Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Binary: Advance Directive Observation Example

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

    
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
    <!-- ** Advance Directive Observation** -->
    <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="75320-2"
    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>
  <author>
      <templateId root="2.16.840.1.113883.10.20.22.4.119" />
      <time value="201308011235-0800" />
      <assignedAuthor>
        <!-- Refers to another author somewhere else in the document -->
        <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
        <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:(999)555-1212" use="WP" />
        <assignedPerson>
          <name>
            <prefix>Mrs.</prefix>
            <given>Martha</given>
            <family>Jones</family>
          </name>
        </assignedPerson>
      </assignedAuthor>
  </author>
  <informant typeCode="INF" contextControlCode="OP">
    <assignedEntity>
      <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
    </assignedEntity>
  </informant>
  <participant typeCode="VRF">
      <templateId root="2.16.840.1.113883.10.20.1.58" />
      <time value="20130213" />
      <participantRole classCode="CON">
        <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>
        <playingEntity classCode="PSN">
          <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>
    <participant typeCode="CST">
      <templateId root="2.16.840.1.113883.10.20.1.58" />
      <participantRole classCode="AGNT">
        <code code="MTH" codeSystem="2.16.840.1.113883.5.111" displayName="Mother" />
         <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:(999)555-1212" use="WP" />
        <playingEntity classCode="PSN">
          <code code="63161005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Principal" />
          <name>
            <prefix>Mrs.</prefix>
            <given>Martha</given>
            <family>Jones</family>
          </name>
        </playingEntity>
      </participantRole>
    </participant>
    <reference typeCode="REFR">
      <externalDocument>
        <id root="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3" />
        <code codeSystem="2.16.840.1.113883.6.1" 
          codeSystemName="LOINC" 
          code="57133-1"
          displayName="Referral Note" />
        <text mediaType="application/pdf">
          <reference value="AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf" />
        </text>
        <versionNumber value="1" />
      </externalDocument>
    </reference>
</observation>