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draft Template  IPS Advance Directive Observation

Id 2.16.840.1.113883.10.22.4.37 Effective Date 2020‑05‑08 16:21:54
Status draft Draft Version Label
Name IPSAdvanceDirectiveObservation Display Name IPS Advance Directive Observation
Description
This clinical statement represents Advance Directive Observation findings (e.g., “resuscitation status is Full Code”) rather than orders. It should not be considered a legal document or a substitute for the actual Advance Directive document. The related legal documents are referenced using the reference/externalReference element. The Advance Directive Observation describes the patient’s directives, including but not limited to: • Medications • Transfer of Care to Hospital • Treatment • Procedures • Intubation and Ventilation • Diagnostic Tests • Tests The observation/value element contains the detailed patient directive which may be coded or text. For example, a category directive may be antibiotics, and the details would be intravenous antibiotics only.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.37
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 4 templates, Uses 0 templates
Used by as Name Version
hl7ips-transaction-2 Transaction draft IPS Created 2017‑04‑07 11:10:54
2.16.840.1.113883.10.22.4.46 Containment draft IPS Advance Directive Organizer 2020‑05‑08 16:11:48
2.16.840.1.113883.10.22.3.12 link draft IPS Advance Directives Section 2020‑05‑08 16:38:49
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2020‑05‑08 12:30:59
2.16.840.1.113883.10.22.1.1 link pending International Patient Summary (STU1) 2017‑04‑11
Relationship Adaptation: template 2.16.840.1.113883.10.20.22.4.48 Advance Directive Observation (V3) (2015‑08‑01)
ref
ccda-

Adaptation: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<hl7:observation classCode="OBS" moodCode="EVN">
  <hl7:templateId root="2.16.840.1.113883.10.22.4.37"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code code="52765003" codeSystem="2.16.840.1.113883.6.96" displayName="Intubation"/>  <hl7:statusCode code="completed"/>  <hl7:effectiveTime>
    <hl7:low/>    <hl7:high/>  </hl7:effectiveTime>
  <hl7:value/>  <hl7:author/>  <hl7:participant typeCode="VRF">
    <hl7:time value="20200510120335"/>    <hl7:participantRole>
      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:playingEntity>
        <hl7:code/>        <hl7:name>name</hl7:name>      </hl7:playingEntity>
    </hl7:participantRole>
  </hl7:participant>
  <hl7:participant typeCode="CST">
    <hl7:participantRole classCode="AGNT">
      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:playingEntity>
        <hl7:code/>        <hl7:name/>      </hl7:playingEntity>
    </hl7:participantRole>
  </hl7:participant>
  <hl7:reference typeCode="REFR">
    <hl7:externalDocument>
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:text>
        <hl7:reference/>      </hl7:text>
    </hl7:externalDocument>
  </hl7:reference>
</hl7:observation>
Item DT Card Conf Description Label
hl7:observation
(IPSdotsion)
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M (IPSdotsion)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.37
hl7:id
II 0 … * (IPSdotsion)
hl7:code
CD.IPS (example) 1 … 1 R (IPSdotsion)
  CONF
Examples of the value of @code are in the valuet set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (DYNAMIC)
hl7:statusCode
CS 1 … 1 M (IPSdotsion)
@code
CONF 1 … 1 F completed
hl7:effectiveTime
IVL_TS 1 … 1 R (IPSdotsion)
hl7:low
1 … 1 R (IPSdotsion)
hl7:high
1 … 1 R (IPSdotsion)
  Constraint If the Advance Directive does not have a specified ending time, the element *SHALL* have the nullFlavor attribute set to *NA*
hl7:value
1 … 1 M (IPSdotsion)
hl7:author
0 … * R (IPSdotsion)
hl7:participant
0 … * (IPSdotsion)
where [@typeCode='VRF']
@typeCode
cs 1 … 1 F VRF
hl7:time
TS 0 … 1 R (IPSdotsion)
hl7:participantRole
1 … 1 M (IPSdotsion)
hl7:code
CD.IPS 0 … 1 R (IPSdotsion)
hl7:addr
AD 0 … * R (IPSdotsion)
hl7:playingEntity
0 … 1 (IPSdotsion)
hl7:code
CD.IPS 0 … 1 R (IPSdotsion)
hl7:name
PN 1 … 1 R (IPSdotsion)
hl7:participant
0 … * (IPSdotsion)
where [@typeCode='CST']
@typeCode
cs 1 … 1 F CST
hl7:participantRole
1 … 1 M (IPSdotsion)
@classCode
cs 1 … 1 F AGNT
hl7:code
CD.IPS 0 … 1 R (IPSdotsion)
hl7:addr
AD 0 … 1 R (IPSdotsion)
hl7:telecom
TEL 0 … * R (IPSdotsion)
hl7:playingEntity
1 … 1 M (IPSdotsion)
hl7:code
CD.IPS 0 … 1 R (IPSdotsion)
hl7:name
1 … 1 R (IPSdotsion)
hl7:reference
0 … * R (IPSdotsion)
@typeCode
cs 1 … 1 F REFR
hl7:externalDocument
1 … 1 M (IPSdotsion)
hl7:id
II 1 … * R (IPSdotsion)
hl7:text
0 … 1 (IPSdotsion)
hl7:reference
0 … 1 (IPSdotsion)