Antepartum Summary
0.0.1-current - ci-build

Antepartum Summary, published by IHE Patient Care Coordination Committee. This is not an authorized publication; it is the continuous build for version 0.0.1-current). This version is based on the current content of https://github.com/IHE/PCC.APS/ and changes regularly. See the Directory of published versions

## Resource Profile: Advance Directives Observation

Official URL: https://profiles.ihe.net/PCC/APS/StructureDefinition/IHE.AdvanceDirectivesObservation | Version: 0.0.1-current
Draft as of 2023-10-24 | Computable Name: AdvanceDirectivesObservation

Advance directives contains data defining the patient’s direction of care and any reference to supporting documentation. The most recent and up-to-date directives are required, if known, and should be listed in as much detail as possible. Advance directives contains data such as the existence of living wills, healthcare proxies, and CPR and resuscitation status.

Usage:

- Refer to this Resource Profile: Antapartum Summary
- Examples for this Resource Profile: Observation/ex-AdvanceDirectivesObservation

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
implicitRules |  | 0..0 |  |
language |  | 0..0 |  |
contained |  | 0..0 |  |
extension |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
basedOn |  | 0..0 |  |
partOf |  | 0..0 |  |
status |  | 1..1 | code | registered | preliminary | final | amended + Required Pattern: registered
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject |  | 0..1 | Reference(Patient) | Who and/or what the observation is about
focus |  | 0..0 |  |
encounter |  | 0..0 |  |
issued |  | 0..0 |  |
value[x] |  | 1..1 | boolean | Actual result
interpretation |  | 0..0 |  |
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Observation.code | preferred | Advance_Directives_VS

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: registered
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject | Σ | 0..1 | Reference(Patient) | Who and/or what the observation is about
value[x] | Σ C | 1..1 | boolean | Actual result
derivedFrom | Σ | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | Pattern: registered
Observation.code | preferred | Advance_Directives_VS
Observation.component.code | example | LOINCCodes (a valid code from LOINC)

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
identifier | Σ | 0..* | Identifier | Business Identifier for observation
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: registered
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject | Σ | 0..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | Σ C | 1..1 | boolean | Actual result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | Pattern: registered
Observation.category | preferred | ObservationCategoryCodes
Observation.code | preferred | Advance_Directives_VS
Observation.dataAbsentReason | extensible | DataAbsentReason
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 18 elements

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
implicitRules |  | 0..0 |  |
language |  | 0..0 |  |
contained |  | 0..0 |  |
extension |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
basedOn |  | 0..0 |  |
partOf |  | 0..0 |  |
status |  | 1..1 | code | registered | preliminary | final | amended + Required Pattern: registered
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject |  | 0..1 | Reference(Patient) | Who and/or what the observation is about
focus |  | 0..0 |  |
encounter |  | 0..0 |  |
issued |  | 0..0 |  |
value[x] |  | 1..1 | boolean | Actual result
interpretation |  | 0..0 |  |
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Observation.code | preferred | Advance_Directives_VS

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: registered
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject | Σ | 0..1 | Reference(Patient) | Who and/or what the observation is about
value[x] | Σ C | 1..1 | boolean | Actual result
derivedFrom | Σ | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | Pattern: registered
Observation.code | preferred | Advance_Directives_VS
Observation.component.code | example | LOINCCodes (a valid code from LOINC)

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
identifier | Σ | 0..* | Identifier | Business Identifier for observation
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: registered
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Advance Directives (preferred)
subject | Σ | 0..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | Σ C | 1..1 | boolean | Actual result
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..1 | Reference(DocumentReference) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.status | required | Pattern: registered
Observation.category | preferred | ObservationCategoryCodes
Observation.code | preferred | Advance_Directives_VS
Observation.dataAbsentReason | extensible | DataAbsentReason
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 18 elements

Other representations of profile: CSV, Excel, Schematron