Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: AdvanceDirectiveOrganizer - Detailed Descriptions

Retired as of 2024-12-19

Definitions for the AdvanceDirectiveOrganizer logical model.

Guidance on how to interpret the contents of this table can be found here

0. Organizer
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-sdtctext-ref-value: SHOULD contain text/reference/@value (sdtcText.reference.value.exists())
should-author: SHOULD contain author (author.exists())
should-informant: SHOULD contain informant (informant.exists())
should-participant: SHOULD contain participant (participant.exists())
2. Organizer.templateId
Control1..?
SlicingThis element introduces a set of slices on Organizer.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. Organizer.templateId:advance-directive-org
    Slice Nameadvance-directive-org
    Control1..1
    6. Organizer.templateId:advance-directive-org.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.108
    8. Organizer.templateId:advance-directive-org.extension
    Control1..?
    Pattern Value2022-02-14
    10. Organizer.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="CLUSTER" Cluster (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-28410).

    Fixed ValueCLUSTER
    12. Organizer.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-28411).

    14. Organizer.id
    Comments

    SHALL contain at least one [1..*] id (CONF:1198-28414).

    Control1..?
    16. Organizer.code
    ShortAdvance directive/living will completed
    Comments

    This code SHALL contain exactly one [1..1] @code="45473-6" Advance directive - living will (CONF:1198-31230).

    Control1..?
    18. Organizer.code.code
    Control1..?
    Pattern Value45473-6
    20. Organizer.code.codeSystem
    ShortLOINC
    Control1..?
    Pattern Value2.16.840.1.113883.6.1
    22. Organizer.sdtcText
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    24. Organizer.sdtcText.reference
    Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
    26. Organizer.statusCode
    Comments

    SHALL contain exactly one [1..1] statusCode (CONF:1198-28418).

    28. Organizer.statusCode.code
    Comments

    This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1198-31346).

    Control1..?
    Fixed Valuecompleted
    30. Organizer.author
    Comments

    SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32407).

    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
    32. Organizer.informant
    ShortSHOULD contain informant
    34. Organizer.participant
    ShortSHOULD contain participant
    36. Organizer.component
    Control1..?
    SlicingThis element introduces a set of slices on Organizer.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ observation
    • 38. Organizer.component:advDirObs
      Slice NameadvDirObs
      Comments

      SHALL contain at least one [1..*] component (CONF:1198-28420) such that it

      Control1..*
      40. Organizer.component:advDirObs.observation
      Comments

      SHALL contain exactly one [1..1] Advance Directive Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2022-02-14) (CONF:1198-28421).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Advance Directive Observation)