| Id | 2.16.840.1.113883.10.22.4.37 | Effective Date | 2020‑05‑08 16:21:54 |
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| Status |  Under pre-publication review | Version Label | TI-2020 |
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| Name | IPSAdvanceDirectiveObservation | Display Name | IPS Advance Directive Observation |
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| 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. |
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.37 |
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| 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- |
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| 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> |
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| Item | DT | Card | Conf | Description | Label |
|---|
| | | | | (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) | | CE.IPS | 0 … 1 | R | | (IPS...ion) | | AD | 0 … * | R | | (IPS...ion) | | | 0 … 1 | | | (IPS...ion) | | CD.IPS | 0 … 1 | R | | (IPS...ion) | | | 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) | | cs | 1 … 1 | F | AGNT | | CE.IPS | 0 … 1 | R | | (IPS...ion) | | AD | 0 … 1 | R | | (IPS...ion) | | TEL | 0 … * | R | | (IPS...ion) | | | 1 … 1 | M | | (IPS...ion) | | CD.IPS | 0 … 1 | R | | (IPS...ion) | | | 1 … 1 | R | | (IPS...ion) | | hl7:reference
|
| | 0 … * | R | | (IPS...ion) | | | @typeCode
|
| cs | 1 … 1 | F | REFR | | | hl7:externalDocument
|
| | 1 … 1 | M | | (IPS...ion) | | II | 1 … * | R | | (IPS...ion) | | | 0 … 1 | | | (IPS...ion) | | | 0 … 1 | | | (IPS...ion) |
|
Under pre-publication review
