Difference between revisions of "2.16.840.1.113883.10.22.4.37/static-2020-05-08T162154"

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Latest revision as of 05:11, 7 August 2024

Id2.16.840.1.113883.10.22.4.37Effective Date2020‑05‑08 16:21:54
StatusKorange.png Under pre-publication reviewVersion LabelTI-2020
NameIPSAdvanceDirectiveObservationDisplay NameIPS Advance Directive Observation
Description
This clinical statement represents Advance Directive Observation findings (e.g., “resuscitation status is Full Code”) rather than orders. It should not be considered a legal document or a substitute for the actual Advance Directive document. The related legal documents are referenced using the reference/externalReference element. The Advance Directive Observation

describes the patient’s directives, including but not limited to: • Medications • Transfer of Care to Hospital • Treatment • Procedures • Intubation and Ventilation • Diagnostic Tests • Tests The observation/value element contains the detailed patient directive which may be coded or text. For example, a category directive may be antibiotics, and the details would be intravenous

antibiotics only.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.37
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipAdaptation: template 2.16.840.1.113883.10.20.22.4.48 Advance Directive Observation (V3) (2015‑08‑01)
ref
ccda-

Adaptation: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<hl7:observation classCode="OBS" moodCode="EVN">
  <hl7:templateId root="2.16.840.1.113883.10.22.4.37"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code code="52765003" codeSystem="2.16.840.1.113883.6.96" displayName="Intubation"/>  <hl7:statusCode code="completed"/>  <hl7:effectiveTime>
    <hl7:low/>    <hl7:high/>  </hl7:effectiveTime>
  <hl7:value/>  <hl7:author/>  <hl7:participant typeCode="VRF">
    <hl7:time value="20200510120335"/>    <hl7:participantRole>
      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:playingEntity>
        <hl7:code/>        <hl7:name>name</hl7:name>      </hl7:playingEntity>
    </hl7:participantRole>
  </hl7:participant>
  <hl7:participant typeCode="CST">
    <hl7:participantRole classCode="AGNT">
      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:playingEntity>
        <hl7:code/>        <hl7:name/>      </hl7:playingEntity>
    </hl7:participantRole>
  </hl7:participant>
  <hl7:reference typeCode="REFR">
    <hl7:externalDocument>
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:text>
        <hl7:reference/>      </hl7:text>
    </hl7:externalDocument>
  </hl7:reference>
</hl7:observation>
ItemDTCardConfDescriptionLabel
hl7:observation
(IPS...ion)
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(IPS...ion)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.37
Treetree.pnghl7:id
II0 … *(IPS...ion)
Treetree.pnghl7:code
CD.IPS (example)1 … 1R(IPS...ion)
 CONF
Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (DYNAMIC)
Treetree.pnghl7:statusCode
CS1 … 1M(IPS...ion)
Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1R(IPS...ion)
Treeblank.pngTreetree.pnghl7:low
1 … 1R(IPS...ion)
Treeblank.pngTreetree.pnghl7:high
1 … 1R(IPS...ion)
 ConstraintIf the Advance Directive does not have a specified ending time, the <high> element *SHALL* have the nullFlavor attribute set to *NA*</high>
Treetree.pnghl7:value
1 … 1M(IPS...ion)
Treetree.pnghl7:author
0 … *R(IPS...ion)
Treetree.pnghl7:participant
0 … *(IPS...ion)
where [@typeCode='VRF']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FVRF
Treeblank.pngTreetree.pnghl7:time
TS0 … 1R(IPS...ion)
Treeblank.pngTreetree.pnghl7:participantRole
1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE.IPS0 … 1R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:playingEntity
0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CD.IPS0 … 1R(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
1 … 1R(IPS...ion)
Treetree.pnghl7:participant
0 … *(IPS...ion)
where [@typeCode='CST']
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCST
Treeblank.pngTreetree.pnghl7:participantRole
1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FAGNT
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE.IPS0 … 1R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:playingEntity
1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CD.IPS0 … 1R(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
1 … 1R(IPS...ion)
Treetree.pnghl7:reference
0 … *R(IPS...ion)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFR
Treeblank.pngTreetree.pnghl7:externalDocument
1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:reference
0 … 1(IPS...ion)