 | |||
high | C | 1..1 | 1198-32449: If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449). | |
value | C | 1..1 | 1198-32493: If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493). | |
author | 0..* | http://hl7.org/cda/stds/core/StructureDefinition/Author | ||
Slices for participant |
This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. If there is more than one legal representative, a qualifier may be used to designate the legal representative as primary or secondary.
Slice: Unordered, Open by value:participantRole, value:typeCode |
|||
participant:participant1 | 0..* |
The participant "VRF" represents the clinician(s) who verified the patient advance directive observation. |
||
typeCode | 1..1 | Fixed Value: VRF | ||
Slices for templateId | 1 .. | Slice: Unordered, Open by value:root | ||
templateId:primary | 1..1 | |||
root | 1..1 | Required Pattern: 2.16.840.1.113883.10.20.1.58 | ||
time | C | 0..1 | 1198-8666: The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666). | |
participantRole | 1..1 | |||
code | 0..1 | Binding: Healthcare Provider Taxonomy ( preferred ) | ||
addr | 0..* | http://hl7.org/cda/stds/core/StructureDefinition/AD | ||
playingEntity | 0..1 | |||
name | 0..* | http://hl7.org/cda/stds/core/StructureDefinition/PN | ||
participant:participant2 | 0..* | |||
typeCode | 1..1 | Fixed Value: CST | ||
participantRole | 1..1 | |||
classCode | 1..1 | Fixed Value: AGNT | ||
code | 0..1 | Binding: Personal And Legal Relationship Role Type ( preferred ) | ||
addr | 0..1 | http://hl7.org/cda/stds/core/StructureDefinition/AD | ||
telecom | 0..* | |||
playingEntity | 1..1 | |||
code | 0..1 | Binding: Healthcare Agent Qualifier ( preferred ) | ||
name | 1..1 | Record the name of the agent who can provide a copy of the Advance Directive in the name element. | ||
Slices for reference | 1 .. | Slice: Unordered, Open by value:externalDocument, value:typeCode | ||
reference:reference1 | 1..* | |||
typeCode | 1..1 | Fixed Value: REFR | ||
externalDocument | 1..1 | |||
id | 1..* | |||
text | 0..1 | |||
reference | C | 0..1 |
1198-8698:
The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698). 1198-8699: If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). |
|
Documentation for this format |
Produced 08 Sep 2023