StructureDefinition-2.16.840.1.113883.10.20.22.4.48

Sourcehl7.cda.us.ccdar2dot2#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.4.48
canonicalhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48
version2.2
statusactive
publisherHealth Level Seven
nameAdvanceDirectiveObservation
titleAdvance Directive Observation
date2021-11-24T17:43:01+00:00
descriptionThis 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 patients 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.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeObservation
derivationconstraint
basehttp://hl7.org/fhir/cda/StructureDefinition/Observation
Usages
Name Flags Card. Type Description & Constraints doco
. . Observation
. . . classCode 1..1 Required Pattern: OBS
. . . moodCode 1..1 Required Pattern: EVN
. . . Slices for templateId 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 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 Required Pattern: Completed
. . . . code 1..1 Required Pattern: 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).
. . . Slices for value Slice: Unordered, Open by
. . . . value:value1 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/fhir/cda/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 Required Pattern: VRF
. . . . . Slices for templateId 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/fhir/cda/StructureDefinition/AD
. . . . . . playingEntity 0..1
. . . . . . . name 0..* http://hl7.org/fhir/cda/StructureDefinition/PN
. . . . participant:participant2 0..*
. . . . . typeCode 1..1 Required Pattern: CST
. . . . . participantRole 1..1
. . . . . . classCode 1..1 Required Pattern: AGNT
. . . . . . code 0..1 Binding: Personal And Legal Relationship Role Type ( preferred )
. . . . . . addr 0..1 http://hl7.org/fhir/cda/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 Slice: Unordered, Open by value:externalDocument, value:typeCode
. . . . reference:reference1 1..*
. . . . . typeCode 1..1 Required Pattern: 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).

doco Documentation for this format

Produced 08 Sep 2023