Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Advance Directives Section

This section contains data defining the patient's advance directives 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. This section contains data such as the existence of living wills, healthcare proxies, and CPR and resuscitation status. If referenced documents are available, they can be included in the CCD exchange package.

NOTE: The descriptions in this section differentiate between "advance directives" and "advance directive documents". The former are the directions whereas the latter are legal documents containing those directions. Thus, an advance directive might be "no cardiopulmonary resuscitation", and this directive might be stated in a legal advance directive document.

Optional Entries

[Section: templateId 2.16.840.1.113883.10.20.22.2.21]

The following constraints apply to a Advance Directives Section in which entries are not required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7928, CONF:10376 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21"
  2. SHALL contain exactly one [1..1] code (CONF:15340)/@code="42348-3" Advance Directives (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15342)
  3. SHALL contain exactly one [1..1] title (CONF:7930)
  4. SHALL contain exactly one [1..1] text (CONF:7931)
  5. MAY contain zero or more [0..*] entry (CONF:7957, CONF:8800)
    1. Contains exactly one [1..1] Advance Directive Observation (templateId: 2.16.840.1.113883.10.20.22.4.48)

Required Entries

The following constraints apply to a Advance Directives Section in which entries are required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:8643, CONF:10377 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21.1"
  2. SHALL conform to Advance Directives Section Entries Optional template (templateId: 2.16.840.1.113883.10.20.22.2.21)
  3. SHALL contain exactly one [1..1] code (CONF:15343)/@code="42348-3" Advance directives (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15344)
  4. SHALL contain exactly one [1..1] title (CONF:8645)
  5. SHALL contain exactly one [1..1] text (CONF:8646)
  6. SHALL contain at least one [1..*] entry (CONF:8647, CONF:8801)
    1. Contains exactly one [1..1] Advance Directive Observation (templateId: 2.16.840.1.113883.10.20.22.4.48)