Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot
Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot
This page is part of the CCDA: Consolidated CDA Release (v4.0.0-ballot: CCDA 4.0 Ballot 1) generated with FHIR (HL7ยฎ FHIRยฎ Standard) v5.0.0. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation | Version: 4.0.0-ballot | |||
| Draft as of 2024-12-20 | Computable Name: AdvanceDirectiveObservation | |||
| Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2025-05-01 | ||||
The Advance Directive Observation template is nested within the Advance Directive Existence Observation, which indicates whether the individual has any advance directive documents. This template provides details about the type of advance directive document and may also include information on the documentโs author, as well as any individuals who verified its contents with the patient or their designated healthcare agent.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
  Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:advance-directive-obs |
1..1 | II | ||
  @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
  @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
 @classCode |
1..1 | cs | Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
C | 1..1 | CD | Advance Directive should-translation: SHOULD contain translation |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
 translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories  (preferred) | |
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
| effectiveTime |
1..1 | IVL_TS | ||
| low |
1..1 | IVXB_TS | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| value |
0..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | ||
 author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
 participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
  Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
 templateId:primary |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @extension |
0..0 | |||
| @typeCode |
1..1 | cs | Fixed Value: VRF | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @value |
0..1 | ts | value should be used instead of low/high | |
 participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
 playingEntity |
1..1 | PlayingEntity | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @typeCode |
1..1 | cs | Fixed Value: CST | |
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @classCode |
1..1 | cs | Fixed Value: AGNT | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| name |
1..1 | PN | The name of the healthcare agent. | |
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @typeCode |
1..1 | cs | Fixed Value: REFR | |
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| reference |
C | 0..1 | TEL | 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). |
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:advance-directive-obs |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
| @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode |
1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| @negationInd |
0..1 | bl | ||
| id |
1..* | II | ||
| sdtcCategory |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
C | 1..1 | CD | Advance Directive Binding: ObservationType (example) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories (preferred) | |
| derivationExpr |
0..1 | ST | ||
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | IVL_TS | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
1..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
 value |
0..1 | |||
 value |
ANY | |||
| value |
BL | |||
| value |
ED | |||
| value |
ST | |||
| value |
CD | |||
| value |
CV | |||
| value |
CE | |||
| value |
CO | |||
| value |
SC | |||
| value |
II | |||
| value |
TEL | |||
| value |
AD | |||
| value |
EN | |||
| value |
INT | |||
| value |
REAL | |||
| value |
PQ | |||
| value |
MO | |||
| value |
TS | |||
| value |
IVL_PQ | |||
| value |
IVL_TS | |||
| value |
PIVL_TS | |||
| value |
EIVL_TS | |||
| value |
SXPR_TS | |||
| value |
RTO_PQ_PQ | |||
| interpretationCode |
0..* | CE | Binding: CDAObservationInterpretation (required) | |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
| participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: VRF | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | value should be used instead of low/high Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: CDARoleClassRoot (required) | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
1..1 | PlayingEntity | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: CDAEntityCode (example) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
0..1 | IVL_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDARoleClassRoot (required) Fixed Value: AGNT | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | PN | The name of the healthcare agent. | |
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| entryRelationship |
0..* | EntryRelationship | ||
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | 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). |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:advance-directive-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.participant:verifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.templateId:primary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeCode | required | Fixed Value: VRFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:verifier.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:verifier.time.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.time.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.participant:verifier.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:verifier.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:verifier.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:verifier.participantRole.playingEntity.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
| Observation.participant:custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:custodian.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:custodian.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.classCode | required | Fixed Value: AGNThttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:custodian.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference | |
| Observation.reference:reference1.externalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.classCode | required | ActClassDocumenthttp://terminology.hl7.org/ValueSet/v3-ActClassDocument | |
