{
"description": "This section contains information describing the patient’s advance directives. The description includes the kind of advance directive source documents and the type of advance directive content included in each kind of advance directive source document. The section includes information about who verified the content available in each advance directive source document, if applicable. It also includes information about who was the acting healthcare agent, if someone was acting on behalf of the patient during the encounter or during certain periods of time during the provision of care covered by the document. It provides references to the supporting documentation, including all kinds of advance directive source documents.\\n\\nTreatment Preferences, Care Experience Preferences and Personal Health Goals considered relevant by the organization rendering care services to the patient's care during the encompassing encounter or considered relevant to the patient's care plan SHALL be included in the Advance Directives Section as documented by the patient or consented by the patient or the patient's healthcare agent. \\n\\nIf a person has appointed healthcare agent(s), the Advance Directive Section SHALL include the current healthcare agent(s) information. and a reference to the external document which contains the healthcare agent appointment decisions. If a person has documented treatment preferences under certain health scenarios, the Advance Directive Section SHALL include information about who has reviewed and verified that documentation, and a reference to the external document which was reviewed. \\n\\nThis section differentiates between an \\\"advance care plan document\\\" and an “advance care plan order.” It also distinguishes an advance directive that is a consent. Information in this section includes information about the person’s current/relevant goals and preferences, advance directive orders, or advance directive consents.",
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"short": "If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW):",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "observation",
"type": "profile"
}, {
"path": "organizer",
"type": "profile"
} ]
},
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
} ],
"max": "*",
"id": "Section.entry",
"comment": "SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it",
"base": {
"max": "*",
"min": 0,
"path": "Section.entry"
}
}, {
"id": "Section.entry:observation",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Section.entry"
},
"path": "Section.entry",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
} ],
"comment": "MAY contain zero or more [0..*] entry such that it",
"sliceName": "observation"
}, {
"path": "Section.entry.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.entry:observation.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Section.entry:observation.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Section.entry.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"
}, {
"id": "Section.entry:observation.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Section.entry.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."
}, {
"path": "Section.entry.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.entry:observation.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Section.entry.typeId.assigningAuthorityName",
"min": 0,
"definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Section.entry:observation.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Section.entry.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Section.entry:observation.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Section.entry.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/oid", "http://hl7.org/cda/stds/core/StructureDefinition/uuid", "http://hl7.org/cda/stds/core/StructureDefinition/ruid" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Section.entry:observation.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Section.entry.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Section.entry:observation.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Section.entry:observation.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Section.entry.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"
}, {
"path": "Section.entry.typeCode",
"min": 0,
"defaultValueCode": "COMP",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Section.entry:observation.typeCode",
"base": {
"max": "1",
"min": 0,
"path": "Entry.typeCode"
}
}, {
"id": "Section.entry:observation.contextConductionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.contextConductionInd"
},
"path": "Section.entry.contextConductionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"fixedBoolean": true,
"representation": [ "xmlAttr" ]
}, {
"id": "Section.entry:observation.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.act"
},
"path": "Section.entry.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
} ]
}, {
"id": "Section.entry:observation.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.encounter"
},
"path": "Section.entry.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ]
}, {
"constraint": [ {
"key": "should-text-ref-value",
"human": "SHOULD contain text/reference/@value",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation",
"severity": "warning",
"expression": "text.reference.value.exists()"
}, {
"key": "should-author",
"human": "SHOULD contain author",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation",
"severity": "warning",
"expression": "author.exists()"
}, {
"key": "should-informant",
"human": "SHOULD contain informant",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation",
"severity": "warning",
"expression": "informant.exists()"
} ],
"path": "Section.entry.observation",
"min": 1,
"definition": "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"isModifier": false,
"short": "Base for all types and resources",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation" ]
} ],
"max": "1",
"id": "Section.entry:observation.observation",
"comment": "SHALL contain exactly one [1..1] Advance Directive Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2022-02-14) (CONF:1198-15443).",
"base": {
"max": "1",
"min": 0,
"path": "Entry.observation"
}
}, {
"id": "Section.entry:observation.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.observationMedia"
},
"path": "Section.entry.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"id": "Section.entry:observation.organizer",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.organizer"
},
"path": "Section.entry.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
} ]
}, {
"id": "Section.entry:observation.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.procedure"
},
"path": "Section.entry.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Section.entry:observation.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.regionOfInterest"
},
"path": "Section.entry.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Section.entry:observation.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.substanceAdministration"
},
"path": "Section.entry.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Section.entry:observation.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.supply"
},
"path": "Section.entry.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ]
}, {
"id": "Section.entry:organizer",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Section.entry"
},
"path": "Section.entry",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
} ],
"comment": "SHALL contain one or more [1.*] entry such that it",
"sliceName": "organizer"
}, {
"path": "Section.entry.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.entry:organizer.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Section.entry:organizer.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Section.entry.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"
}, {
"id": "Section.entry:organizer.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Section.entry.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."
