Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection | Version: 2.1 | |||
| Draft as of 2023-09-29 | Computable Name: AdvanceDirectivesSection | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.2.21.1:2015-08-01 | ||||
This section contains data defining the patient’s advance directives and any reference to supporting documentation, including living wills, healthcare proxies, and CPR and resuscitation status. If the referenced documents are available, they can be included in the exchange package.
The most recent directives are required, if known, and should be listed in as much detail as possible.
This section differentiates between “advance directives” and “advance directive documents”. The former is the directions to be followed whereas the latter refers to a legal document containing those directions.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Section | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component | ||
 nullFlavor | 0..1 | cs | Fixed Value: NI | |
  Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:secondary | 1..1 | II | ||
  root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.21.1 | |
  extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 42348-3 | |
 codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
 Slices for entry | C | 1..* | Entry | If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by exists:* 1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). |
 entry:observation | 0..* | Entry | ||
  observation | 1..1 | AdvanceDirectiveObservation | Base for all types and resources | |
| entry:organizer | 0..* | Entry | ||
| organizer | 1..1 | AdvanceDirectiveOrganizer | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
 @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI | |
| Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:secondary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Slices for entry | C | 1..* | Entry | If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by exists:* 1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). |
| entry:observation | 0..* | Entry | ||
| observation | 1..1 | AdvanceDirectiveObservation | Base for all types and resources | |
| entry:organizer | 0..* | Entry | ||
| organizer | 1..1 | AdvanceDirectiveOrganizer | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:secondary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.entry:observation.nullFlavor | required | NullFlavor |
| Section.entry:observation.typeCode | required | XActRelationshipEntry |
| Section.entry:organizer.nullFlavor | required | NullFlavor |
| Section.entry:organizer.typeCode | required | XActRelationshipEntry |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 9 elements (2 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component | ||
| nullFlavor | 0..1 | cs | Fixed Value: NI | |
| Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:secondary | 1..1 | II | ||
| root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.21.1 | |
| extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 42348-3 | |
| codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Slices for entry | C | 1..* | Entry | If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by exists:* 1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). |
| entry:observation | 0..* | Entry | ||
| observation | 1..1 | AdvanceDirectiveObservation | Base for all types and resources | |
| entry:organizer | 0..* | Entry | ||
| organizer | 1..1 | AdvanceDirectiveOrganizer | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI | |
| Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:secondary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Slices for entry | C | 1..* | Entry | If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW): Slice: Unordered, Open by exists:* 1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). |
| entry:observation | 0..* | Entry | ||
| observation | 1..1 | AdvanceDirectiveObservation | Base for all types and resources | |
| entry:organizer | 0..* | Entry | ||
| organizer | 1..1 | AdvanceDirectiveOrganizer | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:secondary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.entry:observation.nullFlavor | required | NullFlavor |
| Section.entry:observation.typeCode | required | XActRelationshipEntry |
| Section.entry:organizer.nullFlavor | required | NullFlavor |
| Section.entry:organizer.typeCode | required | XActRelationshipEntry |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-32881 | error | Section.entry | This entry **SHALL** contain *EITHER* an Advance Directive Observation *OR* an Advance Directive Organizer (CONF:1198-32881). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 9 elements (2 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
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