| Observation.reference:reference1.externalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.reference:reference1.externalDocument.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.reference:reference1.externalDocument.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.reference:reference1.externalDocument.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| II-1 | error | Observation.typeId, Observation.participant:verifier.typeId, Observation.participant:verifier.participantRole.typeId, Observation.participant:verifier.participantRole.playingEntity.typeId, Observation.participant:custodian.typeId, Observation.participant:custodian.participantRole.typeId, Observation.participant:custodian.participantRole.playingEntity.typeId, Observation.reference:reference1.typeId, Observation.reference:reference1.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:advance-directive-obs |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
| @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode |
1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| @negationInd |
0..1 | bl | ||
| id |
1..* | II | ||
| sdtcCategory |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
C | 1..1 | CD | Advance Directive Binding: ObservationType (example) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories (preferred) | |
| derivationExpr |
0..1 | ST | ||
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | IVL_TS | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
1..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
0..1 | |||
| value |
ANY | |||
| value |
BL | |||
| value |
ED | |||
| value |
ST | |||
| value |
CD | |||
| value |
CV | |||
| value |
CE | |||
| value |
CO | |||
| value |
SC | |||
| value |
II | |||
| value |
TEL | |||
| value |
AD | |||
| value |
EN | |||
| value |
INT | |||
| value |
REAL | |||
| value |
PQ | |||
| value |
MO | |||
| value |
TS | |||
| value |
IVL_PQ | |||
| value |
IVL_TS | |||
| value |
PIVL_TS | |||
| value |
EIVL_TS | |||
| value |
SXPR_TS | |||
| value |
RTO_PQ_PQ | |||
| interpretationCode |
0..* | CE | Binding: CDAObservationInterpretation (required) | |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
| participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: VRF | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | value should be used instead of low/high Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: CDARoleClassRoot (required) | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
1..1 | PlayingEntity | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: CDAEntityCode (example) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
0..1 | IVL_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDARoleClassRoot (required) Fixed Value: AGNT | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | PN | The name of the healthcare agent. | |
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| entryRelationship |
0..* | EntryRelationship | ||
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | 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). |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:advance-directive-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.participant:verifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.templateId:primary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeCode | required | Fixed Value: VRFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:verifier.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:verifier.time.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.time.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.participant:verifier.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:verifier.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:verifier.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:verifier.participantRole.playingEntity.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
| Observation.participant:custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:custodian.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:custodian.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.classCode | required | Fixed Value: AGNThttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:custodian.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference | |
| Observation.reference:reference1.externalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.classCode | required | ActClassDocumenthttp://terminology.hl7.org/ValueSet/v3-ActClassDocument | |
| Observation.reference:reference1.externalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.reference:reference1.externalDocument.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.reference:reference1.externalDocument.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.reference:reference1.externalDocument.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| II-1 | error | Observation.typeId, Observation.participant:verifier.typeId, Observation.participant:verifier.participantRole.typeId, Observation.participant:verifier.participantRole.playingEntity.typeId, Observation.participant:custodian.typeId, Observation.participant:custodian.participantRole.typeId, Observation.participant:custodian.participantRole.playingEntity.typeId, Observation.reference:reference1.typeId, Observation.reference:reference1.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Observation
Summary
Mandatory: 18 elements(8 nested mandatory elements)
Fixed: 7 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:advance-directive-obs |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
| @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode |
1..1 | cs | Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
C | 1..1 | CD | Advance Directive should-translation: SHOULD contain translation |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories (preferred) | |
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
| effectiveTime |
1..1 | IVL_TS | ||
| low |
1..1 | IVXB_TS | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| value |
0..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | ||
| author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
| participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @extension |
0..0 | |||
| @typeCode |
1..1 | cs | Fixed Value: VRF | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @value |
0..1 | ts | value should be used instead of low/high | |
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
| playingEntity |
1..1 | PlayingEntity | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @typeCode |
1..1 | cs | Fixed Value: CST | |
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @classCode |
1..1 | cs | Fixed Value: AGNT | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| name |
1..1 | PN | The name of the healthcare agent. | |
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @typeCode |
1..1 | cs | Fixed Value: REFR | |
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| reference |
C | 0..1 | TEL | 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). |
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:advance-directive-obs |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
| @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode |
1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| @negationInd |
0..1 | bl | ||
