Name Flags Card. Type Description & Constraints Section C 1..1 Section XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, <a href="http://hl7.org/cda/stds/core/2.0.0-sd-snapshot1/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.">typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) shall-adv-directive-organizer: SHALL contain at least one Advance Directive Organizer @nullFlavor 0..1 cs If a required section contains no information, the @nullFlavor MAY be set to NI Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension templateId:section 1..1 II @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.2.21.1 @extension 1..1 st Required Pattern: 2022-02-14 code 1..1 CE Advance Directives @code 1..1 cs Required Pattern: 42348-3 @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1 title 1..1 ST text 1..1 xhtml Slices for entry 0..* Entry If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by profile:observation, profile:organizer entry:observation 0..* Entry observation 1..1 AdvanceDirectiveObservation Base for all types and resources entry:organizer 0..* Entry organizer 1..1 AdvanceDirectiveOrganizer Base for all types and resources Documentation for this format
HL7 International - Structured Documents
This section contains information describing the patient’s advance directives. The description includes the kind of advance directive source documents and the type of advance directive content included in each kind of advance directive source document. The section includes information about who verified the content available in each advance directive source document, if applicable. It also includes information about who was the acting healthcare agent, if someone was acting on behalf of the patient during the encounter or during certain periods of time during the provision of care covered by the document. It provides references to the supporting documentation, including all kinds of advance directive source documents. Treatment Preferences, Care Experience Preferences and Personal Health Goals considered relevant by the organization rendering care services to the patient's care during the encompassing encounter or considered relevant to the patient's care plan SHALL be included in the Advance Directives Section as documented by the patient or consented by the patient or the patient's healthcare agent. If a person has appointed healthcare agent(s), the Advance Directive Section SHALL include the current healthcare agent(s) information. and a reference to the external document which contains the healthcare agent appointment decisions. If a person has documented treatment preferences under certain health scenarios, the Advance Directive Section SHALL include information about who has reviewed and verified that documentation, and a reference to the external document which was reviewed. This section differentiates between an "advance care plan document" and an “advance care plan order.” It also distinguishes an advance directive that is a consent. Information in this section includes information about the person’s current/relevant goals and preferences, advance directive orders, or advance directive consents.
Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
SHALL contain at least one Advance Directive Organizer
nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer'))
If a required section contains no information, the @nullFlavor MAY be set to NI
If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Identifies the type as an HL7 Registered model
A character string as a unique identifier within the scope of the identifier root.
When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Specifies the code system that defines the code.
If applicable, a version descriptor defined specifically for the given code system.
A name or title for the code, under which the sending system shows the code value to its users.
The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
The text or phrase used as the basis for the coding.
Specifies additional codes that increase the specificity of the the primary code.
A set of other concept descriptors that translate this concept descriptor into other code systems.
If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW):
SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it
MAY contain zero or more [0..*] entry such that it
SHALL contain exactly one [1..1] Advance Directive Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2022-02-14) (CONF:1198-15443).
SHALL contain one or more [1.*] entry such that it
SHALL contain exactly one [1..1] Advance Directive Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2022-02-14).
Drawn from concept domain DocumentSectionType