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Template Advance Directive Organizer (V3) 2017‑05‑01

Id2.16.840.1.113883.10.20.22.4.108Effective Date2017‑05‑01
Statusdraft DraftVersion LabelC-CDA R2.1
NameAdvanceDirectiveOrganizerV3Display NameAdvance Directive Organizer (V3)
Description
This clinical statement groups a set of advance directive observations documented together at a single point in time, and relevant during the episode of care being documented. The effectiveTime of the organizer (TS) indicates the point in time when the advance directive observations were reviewed/verified. Or, if not reviewed/verified, then the time when the advance directive observations were made. The time element of the athor indicates when the advance directive observations were recorded in the patient's record. The effectiveTime of the organizer and the time element of the associated author element may often be the same. Note also for clarity: the effectiveTime of the individual advance directive observations indicates the interval in time when the directive went into effect (effectiveTime/low) and out of effect (effectiveTime/high). The author time element on an advance directive observation indicates the time when the observation was documented.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.108
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.48Containmentdraft Advance Directive Observation (V4) (C-CDA R2.1)2017‑05‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.305 CDA Organizer (2005‑09‑07)
ref
ad1bbr-
Example
Advance Directive Organizer (V3)
<entry>
  <!-- *** Advance Directive Organizer (V3) template -->
  <organizer classCode="CLUSTER" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.20.22.4.108" extension="2017-05-01"/>    <id root="631F0E95-F055-4FA2-AF10-3AE036CAD2EC" extension="10.1.1"/>    <code code="45473-6" displayName="advance directive - living will" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
      <originalText>
        <reference value="#ADorganizer-01"/>      </originalText>    </code>    <statusCode code="completed"/>    <author> ...person documenting the information... </author>    <!-- Documentation of the Person who verified person's advance directives
and a pointer to the documentation they reviewed. -->
    <component>
      <!-- ** Advance Directive Observation (V4) ** -->
       ...       <participant typeCode="VRF">
        <templateId root="2.16.840.1.113883.10.20.1.58"/>        <time value="20170807150000-0500"/>        <participantRole>
          <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>          <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>          <playingEntity>
            <name> ...</name>          </playingEntity>        </participantRole>      </participant>      <reference typeCode="REFR">
        <seperatableInd value="false"/>        <externalDocument>
          <id root="2.16.840.1.113883.4.6.44444" extension="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3"/>          <text mediaType="application/pdf">
            <reference value="McBee-Roger-Rienman-2018-01-23-120935.pdf"/>          </text>        </externalDocument>      </reference>    </component>    <!-- Documentation of the type of AD Content verified to be present -->
    <component>
      <!-- ** Advance Directive Observation (V4) ** -->
    </component>    <!-- Component content for Healthcare Agent Appointment(s) -->
    <component>
      <!-- ** Advance Directive Observation (V4) ** -->
    </component>    <component>
      <!-- ** Advance Directive Observation (V4) ** -->
    </component>  </organizer></entry>
ItemDTCardConfDescriptionLabel
cda:organizer
AdvadotserV3
@nullFlavor
cs0 … 1 MAY contain zero or one [0..1] @nullFlavor (CONF:X-X).
@classCode
cs1 … 1RSHALL contain exactly one [1..1] @classCode (CONF:X-X).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode (CONF:X-X).
cda:realmCode
0 … *MAY contain zero or more [0..*] realmCode (CONF:X-X).AdvadotserV3
cda:typeId
0 … 1MAY contain zero or one [0..1] typeId (CONF:X-X).AdvadotserV3
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:3332-28412) such that itCONFdots8412
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.108CONFdots8413
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.108" (CONF:3332-28413).
@extension
st1 … 1F2015-08-01CONFdots2876
 SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:3332-32876).
cda:templateId
0 … 1MAY contain zero or one [0..1] templateId (CONF:3332-32999) such that itCONFdots2999
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.108CONFdots3000
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.108" (CONF:3332-33000).
@extension
st1 … 1F2017-05-01CONFdots3001
 SHALL contain exactly one [1..1] @extension="2017-05-01" (CONF:3332-33001).
cda:id
1 … *MSHALL contain at least one [1..*] id (CONF:3332-28414).CONFdots8414
cda:code
1 … 1MSHALL contain exactly one [1..1] code (CONF:3332-28415).CONFdots8415
@code
CONF1 … 1F45473-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
sdtc:text
0 … 1MAY contain zero or one [0..1] sdtc:text (CONF:X-X).AdvadotserV3
cda:statusCode
1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:3332-28418).CONFdots8418
@code
CONF1 … 1Fcompleted
cda:effectiveTime
0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:3332-33072).CONFdots3072
cda:subject
0 … 1MAY contain zero or one [0..1] subject (CONF:X-X).AdvadotserV3
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:X-X).AdvadotserV3
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:X-X).AdvadotserV3
cda:author
0 … *RSHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3332-32407).CONFdots2407
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:X-X).AdvadotserV3
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:X-X).AdvadotserV3
cda:reference
0 … *MAY contain zero or more [0..*] reference (CONF:X-X).AdvadotserV3
cda:precondition
0 … *MAY contain zero or more [0..*] precondition (CONF:X-X).AdvadotserV3
sdtc:precondition2
0 … *MAY contain zero or more [0..*] sdtc:precondition2 (CONF:X-X).AdvadotserV3
cda:component
1 … *MSHALL contain at least one [1..*] component (CONF:3332-28420) such that it

SHALL contain exactly one [1..1] Advance Directive Observation (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2017-05-01) (CONF:3332-28421).
Contains 2.16.840.1.113883.10.20.22.4.48 Advance Directive Observation (V4) (2017‑05‑01)		CONFdots8420