Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: Advance Directive Organizer

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer Version: 4.0.0
Retired as of 2025-06-20 Computable Name: AdvanceDirectiveOrganizer
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2022-02-14

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.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Required Components: AdvanceDirectiveObservation

Usages:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Changes since version 3.0.0:

  • The resource metadata has changed (title, status, description)

    • Formal Views of Template Content

    Description of Template, Differentials, Snapshots and how the different presentations work.

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:advance-directive-org 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code 1..1 CD Advance directive/living will completed
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... observation 1..1 AdvanceDirectiveObservation

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @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:advance-directive-org 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: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @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 Constraints: value-starts-octothorpe
    .... 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 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Organizer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.templateId:advance-directive-org.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.classCoderequiredFixed Value: CLUSTER
    http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
    Organizer.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    Organizer.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Organizer.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Organizer.sdtcText.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Organizer.sdtcText.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Organizer.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Organizer.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeCoderequiredActRelationshipHasComponent
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorOrganizer.typeId, Organizer.component:advDirObs.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @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:advance-directive-org 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: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @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 Constraints: value-starts-octothorpe
    .... 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 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Organizer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.templateId:advance-directive-org.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.classCoderequiredFixed Value: CLUSTER
    http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
    Organizer.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    Organizer.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Organizer.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Organizer.sdtcText.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Organizer.sdtcText.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Organizer.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Organizer.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeCoderequiredActRelationshipHasComponent
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorOrganizer.typeId, Organizer.component:advDirObs.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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 Organizer

    Summary

    Mandatory: 12 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

    Differential View

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:advance-directive-org 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code 1..1 CD Advance directive/living will completed
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... observation 1..1 AdvanceDirectiveObservation

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @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:advance-directive-org 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: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @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 Constraints: value-starts-octothorpe
    .... 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 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Organizer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.templateId:advance-directive-org.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.classCoderequiredFixed Value: CLUSTER
    http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
    Organizer.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    Organizer.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Organizer.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Organizer.sdtcText.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Organizer.sdtcText.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Organizer.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Organizer.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeCoderequiredActRelationshipHasComponent
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorOrganizer.typeId, Organizer.component:advDirObs.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @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:advance-directive-org 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: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @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 Constraints: value-starts-octothorpe
    .... 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 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Organizer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.templateId:advance-directive-org.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.classCoderequiredFixed Value: CLUSTER
    http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
    Organizer.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    Organizer.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Organizer.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Organizer.sdtcText.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Organizer.sdtcText.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Organizer.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Organizer.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Organizer.component:advDirObs.typeCoderequiredActRelationshipHasComponent
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorOrganizer.typeId, Organizer.component:advDirObs.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-authorwarningOrganizerSHOULD contain author
    : author.exists()
    should-informantwarningOrganizerSHOULD contain informant
    : informant.exists()
    should-participantwarningOrganizerSHOULD contain participant
    : participant.exists()
    should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
    : sdtcText.reference.value.exists()
    value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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 Organizer

    Summary

    Mandatory: 12 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

     

    Other representations of profile: CSV, Excel