Consolidated CDA (C-CDA)
5.0.0-ballot - STU5 Ballot 1
Consolidated CDA (C-CDA)
5.0.0-ballot - STU5 Ballot 1
Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 5.0.0-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
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection | Version: 5.0.0-ballot | |||
| Draft as of 2025-12-12 | Computable Name: AdvanceDirectivesSection | |||
| Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.21.1:2022-02-14 | ||||
This section contains details about the patient’s advance healthcare directives, including references to supporting documents such as Living Wills, Healthcare Power of Attorney, Personal Advance Care Plans, DNR Orders, and Portable Medical Orders. Each type of advance directive document is represented by an individual Advance Directive Observation within a single Advance Directive Existence Observation. Each Advance Directive Observation specifies the type of advance directive and provides a unique reference for the document. Additionally, the Advance Directive Observation may include information about the document’s author and any individuals who verified the information with the patient or their healthcare agent.
Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:
Required Entries: AdvanceDirectiveExistenceObservation
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 4.0.0:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
 @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI | |
  Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:section |
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: 2022-02-14 | |
| code |
1..1 | CE | Advance directives | |
| @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 | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
 Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
 observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
 @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI 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 | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:section |
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: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension |
1..1 | st | Required Pattern: 2022-02-14 | |
| @ID |
0..1 | xs:ID | Can serve as a target of a linkHtml reference | |
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | Unique instance identifier of a particular document section | |
| code |
1..1 | CE | Advance directives | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem |
1..1 | oid, uuid, ruid | 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 | ||
| translation |
0..* | CD | ||
| title |
1..1 | ST | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
| confidentialityCode |
0..1 | CE | Controls the disclosure of information in this section | |
| languageCode |
0..1 | CS | Human language of character data Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | Primary target of the entries recorded in a section | |
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
| @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: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| component |
0..* | InfrastructureRoot | Used to nest a Section within a Section | |
| @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 | Fixed Value: COMP | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| section |
1..1 | Section | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.templateId:section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:AdvDirExistanceObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v7.0 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:AdvDirExistanceObservation.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI 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 | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:section |
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: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension |
1..1 | st | Required Pattern: 2022-02-14 | |
| @ID |
0..1 | xs:ID | Can serve as a target of a linkHtml reference | |
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | Unique instance identifier of a particular document section | |
| code |
1..1 | CE | Advance directives | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem |
1..1 | oid, uuid, ruid | 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 | ||
| translation |
0..* | CD | ||
| title |
1..1 | ST | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
| confidentialityCode |
0..1 | CE | Controls the disclosure of information in this section | |
| languageCode |
0..1 | CS | Human language of character data Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | Primary target of the entries recorded in a section | |
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
| @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: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| component |
0..* | InfrastructureRoot | Used to nest a Section within a Section | |
| @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 | Fixed Value: COMP | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| section |
1..1 | Section | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.templateId:section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:AdvDirExistanceObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v7.0 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:AdvDirExistanceObservation.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI | |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:section |
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: 2022-02-14 | |
| code |
1..1 | CE | Advance directives | |
| @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 | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
| Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
| observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI 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 | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:section |
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: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension |
1..1 | st | Required Pattern: 2022-02-14 | |
| @ID |
0..1 | xs:ID | Can serve as a target of a linkHtml reference | |
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | Unique instance identifier of a particular document section | |
| code |
1..1 | CE | Advance directives | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem |
1..1 | oid, uuid, ruid | 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 | ||
| translation |
0..* | CD | ||
| title |
1..1 | ST | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
| confidentialityCode |
0..1 | CE | Controls the disclosure of information in this section | |
| languageCode |
0..1 | CS | Human language of character data Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | Primary target of the entries recorded in a section | |
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
| @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: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| component |
0..* | InfrastructureRoot | Used to nest a Section within a Section | |
| @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 | Fixed Value: COMP | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| section |
1..1 | Section | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.templateId:section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:AdvDirExistanceObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v7.0 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:AdvDirExistanceObservation.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | 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: shall-adv-directive-existence |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI 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 | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:section |
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: 2.16.840.1.113883.10.20.22.2.21.1 | |
| @extension |
1..1 | st | Required Pattern: 2022-02-14 | |
| @ID |
0..1 | xs:ID | Can serve as a target of a linkHtml reference | |
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | Unique instance identifier of a particular document section | |
| code |
1..1 | CE | Advance directives | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Required Pattern: 42348-3 | |
| @codeSystem |
1..1 | oid, uuid, ruid | 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 | ||
| translation |
0..* | CD | ||
| title |
1..1 | ST | Label of a section | |
| text |
1..1 | xhtml | Narrative to be rendered | |
| confidentialityCode |
0..1 | CE | Controls the disclosure of information in this section | |
| languageCode |
0..1 | CS | Human language of character data Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | Primary target of the entries recorded in a section | |
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
| entry:AdvDirExistanceObservation |
C | 0..* | Entry | |
| @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: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
1..1 | AdvanceDirectiveExistenceObservation | 𝗨𝗦𝗖𝗗𝗜: Advance Directive Existence Observation | |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| component |
0..* | InfrastructureRoot | Used to nest a Section within a Section | |
| @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 | Fixed Value: COMP | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| section |
1..1 | Section | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.templateId:section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:AdvDirExistanceObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.entry:AdvDirExistanceObservation.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v7.0 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:AdvDirExistanceObservation.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| shall-adv-directive-existence | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation |
nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists()
|
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory 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#5.0.0-ballot based on FHIR 5.0.0. Generated 2025-12-12
Links: Table of Contents |
QA Report
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