Left: | Advance Directives Section (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection) |
Right: | Advance Directives Section (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection) |
Error | StructureDefinition.version | Values for version differ: '3.0.0-ballot' vs '3.0.0' |
Information | StructureDefinition.date | Values for date differ: '2023-12-21T01:13:10+10:00' vs '2024-05-18T00:42:57-05:00' |
Information | StructureDefinition.short | Values for short differ: 'Advance Directives' vs 'Advance directives' |
Name | Value | Comments | |
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abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
copyright | |||
date | 2023-12-21T01:13:10+10:00 | 2024-05-18T00:42:57-05:00 |
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description | This section contains information describing the patient’s advance directives. The description includes the kind of advance directive source documents and the type of advance directive content included in each kind of advance directive source document. The section includes information about who verified the content available in each advance directive source document, if applicable. It also includes information about who was the acting healthcare agent, if someone was acting on behalf of the patient during the encounter or during certain periods of time during the provision of care covered by the document. It provides references to the supporting documentation, including all kinds of advance directive source documents. Treatment Preferences, Care Experience Preferences and Personal Health Goals considered relevant by the organization rendering care services to the patient's care during the encompassing encounter or considered relevant to the patient's care plan SHALL be included in the Advance Directives Section as documented by the patient or consented by the patient or the patient's healthcare agent. If a person has appointed healthcare agent(s), the Advance Directive Section SHALL include the current healthcare agent(s) information. and a reference to the external document which contains the healthcare agent appointment decisions. If a person has documented treatment preferences under certain health scenarios, the Advance Directive Section SHALL include information about who has reviewed and verified that documentation, and a reference to the external document which was reviewed. This section differentiates between an "advance care plan document" and an “advance care plan order.” It also distinguishes an advance directive that is a consent. Information in this section includes information about the person’s current/relevant goals and preferences, advance directive orders, or advance directive consents. | This section contains information describing the patient’s advance healthcare directives. It provides references to the supporting documentation, including all kinds of advance directive source document types (e.g., Living Will, Healthcare Power of Attorney, Personal Advance Care Plan, DNR Order, Portable Medical Order). Information about each advance healthcare directive document is contained in a separate Advance Directive Organizer. The organizer describes the type of advance healthcare directive document and supplies a reference identifier for that document. It also may include a summary of relevant types of advance directive content available in the document with provenance information explaining who authored the information and who verified it with the patient or healthcare agent. An observation made by a clinician or practitioner regarding a patient’s DNR Status based on referenced documentation or regarding another type of order placed in the local EHR based on advance healthcare directives is contained in a distinct Advance Directive Observation (one that is not used in the context of an Advance Directive Organizer. |
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experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | AdvanceDirectivesSection | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Advance Directives Section | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection | ||
version | 3.0.0-ballot | 3.0.0 |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Section | C | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) shall-adv-directive-organizer: SHALL contain at least one Advance Directive Organizer | C | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) shall-adv-directive-organizer: If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Organizer | |
nullFlavor | 0..1 | ?? | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: ?? (required) | 0..1 | ?? | If a required section contains no information, the @nullFlavor MAY be set to NI 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 | |||
ID | 0..1 | ?? | 0..1 | ?? | |||||
classCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | |||
moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
id | 0..1 | II | 0..1 | II | |||||
code | 1..1 | CE | Advance Directives Binding: ?? (example) | 1..1 | CE | Advance directives Binding: ?? (example) | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 1..1 | ?? | Required Pattern: 42348-3 | 1..1 | ?? | Required Pattern: 42348-3 | |||
codeSystem | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.1 | 1..1 | ??, ??, ?? | 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..0 | 0..0 | |||||||
translation | 0..* | CD | 0..* | CD | |||||
title | 1..1 | ST | 1..1 | ST | |||||
text | 1..1 | xhtml | 1..1 | xhtml | |||||
confidentialityCode | 0..1 | CE | 0..1 | CE | |||||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
subject | 0..1 | Subject | 0..1 | Subject | |||||
author | 0..* | Author | 0..* | Author | |||||
informant | 0..* | Informant | 0..* | Informant | |||||
Slices for entry | 0..* | Entry | If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by profile:observation, profile:organizer | 0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |||
component | 0..* | InfrastructureRoot | 0..* | InfrastructureRoot | |||||
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 | |||
templateId | 0..* | II | 0..* | II | |||||
typeCode | 0..1 | ?? | Fixed Value: COMP | 0..1 | ?? | Fixed Value: COMP | |||
contextConductionInd | 0..1 | ?? | Fixed Value: true | 0..1 | ?? | Fixed Value: true | |||
section | 1..1 | Section | 1..1 | Section | |||||
Documentation for this format |