Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Example Binary: Advance Directive Organizer Example

This content is an example of the Advance Directive Organizer Logical Model and is not a FHIR Resource

    
<organizer classCode="CLUSTER" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.4.108" extension="2022-02-14" />
  <id root="631F0E95-F055-4FA2-AF10-3AE036CAD2EC" extension="10.1.1" />
  <code code="45473-6" 
    displayName="advance directive - living will" 
    codeSystem="2.16.840.1.113883.6.1" 
    codeSystemName="LOINC">
    <originalText>
      <reference value="#ADO1" />
    </originalText>
  </code>
  <sdtc:text><reference value="#advOrganizer"/></sdtc:text>
  <statusCode code="completed" />
  <!-- Author Participation -->
  <author>
    <templateId root="2.16.840.1.113883.10.20.22.4.119" />
    <time value="20130807150000-0500" />
    <assignedAuthor>
      <id extension="5555555551" root="2.16.840.1.113883.4.6" />
      <code code="163W00000X" 
        displayName="Registered nurse" 
        codeSystem="2.16.840.1.113883.6.101"
        codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
      <addr use="H">
        <streetAddressLine>23 Anywhere Street</streetAddressLine>
        <city>El Paso</city>
        <state>TX</state>
        <postalCode>90210</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:(995)555-1006" use="WP" />
      <assignedPerson>
        <name>
          <given>Nurse</given>
          <family>Nightingale</family>
          <suffix>RN</suffix>
        </name>
      </assignedPerson>
      <representedOrganization classCode="ORG">
        <id root="2.16.840.1.113883.19.5" />
        <name>Good Health Hospital</name>
      </representedOrganization>
    </assignedAuthor>
  </author>
  <informant typeCode="INF" contextControlCode="OP">
    <assignedEntity>
      <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
      <code code="163W00000X" 
        displayName="Registered nurse" 
        codeSystem="2.16.840.1.113883.6.101" 
        codeSystemName="Health Care Provider Taxonomy (HIPAA)" />
      <addr use="H">
        <streetAddressLine>23 Anywhere Street</streetAddressLine>
        <city>El Paso</city>
        <state>TX</state>
        <postalCode>90210</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:(995)555-1006" use="WP" />
      <assignedPerson>
        <name>
          <given>Nurse</given>
          <family>Nightingale</family>
          <suffix>RN</suffix>
        </name>
      </assignedPerson>
      <representedOrganization classCode="ORG">
        <id root="2.16.840.1.113883.19.5" />
        <name>Good Health Hospital</name>
      </representedOrganization>
    </assignedEntity>
  </informant>    
  <participant typeCode="VRF">
    <time value="20130213" />
    <participantRole>
      <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
      <code code="163W00000X" 
        codeSystem="2.16.840.1.113883.6.101" 
        codeSystemName="Health Care Provider Taxonomy (HIPAA)" 
        displayName="Registered nurse" />
      <addr use="H">
        <streetAddressLine>23 Anywhere Street</streetAddressLine>
        <city>El Paso</city>
        <state>TX</state>
        <postalCode>90210</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:(995)555-1006" use="WP" />
      <playingEntity>
        <code code="63161005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Principal" />
        <name>
          <given>Nurse</given>
          <family>Florence</family>
          <suffix>RN</suffix>
        </name>
      </playingEntity>
    </participantRole>
  </participant>
  <component>
    <!-- Advance Directive Observation  -->
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.48" 
        extension="2022-02-14" />
      <id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27" />
      <code code="75773-2"
        displayName="Personal goals, preferences, and priorities for medical
        treatment"
        codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
        <translation code="75320-2" displayName="Advance directive"
          codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
      </code>
      <text><reference value="#HealthcareAgents"></reference></text>
      <statusCode code="completed"/>
      <effectiveTime>
        <!-- The time at which the person named this individual to be his or her healthcare agent -->
        <low value="20110219"/>
        <high nullFlavor="NA"/>
      </effectiveTime>
      <value xsi:type="CD" code="405083000" displayName="Healthcare decision making"
        codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
      </value>
      <reference typeCode="REFR">
        <externalDocument>
          <id root="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3" />
        </externalDocument>
      </reference>
    </observation>
  </component>
</organizer>