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Template Advance directive observation 2007‑04‑01

Id2.16.840.1.113883.10.20.1.17Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameAdvanceDirectiveObservationDisplay NameAdvance directive observation
Description

3.2.2.1 Advance directive observations

The template identifier for an advance directive observation is 2.16.840.1.113883.10.20.1.17.
The template identifier for verification of an advance directive observation is templateId 2.16.840.1.113883.10.20.1.58.

Advance directives in the ASTM CCR correspond to CDA R2 Observations in Event mood in that they assert findings (e.g. “resuscitation status is Full Code”) rather than orders.

CONF-82: An advance directive observation (templateId 2.16.840.1.113883.10.20.1.17) SHALL be represented with Observation.
CONF-83: The value for “Observation / @classCode” in an advance directive observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-84: The value for “Observation / @moodCode” in an advance directive observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-85: An advance directive observation SHALL contain at least one Observation / id.
CONF-86: An advance directive observation SHALL contain exactly one Observation / statusCode.
CONF-87: The value for “Observation / statusCode” in an advance directive observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-88: An advance directive observation SHOULD contain exactly one Observation / effectiveTime, to indicate the effective time of the directive.
CONF-89: An advance directive observation SHALL contain exactly one Observation / code.
CONF-90: The value for “Observation / code” in an advance directive observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode STATIC 20061017.
CONF-91: There SHOULD be an advance directive observation whose value for “Observation / code” is “304251008” “Resuscitation status” 2.16.840.1.113883.6.96 SNOMED CT STATIC.
CONF-92: A verification of an advance directive observation (templateId 2.16.840.1.113883.10.20.1.58) SHALL be represented with Observation / participant.
CONF-93: An advance directive observation MAY include one or more verifications.
CONF-94: The value for “Observation / participant / @typeCode” in a verification SHALL be “VRF” “Verifier” 2.16.840.1.113883.5.90 ParticipationType STATIC.
CONF-95: A verification of an advance directive observation SHOULD contain Observation / participant / time.
CONF-96: The data type of Observation / participant / time in a verification SHALL be TS (time stamp).
CONF-97: An advance directive observation SHALL contain one or more sources of information, as defined in section 5.2 Source.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.17
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 2 templates, Uses 6 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.1Containmentpending Advance directives section2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.4.10.20Containmentpending CCD Informant (Body)DYNAMIC
2.16.840.1.113883.10.20.1.36Containmentpending Advance directive referenceDYNAMIC
2.16.840.1.113883.10.20.1.37Containmentpending Advance directive status observationDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
2.16.840.1.113883.10.20.1.58Includepending Verification of an advance directive observationDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
ItemDTCardConfDescriptionLabel
hl7:observation
Advadotstion
@classCode
cs0 … 1 CONF‑83
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1RCONF‑84
 CONF
@moodCode shall be "EVN"
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-97: An advance directive observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1Advadotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.17
hl7:id
II1 … *MCONF‑85
hl7:code
CD1 … 1RCONF‑89 / CONF‑90
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (2006‑10‑17)
hl7:derivationExpr
ST0 … 1Advadotstion
hl7:text
ED0 … 1Advadotstion
hl7:statusCode
CS1 … 1MCONF‑86 / CONF‑87
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RCONF‑88
hl7:priorityCode
CE0 … 1Advadotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1Advadotstion
hl7:languageCode
CS0 … 1Advadotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Advadotstion
hl7:interpretationCode
CE0 … *Advadotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Advadotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Advadotstion
 CONF
shall be drawn from concept domain "ProcedureMethod"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Advadotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑97
Included0 … * from 2.16.840.1.113883.10.20.1.58 Verification of an advance directive observation (DYNAMIC)
hl7:participant
0 … *Veridotspant
@typeCode
cs1 … 1FVRFCONF‑94
@contextControlCode
cs0 … 1FOP
hl7:templateId
II1 … 1Veridotspant
@root
uid1 … 1F2.16.840.1.113883.10.20.1.58
hl7:time
TS1 … 1RCONF‑95 / CONF‑96
hl7:awarenessCode
CE0 … 1Veridotspant
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1Veridotspant
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11555 RoleClass (DYNAMIC)
hl7:id
II0 … *Veridotspant
hl7:code
CE0 … 1Veridotspant
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *Veridotspant
hl7:telecom
TEL0 … *Veridotspant
Choice0 … 1Elements to choose from:
hl7:playingDevice
Contains 2.16.840.1.113883.3.1937.777.4.10.6 CCD Device (DYNAMIC)Veridotspant
hl7:playingEntity
Contains 2.16.840.1.113883.3.1937.777.4.10.10 CCD PlayingEntity (DYNAMIC)Veridotspant
hl7:scopingEntity
0 … 1Veridotspant
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10882 EntityClass (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *Veridotspant
hl7:code
CE0 … 1Veridotspant
 CONF
shall be drawn from concept domain "EntityCode"
hl7:desc
ED0 … 1Veridotspant
hl7:entryRelationship
1 … 1MContains 2.16.840.1.113883.10.20.1.37 Advance directive status observation (DYNAMIC)CONF‑98
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑98
hl7:seperatableInd
BL0 … 1CONF‑98
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑97
where [hl7:observation [hl7:code [@code='48766-0'] [@codeSystem='2.16.840.1.113883.6.1']]]
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑97
hl7:seperatableInd
BL0 … 1CONF‑97
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … 1Contains 2.16.840.1.113883.10.20.1.36 Advance directive reference (DYNAMIC)CONF‑102
@typeCode
cs1 … 1FREFRCONF‑103
hl7:seperatableInd
BL0 … 1CONF‑102
hl7:reference
0 … *CONF‑97
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Advadotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Advadotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1Advadotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Advadotstion
hl7:value
0 … 1Advadotstion
hl7:interpretationCode
CE0 … 1Advadotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)