Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 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
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer | Version: 3.0.0 | |||
| Draft as of 2024-07-23 | 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.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Organizer
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain 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 | ||
| id |
1..* | II | ||
| 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 | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
 author |
0..* | AuthorParticipation | Base for all types and resources | |
| 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 | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 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('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain 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 | Binding: XActClassDocumentEntryOrganizer (2.0.0) (required) Fixed Value: CLUSTER | |
| @moodCode |
1..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Advance directive/living will completed Binding: v3 Code System ActCode (example) | |
| @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 | XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc) | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| author |
0..* | AuthorParticipation | Base for all types and resources | |
| 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 |
C | 1..1 | AdvanceDirectiveObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Organizer.classCode | required | Fixed Value: CLUSTERhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0 | |
| Organizer.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Organizer.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Organizer.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus |
| Id | Grade | Path(s) | Details | Requirements |
| should-author | warning | Organizer | SHOULD contain author : author.exists() | |
| should-author | warning | Organizer.component:advDirObs.observation | SHOULD contain author : author.exists() | |
| should-informant | warning | Organizer | SHOULD contain informant : informant.exists() | |
| should-informant | warning | Organizer.component:advDirObs.observation | 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() | |
| should-text-ref-value | warning | Organizer.component:advDirObs.observation | SHOULD contain text/reference/@value : text.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('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain participant |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @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: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 | ||
| 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 | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| 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 | Base for all types and resources | |
| 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 |
0..1 | II | ||
 @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 |
C | 1..1 | AdvanceDirectiveObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Organizer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.templateId:advance-directive-org.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.classCode | required | Fixed Value: CLUSTERhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0 | |
| Organizer.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Organizer.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Organizer.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.sdtcText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.sdtcText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Organizer.sdtcText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Organizer.sdtcText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Organizer.sdtcText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Organizer.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Organizer.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.typeCode | required | ActRelationshipHasComponenthttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent |
| Id | Grade | Path(s) | Details | Requirements |
| should-author | warning | Organizer | SHOULD contain author : author.exists() | |
| should-author | warning | Organizer.component:advDirObs.observation | SHOULD contain author : author.exists() | |
| should-informant | warning | Organizer | SHOULD contain informant : informant.exists() | |
| should-informant | warning | Organizer.component:advDirObs.observation | 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() | |
| should-text-ref-value | warning | Organizer.component:advDirObs.observation | SHOULD contain text/reference/@value : text.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:
Differential View
This structure is derived from Organizer
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain 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 | ||
| id |
1..* | II | ||
| 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 | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
| author |
0..* | AuthorParticipation | Base for all types and resources | |
| 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 | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 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
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain 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 | Binding: XActClassDocumentEntryOrganizer (2.0.0) (required) Fixed Value: CLUSTER | |
| @moodCode |
1..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
1..* | II | ||
| code |
1..1 | CD | Advance directive/living will completed Binding: v3 Code System ActCode (example) | |
| @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 | XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc) | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @code |
1..1 | cs | Fixed Value: completed | |
| author |
0..* | AuthorParticipation | Base for all types and resources | |
| 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 |
C | 1..1 | AdvanceDirectiveObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Organizer.classCode | required | Fixed Value: CLUSTERhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0 | |
| Organizer.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Organizer.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Organizer.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus |
| Id | Grade | Path(s) | Details | Requirements |
| should-author | warning | Organizer | SHOULD contain author : author.exists() | |
| should-author | warning | Organizer.component:advDirObs.observation | SHOULD contain author : author.exists() | |
| should-informant | warning | Organizer | SHOULD contain informant : informant.exists() | |
| should-informant | warning | Organizer.component:advDirObs.observation | 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() | |
| should-text-ref-value | warning | Organizer.component:advDirObs.observation | SHOULD contain text/reference/@value : text.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
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Organizer |
C | 1..1 | Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant should-participant: SHOULD contain participant |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @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: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 | ||
| 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 | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| 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 | Base for all types and resources | |
| 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 |
0..1 | II | ||
| @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 |
C | 1..1 | AdvanceDirectiveObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author should-informant: SHOULD contain informant |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Organizer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.templateId:advance-directive-org.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.classCode | required | Fixed Value: CLUSTERhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0 | |
| Organizer.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Organizer.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Organizer.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.sdtcText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.sdtcText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Organizer.sdtcText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Organizer.sdtcText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| Organizer.sdtcText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Organizer.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Organizer.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Organizer.component:advDirObs.typeCode | required | ActRelationshipHasComponenthttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent |
| Id | Grade | Path(s) | Details | Requirements |
| should-author | warning | Organizer | SHOULD contain author : author.exists() | |
| should-author | warning | Organizer.component:advDirObs.observation | SHOULD contain author : author.exists() | |
| should-informant | warning | Organizer | SHOULD contain informant : informant.exists() | |
| should-informant | warning | Organizer.component:advDirObs.observation | 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() | |
| should-text-ref-value | warning | Organizer.component:advDirObs.observation | SHOULD contain text/reference/@value : text.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:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-07-23
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