Consolidated CDA (C-CDA)
4.0.0 - STU4 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 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: Advance Directive Organizer

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer Version: 4.0.0
Retired as of 2025-10-02 Computable Name: AdvanceDirectiveOrganizer
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2022-02-14

The Advance Directive Organizer includes information about who verified the content available in each advance healthcare directive source document or other verified source documentation. When documenting the existence of advance healthcare directive document(s), the organizer contains an observation which includes information about the kind of advance healthcare directive source document (e.g., Living Will, Personal Advance Care Plan, Portable Medical Order). This observation provides identifier references to the external source advance healthcare directive document.

If a person has appointed healthcare agent(s), the organizer includes the current healthcare agent(s) information, and a reference to the external document which contains the healthcare agent appointment decisions. Additional observations summarizing the type of content included in the advance directive source documents also can be included. Treatment Intervention Preferences, Care Experience Preferences, Upon Death Preferencesand Personal Health Goals may be considered relevant by the organization rendering care services to the patient and included in the organizer as well although duplicating information is discouraged.

When the existing advance healthcare directive document is a portable medical order, Advance Directive Observations are used to summarize the types of portable orders in the verified document. This provides new summary “structured data” for portable medical orders that often are still exchanged as scanned images.

Provenance information such as author, performer, informant and participant can be used with the Organizer to minimize redundancy on each component Observation.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Required Components: AdvanceDirectiveObservation

Usages:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 3.0.0:

  • New Content

    • Formal Views of Template Content

    Description of Template, Differentials, Snapshots and how the different presentations work.

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:advance-directive-org 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code 1..1 CD Advance directive/living will completed
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... observation 1..1 AdvanceDirectiveObservation

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:advance-directive-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:advance-directive-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Organizer.typeId, Organizer.component:advDirObs.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:advance-directive-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:advance-directive-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Organizer.typeId, Organizer.component:advDirObs.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Organizer

    Summary

    Mandatory: 12 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

    Differential View

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:advance-directive-org 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code 1..1 CD Advance directive/living will completed
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... observation 1..1 AdvanceDirectiveObservation

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:advance-directive-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:advance-directive-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Organizer.typeId, Organizer.component:advDirObs.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-author, should-informant, should-participant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:advance-directive-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.108
    ..... @extension 1..1 st Required Pattern: 2022-02-14
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Advance directive/living will completed
    Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: 45473-6
    .... @codeSystem 1..1 oid, uuid, ruid LOINC
    Required Pattern: 2.16.840.1.113883.6.1
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 0..1 IVL_TS
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* AuthorParticipation
    ... informant 0..* Informant SHOULD contain informant
    ... participant 0..* Participant2 SHOULD contain participant
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:advDirObs 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AdvanceDirectiveObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:advance-directive-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:advDirObs.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Organizer.typeId, Organizer.component:advDirObs.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-author warning Organizer SHOULD contain author author.exists()
    should-informant warning Organizer SHOULD contain informant informant.exists()
    should-participant warning Organizer SHOULD contain participant participant.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Organizer

    Summary

    Mandatory: 12 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

     

    Other representations of profile: CSV, Excel