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pending Template  Advance Directive Observation

Template 2.16.840.1.113883.10.20.22.4.48 - AdvanceDirectiveObservation
Id 2.16.840.1.113883.10.20.22.4.48
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.48
Open/Closed Open (other than defined elements are allowed)
Description Advance Directives Observations assert findings (e.g., “resuscitation status is Full Code”) rather than orders, and should not be considered legal documents. A legal document can be referenced using the reference/externalReference construct.
Used by / Uses
Used by / Uses 3 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.2.21 Containment AdvanceDirectivesSectionentriesoptional Advance Directives Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.21.1 Containment AdvanceDirectivesSectionentriesrequired Advance Directives Section (entries required) 2013‑01‑31
Item DT Card Conf Description Label
cda:observation
(AdvanceDirectiveObservation)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:8655) such that it conf‑8655
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.48
treetree cda:id
1 .. * M SHALL contain at least one [1..*] id (CONF:8654). conf‑8654
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet AdvanceDirectiveTypeCode 2.16.840.1.113883.1.11.20.2 STATIC 2006-10-17 (CONF:8651). conf‑8651
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (DYNAMIC)
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode (CONF:8652). conf‑8652
treeblank treetree @code
1 .. 1 F completed
treetree cda:effectiveTime
1 .. 1 M SHALL contain exactly one [1..1] effectiveTime (CONF:8656). conf‑8656
treeblank treetree cda:high
1 .. 1 M This effectiveTime SHALL contain exactly one [1..1] high (CONF:15521). conf‑15521
treetree cda:participant
0 .. * R SHOULD contain zero or more [0..*] participant (CONF:8662) such that it conf‑8662
treeblank treetree @typeCode
1 .. 1 F VRF
treeblank treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:8664). conf‑8664
treeblank treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.58
treeblank treetree cda:time
0 .. 1 R SHOULD contain zero or one [0..1] time (CONF:8665).

The data type of Observation/participant/time in a verification SHALL be TS (time stamp).
conf‑8665
treeblank treetree cda:participantRole
1 .. 1 M SHALL contain exactly one [1..1] participantRole (CONF:8825). conf‑8825
treetree cda:participant
0 .. 1 R SHOULD contain zero or one [0..1] participant (CONF:8667) such that it conf‑8667
treeblank treetree @typeCode
1 .. 1 F CST
treeblank treetree cda:participantRole
1 .. 1 M SHALL contain exactly one [1..1] participantRole (CONF:8669). conf‑8669
treeblank treeblank treetree @classCode
1 .. 1 F AGNT
treeblank treeblank treetree cda:addr
0 .. 1 R This participantRole SHOULD contain zero or one [0..1] addr (CONF:8671). conf‑8671
treeblank treeblank treetree cda:telecom
0 .. 1 R This participantRole SHOULD contain zero or one [0..1] telecom (CONF:8672). conf‑8672
treeblank treeblank treetree cda:playingEntity
1 .. 1 M This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:8824). conf‑8824
treeblank treeblank treeblank treetree cda:name
1 .. 1 M This playingEntity SHALL contain exactly one [1..1] name (CONF:8673).

The name of the agent who can provide a copy of the Advance Directive SHALL be recorded in the name element inside the playingEntity element.
conf‑8673
treetree cda:reference
0 .. * R SHOULD contain zero or more [0..*] reference (CONF:8692) such that it conf‑8692
treeblank treetree @typeCode
1 .. 1 F REFR
treeblank treetree cda:externalDocument
1 .. 1 M SHALL contain exactly one [1..1] externalDocument (CONF:8693). conf‑8693
treeblank treeblank treetree cda:id
1 .. * M This externalDocument SHALL contain at least one [1..*] id (CONF:8695). conf‑8695
treeblank treeblank treetree cda:text
0 .. 1 This externalDocument MAY contain zero or one [0..1] text (CONF:8696). conf‑8696
treeblank treeblank treeblank treetree @mediaType
0 .. 1 F text/plain
treeblank treeblank treeblank treetree cda:reference
0 .. 1 The text, if present, MAY contain zero or one [0..1] reference (CONF:8697).

The URL of a referenced advance directive document MAY be present, and SHALL be represented in Observation/reference/ExternalDocument/text/reference.

If a URL is referenced, then it SHOULD have a corresponding linkHTML element in narrative block.
conf‑8697