Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer vs http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
copyright
date	2023-12-21T01:13:10+10:00	2024-05-18T00:16:25-05:00	Values Differ
description	This clinical statement groups a set of advance directive observations documented together at a single point in time, and relevant during the episode of care being documented. The effectiveTime of the organizer (TS) indicates the point in time when the advance directive observations were reviewed/verified. Or, if not reviewed/verified, then the time when the advance directive observations were made. The time element of the author indicates when the advance directive observations were recorded in the patient's record. The effectiveTime of the organizer and the time element of the associated author element may often be the same. Note also for clarity: the effectiveTime of the individual advance directive observations indicates the interval in time when the directive went into effect (effectiveTime/low) and out of effect (effectiveTime/high). The author time element on an advance directive observation indicates the time when the observation was documented.	The Advance Directive Organizer includes information about who verified the content available in each advance healthcare directive source document or other verified source documentation. When documenting the existence of advance healthcare directive document(s), the organizer contains an observation which includes information about the kind of advance healthcare directive source document (e.g., Living Will, Personal Advance Care Plan, Portable Medical Order). This observation provides identifier references to the external source advance healthcare directive document. If a person has appointed healthcare agent(s), the organizer includes the current healthcare agent(s) information, and a reference to the external document which contains the healthcare agent appointment decisions. Additional observations summarizing the type of content included in the advance directive source documents also can be included. Treatment Intervention Preferences, Care Experience Preferences, Upon Death Preferencesand Personal Health Goals may be considered relevant by the organization rendering care services to the patient and included in the organizer as well although duplicating information is discouraged. When the existing advance healthcare directive document is a portable medical order, Advance Directive Observations are used to summarize the types of portable orders in the verified document. This provides new summary “structured data” for portable medical orders that often are still exchanged as scanned images. Provenance information such as author, performer, informant and participant can be used with the Organizer to minimize redundancy on each component Observation.	Values Differ
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	logical
name	AdvanceDirectiveOrganizer
publisher	Health Level Seven
purpose
status	draft
title	Advance Directive Organizer
type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
url	http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer
version	3.0.0-ballot	3.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Organizer	C	1..1	Organizer	Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain participant	C	1..1	Organizer	Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain participant
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
realmCode		0..*	CS			0..*	CS
typeId		0..1	II			0..1	II
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
assigningAuthorityName		0..1	??			0..1	??
displayable		0..1	??			0..1	??
root		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3
st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension		1..*	II	Slice: Unordered, Open by value:root, value:extension
classCode		1..1	??	Binding: ?? (required) Fixed Value: CLUSTER		1..1	??	Binding: ?? (required) Fixed Value: CLUSTER
moodCode		1..1	??	Binding: ?? (required) Fixed Value: EVN		1..1	??	Binding: ?? (required) Fixed Value: EVN
id		1..*	II			1..*	II
code		1..1	CD	Advance directive - living will Binding: ?? (example)		1..1	CD	Advance directive/living will completed Binding: ?? (example)
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
code		1..1	??	Required Pattern: 45473-6		1..1	??	Required Pattern: 45473-6
codeSystem		1..1	??, ??, ??	LOINC Required Pattern: 2.16.840.1.113883.6.1		1..1	??, ??, ??	LOINC Required Pattern: 2.16.840.1.113883.6.1
codeSystemName		0..1	??			0..1	??
codeSystemVersion		0..1	??			0..1	??
displayName		0..1	??			0..1	??
sdtcValueSet		0..1	??	XML: valueSet (urn:hl7-org:sdtc)		0..1	??	XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED			0..1	ED
qualifier		0..*	CR			0..*	CR
translation		0..*	CD			0..*	CD
sdtcText		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
compression		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
integrityCheck		0..1	??			0..1	??
integrityCheckAlgorithm		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
language		0..1	??			0..1	??
mediaType		0..1	??	Binding: ?? (example)		0..1	??	Binding: ?? (example)
representation		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
xmlText		0..1	??	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.		0..1	??	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	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			0..1	ED
statusCode		1..1	CS	Binding: ?? (required)		1..1	CS	Binding: ?? (required)
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
code		1..1	??	Fixed Value: completed		1..1	??	Fixed Value: completed
codeSystem		0..0				0..0
codeSystemName		0..0				0..0
codeSystemVersion		0..0				0..0
displayName		0..0				0..0
sdtcValueSet		0..1	??	XML: valueSet (urn:hl7-org:sdtc)		0..1	??	XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..0				0..0
qualifier		0..0				0..0
translation		0..0				0..0
effectiveTime		0..1	IVL_TS			0..1	IVL_TS
subject		0..1	Subject			0..1	Subject
specimen		0..*	Specimen			0..*	Specimen
performer		0..*	Performer2			0..*	Performer2
author		0..*	??	Base for all types and resources		0..*	??	Base for all types and resources
informant		0..*	Informant	SHOULD contain informant		0..*	Informant	SHOULD contain informant
participant		0..*	Participant2	SHOULD contain participant		0..*	Participant2	SHOULD contain participant
reference		0..*	Reference			0..*	Reference
precondition		0..*	Precondition			0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML: precondition2 (urn:hl7-org:sdtc)		0..*	Precondition2	XML: precondition2 (urn:hl7-org:sdtc)
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation
Documentation for this format