| id |
1..* | II | ||
| sdtcCategory |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
C | 1..1 | CD | Advance Directive Binding: ObservationType (example) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories (preferred) | |
| derivationExpr |
0..1 | ST | ||
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | IVL_TS | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
1..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
0..1 | |||
| value |
ANY | |||
| value |
BL | |||
| value |
ED | |||
| value |
ST | |||
| value |
CD | |||
| value |
CV | |||
| value |
CE | |||
| value |
CO | |||
| value |
SC | |||
| value |
II | |||
| value |
TEL | |||
| value |
AD | |||
| value |
EN | |||
| value |
INT | |||
| value |
REAL | |||
| value |
PQ | |||
| value |
MO | |||
| value |
TS | |||
| value |
IVL_PQ | |||
| value |
IVL_TS | |||
| value |
PIVL_TS | |||
| value |
EIVL_TS | |||
| value |
SXPR_TS | |||
| value |
RTO_PQ_PQ | |||
| interpretationCode |
0..* | CE | Binding: CDAObservationInterpretation (required) | |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
| participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: VRF | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | value should be used instead of low/high Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: CDARoleClassRoot (required) | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
1..1 | PlayingEntity | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: CDAEntityCode (example) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
0..1 | IVL_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDARoleClassRoot (required) Fixed Value: AGNT | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | PN | The name of the healthcare agent. | |
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| entryRelationship |
0..* | EntryRelationship | ||
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | 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). |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:advance-directive-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.participant:verifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.templateId:primary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeCode | required | Fixed Value: VRFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:verifier.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:verifier.time.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.time.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.participant:verifier.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:verifier.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:verifier.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:verifier.participantRole.playingEntity.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
| Observation.participant:custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:custodian.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:custodian.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.classCode | required | Fixed Value: AGNThttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:custodian.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference | |
| Observation.reference:reference1.externalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.classCode | required | ActClassDocumenthttp://terminology.hl7.org/ValueSet/v3-ActClassDocument | |
| Observation.reference:reference1.externalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.reference:reference1.externalDocument.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.reference:reference1.externalDocument.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.reference:reference1.externalDocument.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| II-1 | error | Observation.typeId, Observation.participant:verifier.typeId, Observation.participant:verifier.participantRole.typeId, Observation.participant:verifier.participantRole.playingEntity.typeId, Observation.participant:custodian.typeId, Observation.participant:custodian.participantRole.typeId, Observation.participant:custodian.participantRole.playingEntity.typeId, Observation.reference:reference1.typeId, Observation.reference:reference1.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:advance-directive-obs |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
| @extension |
1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode |
1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
| @moodCode |
1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| @negationInd |
0..1 | bl | ||
| id |
1..* | II | ||
| sdtcCategory |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
C | 1..1 | CD | Advance Directive Binding: ObservationType (example) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Type Binding: Advance Directives Categories (preferred) | |
| derivationExpr |
0..1 | ST | ||
| text |
1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | IVL_TS | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
1..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
C | 1..1 | IVXB_TS | 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). |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
0..1 | |||
| value |
ANY | |||
| value |
BL | |||
| value |
ED | |||
| value |
ST | |||
| value |
CD | |||
| value |
CV | |||
| value |
CE | |||
| value |
CO | |||
| value |
SC | |||
| value |
II | |||
| value |
TEL | |||
| value |
AD | |||
| value |
EN | |||
| value |
INT | |||
| value |
REAL | |||
| value |
PQ | |||
| value |
MO | |||
| value |
TS | |||
| value |
IVL_PQ | |||
| value |
IVL_TS | |||
| value |
PIVL_TS | |||
| value |
EIVL_TS | |||
| value |
SXPR_TS | |||
| value |
RTO_PQ_PQ | |||
| interpretationCode |
0..* | CE | Binding: CDAObservationInterpretation (required) | |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | AuthorParticipation | ||
| informant |
0..* | Informant | SHOULD contain informant | |
| Slices for participant |
0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
| participant:verifier |
C | 0..* | Participant2 | 𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. should-time: SHOULD contain time |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: VRF | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
C | 0..1 | IVL_TS | value-only: Interval fields SHALL NOT be present |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | value should be used instead of low/high Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_TS | ||
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: CDARoleClassRoot (required) | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr |
0..* | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
1..1 | PlayingEntity | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: CDAEntityCode (example) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | USRealmPersonNamePNUSFIELDED | ||
