Template 2.16.840.1.113883.10.22.4.37 - IPSAdvanceDirectiveObservation

Template IPS Advance Directive Observation

2.16.840.1.113883.10.22.4.37

Effective Date

2020‑05‑08 16:21:54

Status

Under pre-publication review

Version Label

TI-2020

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 0 transactions and 3 templates, Uses 0 templates

Used by	as	Name	Version
2.16.840.1.113883.10.22.4.46	Containment	IPS Advance Directive Organizer (TI-2020)	2020‑05‑08 16:11:48
2.16.840.1.113883.10.22.3.12		IPS Advance Directives Section (TI-2020)	2020‑05‑08 16:38:49
2.16.840.1.113883.10.22.1.1		International Patient Summary (2021)	2020‑07‑14 16:08:21

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

<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

Card

Conf

Description

Label

hl7:observation

(IPSion)

@classCode

1 … 1

OBS

@moodCode

1 … 1

EVN

hl7:templateId

1 … 1

(IPSion)

@root

uid

1 … 1

2.16.840.1.113883.10.22.4.37

hl7:id

0 … *

(IPSion)

hl7:code

CD.IPS (example)

1 … 1

(IPSion)

CONF

Examples of the value of @code are in the value set 2.16.840.1.113883.1.11.20.2 AdvanceDirectiveTypeCode (DYNAMIC)

hl7:statusCode

1 … 1

(IPSion)

@code

CONF

1 … 1

completed

hl7:effectiveTime

IVL_TS

1 … 1

(IPSion)

hl7:low

1 … 1

(IPSion)

hl7:high

1 … 1

(IPSion)

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

(IPSion)

hl7:author

0 … *

(IPSion)

hl7:participant

0 … *

(IPSion)

where [@typeCode='VRF']

@typeCode

1 … 1

VRF

hl7:time

0 … 1

(IPSion)

hl7:participantRole

1 … 1

(IPSion)

hl7:code

CE.IPS

0 … 1

(IPSion)

hl7:addr

0 … *

(IPSion)

hl7:playingEntity

0 … 1

(IPSion)

hl7:code

CD.IPS

0 … 1

(IPSion)

hl7:name

1 … 1

(IPSion)

hl7:participant

0 … *

(IPSion)

where [@typeCode='CST']

@typeCode

1 … 1

CST

hl7:participantRole

1 … 1

(IPSion)

@classCode

1 … 1

AGNT

hl7:code

CE.IPS

0 … 1

(IPSion)

hl7:addr

0 … 1

(IPSion)

hl7:telecom

TEL

0 … *

(IPSion)

hl7:playingEntity

1 … 1

(IPSion)

hl7:code

CD.IPS

0 … 1

(IPSion)

hl7:name

1 … 1

(IPSion)

hl7:reference

0 … *

(IPSion)

@typeCode

1 … 1

REFR

hl7:externalDocument

1 … 1

(IPSion)

hl7:id

1 … *

(IPSion)

hl7:text

0 … 1

(IPSion)

hl7:reference

0 … 1

(IPSion)

Template IPS Advance Directive Observation