2.16.840.1.113883.10.22.4.37/static-2020-05-08T162154

Id	2.16.840.1.113883.10.22.4.37	Effective Date	2020‑05‑08 16:21:54
Status	Under pre-publication review	Version Label	TI-2020
Name	IPSAdvanceDirectiveObservation	Display Name	IPS 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.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.37
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Relationship	Adaptation: 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>
Item DT Card Conf Description Label hl7:observation (IPS...ion) @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (IPS...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.37 hl7:id II 0 … * (IPS...ion) hl7:code CD.IPS (example) 1 … 1 R (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) hl7:statusCode CS 1 … 1 M (IPS...ion) @code CONF 1 … 1 F completed hl7:effectiveTime IVL_TS 1 … 1 R (IPS...ion) hl7:low 1 … 1 R (IPS...ion) hl7:high 1 … 1 R (IPS...ion)   Constraint If the Advance Directive does not have a specified ending time, the <high> element *SHALL* have the nullFlavor attribute set to *NA*</high> hl7:value 1 … 1 M (IPS...ion) hl7:author 0 … * R (IPS...ion) hl7:participant 0 … * (IPS...ion) where [@typeCode='VRF'] @typeCode cs 1 … 1 F VRF hl7:time TS 0 … 1 R (IPS...ion) hl7:participantRole 1 … 1 M (IPS...ion) hl7:code CE.IPS 0 … 1 R (IPS...ion) hl7:addr AD 0 … * R (IPS...ion) hl7:playingEntity 0 … 1 (IPS...ion) hl7:code CD.IPS 0 … 1 R (IPS...ion) hl7:name 1 … 1 R (IPS...ion) hl7:participant 0 … * (IPS...ion) where [@typeCode='CST'] @typeCode cs 1 … 1 F CST hl7:participantRole 1 … 1 M (IPS...ion) @classCode cs 1 … 1 F AGNT hl7:code CE.IPS 0 … 1 R (IPS...ion) hl7:addr AD 0 … 1 R (IPS...ion) hl7:telecom TEL 0 … * R (IPS...ion) hl7:playingEntity 1 … 1 M (IPS...ion) hl7:code CD.IPS 0 … 1 R (IPS...ion) hl7:name 1 … 1 R (IPS...ion) hl7:reference 0 … * R (IPS...ion) @typeCode cs 1 … 1 F REFR hl7:externalDocument 1 … 1 M (IPS...ion) hl7:id II 1 … * R (IPS...ion) hl7:text 0 … 1 (IPS...ion) hl7:reference 0 … 1 (IPS...ion)