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| participant:custodian |
0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
| sdtcFunctionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
0..1 | IVL_TS | ||
| awarenessCode |
0..1 | CE | ||
| participantRole |
C | 1..1 | ParticipantRole | should-code: SHOULD contain code should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDARoleClassRoot (required) Fixed Value: AGNT | |
| id |
0..* | II | ||
| sdtcIdentifiedBy |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
| code |
0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr |
0..1 | USRealmAddress | ||
| telecom |
0..* | TEL | ||
| playingDevice |
0..1 | Device | ||
| playingEntity |
C | 1..1 | PlayingEntity | should-code: SHOULD contain code |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: EntityClassRoot (required) | |
| @determinerCode |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| code |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| quantity |
0..* | PQ | ||
| name |
1..1 | PN | The name of the healthcare agent. | |
| sdtcBirthTime |
0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc) | |
| desc |
0..1 | ED | ||
| scopingEntity |
0..1 | Entity | ||
| entryRelationship |
0..* | EntryRelationship | ||
| Slices for reference |
1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 |
1..* | Reference | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | 𝗨𝗦𝗖𝗗𝗜: External Document | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Binding: Advance Directives Categories (preferred) | |
| text |
0..1 | ED | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | 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). |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Author XML: author (urn:hl7-org:sdtc) | |
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:advance-directive-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.code.translation | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.participant:verifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.templateId:primary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.typeCode | required | Fixed Value: VRFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:verifier.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:verifier.time.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.time.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| Observation.participant:verifier.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:verifier.participantRole.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
| Observation.participant:verifier.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:verifier.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:verifier.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:verifier.participantRole.playingEntity.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
| Observation.participant:custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| Observation.participant:custodian.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
| Observation.participant:custodian.participantRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.classCode | required | Fixed Value: AGNThttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
| Observation.participant:custodian.participantRole.code | preferred | HealthcareAgentOrProxyChoices http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35 | |
| Observation.participant:custodian.participantRole.playingEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.participant:custodian.participantRole.playingEntity.classCode | required | EntityClassRoothttp://terminology.hl7.org/ValueSet/v3-EntityClassRoot | |
| Observation.participant:custodian.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
| Observation.participant:custodian.participantRole.playingEntity.code | preferred | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
| Observation.reference:reference1.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference | |
| Observation.reference:reference1.externalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.classCode | required | ActClassDocumenthttp://terminology.hl7.org/ValueSet/v3-ActClassDocument | |
| Observation.reference:reference1.externalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Observation.reference:reference1.externalDocument.code | preferred | AdvanceDirectivesCategories http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | |
| Observation.reference:reference1.externalDocument.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.reference:reference1.externalDocument.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.reference:reference1.externalDocument.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.reference:reference1.externalDocument.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-8699 | warning | Observation.reference:reference1.externalDocument.text.reference | If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). : | |
| 1198-32449 | error | Observation.effectiveTime.high | 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). : value.exists() or nullFlavor = 'NA' | |
| II-1 | error | Observation.typeId, Observation.participant:verifier.typeId, Observation.participant:verifier.participantRole.typeId, Observation.participant:verifier.participantRole.playingEntity.typeId, Observation.participant:custodian.typeId, Observation.participant:custodian.participantRole.typeId, Observation.participant:custodian.participantRole.playingEntity.typeId, Observation.reference:reference1.typeId, Observation.reference:reference1.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-addr | warning | Observation.participant:custodian.participantRole | SHOULD contain addr : addr.exists() | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-code | warning | Observation.participant:verifier.participantRole, Observation.participant:custodian.participantRole, Observation.participant:custodian.participantRole.playingEntity | SHOULD contain code : code.exists() | |
| should-informant | warning | Observation | SHOULD contain informant : informant.exists() | |
| should-telecom | warning | Observation.participant:custodian.participantRole | SHOULD contain telecom : telecom.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-time | warning | Observation.participant:verifier | SHOULD contain time : time.exists() | |
| should-translation | warning | Observation.code | SHOULD contain translation : translation.exists() | |
| value-only | error | Observation.participant:verifier.time | Interval fields SHALL NOT be present : (low | high | width | center).empty() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Observation
Summary
Mandatory: 18 elements(8 nested mandatory elements)
Fixed: 7 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0-ballot based on FHIR 5.0.0. Generated 2024-12-20
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