Id2.16.840.1.113883.10.20.22.4.48Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameAdvanceDirectiveObservationDisplay NameAdvance Directive Observation
Description
Advance Directives Observations assert findings (e.g., “resuscitation status is Full Code”) rather than orders, and should not be considered legal documents. A legal document can be referenced using the reference/externalReference construct.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.48
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 3 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.21Containmentdraft Advance Directives Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.21.1Containmentdraft Advance Directives Section (entries required) (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
Advadotstion
@classCode
cs1 … 1FOBSconf‑8648
@moodCode
cs1 … 1FEVNconf‑8649
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:8655) such that itconf‑8655
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.48confdots0485
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:8654).conf‑8654
cda:code
CD (extensible)1 … 1SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet AdvanceDirectiveTypeCode 2.16.840.1.113883.1.11.20.2 DYNAMIC 2006-10-17 (CONF:8651).conf‑8651
 CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (DYNAMIC)
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:8652).conf‑8652
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:8656).conf‑8656
cda:high
1 … 1This effectiveTime SHALL contain exactly one [1..1] high (CONF:15521).confdots5521
cda:participant
0 … *RSHOULD contain zero or more [0..*] participant (CONF:8662) such that itconf‑8662
where [@typeCode='VRF']
@typeCode
cs1 … 1FVRFconf‑8663
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:8664).conf‑8664
@root
uid1 … 1F2.16.840.1.113883.10.20.1.58confdots0486
cda:time
0 … 1RSHOULD contain zero or one [0..1] time (CONF:8665).

The data type of Observation/participant/time in a verification SHALL be TS (time stamp).
conf‑8665
cda:participantRole
1 … 1SHALL contain exactly one [1..1] participantRole (CONF:8825).conf‑8825
cda:participant
0 … 1RSHOULD contain zero or one [0..1] participant (CONF:8667) such that itconf‑8667
where [@typeCode='CST']
@typeCode
cs1 … 1FCSTconf‑8668
cda:participantRole
1 … 1MSHALL contain exactly one [1..1] participantRole (CONF:8669).conf‑8669
@classCode
cs1 … 1FAGNTconf‑8670
cda:addr
AD0 … 1RThis participantRole SHOULD contain zero or one [0..1] addr (CONF:8671).conf‑8671
cda:telecom
TEL0 … 1RThis participantRole SHOULD contain zero or one [0..1] telecom (CONF:8672).conf‑8672
cda:playingEntity
1 … 1MThis participantRole SHALL contain exactly one [1..1] playingEntity (CONF:8824).conf‑8824
cda:name
1 … 1RThis playingEntity SHALL contain exactly one [1..1] name (CONF:8673).

The name of the agent who can provide a copy of the Advance Directive SHALL be recorded in the name element inside the playingEntity element.
conf‑8673
cda:reference
0 … *RSHOULD contain zero or more [0..*] reference (CONF:8692) such that itconf‑8692
@typeCode
cs1 … 1FREFRconf‑8694
cda:externalDocument
1 … 1MSHALL contain exactly one [1..1] externalDocument (CONF:8693).conf‑8693
cda:id
II1 … *This externalDocument SHALL contain at least one [1..*] id (CONF:8695).conf‑8695
cda:text
0 … 1This externalDocument MAY contain zero or one [0..1] text (CONF:8696).conf‑8696
@mediaType
st0 … 1Ftext/plainconf‑8703
cda:reference
0 … 1The text, if present, MAY contain zero or one [0..1] reference (CONF:8697).

The URL of a referenced advance directive document MAY be present, and SHALL be represented in Observation/reference/ExternalDocument/text/reference.

If a URL is referenced, then it SHOULD have a corresponding linkHTML element in narrative block.
conf‑8697