}, {
"path": "Section.entry.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.entry:organizer.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Section.entry.typeId.assigningAuthorityName",
"min": 0,
"definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Section.entry:organizer.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Section.entry.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Section.entry:organizer.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Section.entry.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/oid", "http://hl7.org/cda/stds/core/StructureDefinition/uuid", "http://hl7.org/cda/stds/core/StructureDefinition/ruid" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Section.entry:organizer.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Section.entry.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Section.entry:organizer.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Section.entry:organizer.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Section.entry.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"
}, {
"path": "Section.entry.typeCode",
"min": 0,
"defaultValueCode": "COMP",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Section.entry:organizer.typeCode",
"base": {
"max": "1",
"min": 0,
"path": "Entry.typeCode"
}
}, {
"id": "Section.entry:organizer.contextConductionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.contextConductionInd"
},
"path": "Section.entry.contextConductionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"fixedBoolean": true,
"representation": [ "xmlAttr" ]
}, {
"id": "Section.entry:organizer.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.act"
},
"path": "Section.entry.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
} ]
}, {
"id": "Section.entry:organizer.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.encounter"
},
"path": "Section.entry.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ]
}, {
"id": "Section.entry:organizer.observation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.observation"
},
"path": "Section.entry.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
} ]
}, {
"id": "Section.entry:organizer.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.observationMedia"
},
"path": "Section.entry.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"constraint": [ {
"key": "should-sdtctext-ref-value",
"human": "SHOULD contain text/reference/@value",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer",
"severity": "warning",
"expression": "sdtcText.reference.value.exists()"
}, {
"key": "should-author",
"human": "SHOULD contain author",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer",
"severity": "warning",
"expression": "author.exists()"
}, {
"key": "should-informant",
"human": "SHOULD contain informant",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer",
"severity": "warning",
"expression": "informant.exists()"
}, {
"key": "should-participant",
"human": "SHOULD contain participant",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer",
"severity": "warning",
"expression": "participant.exists()"
} ],
"path": "Section.entry.organizer",
"min": 1,
"definition": "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"isModifier": false,
"short": "Base for all types and resources",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer" ]
} ],
"max": "1",
"id": "Section.entry:organizer.organizer",
"comment": "SHALL contain exactly one [1..1] Advance Directive Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2022-02-14).",
"base": {
"max": "1",
"min": 0,
"path": "Entry.organizer"
}
}, {
"id": "Section.entry:organizer.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.procedure"
},
"path": "Section.entry.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Section.entry:organizer.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.regionOfInterest"
},
"path": "Section.entry.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Section.entry:organizer.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.substanceAdministration"
},
"path": "Section.entry.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Section.entry:organizer.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Entry.supply"
},
"path": "Section.entry.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ]
}, {
"id": "Section.component",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Section.component"
},
"path": "Section.component",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
} ]
}, {
"path": "Section.component.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.component.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Section.component.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Section.component.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"
}, {
"id": "Section.component.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Section.component.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."
}, {
"path": "Section.component.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Section.component.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Section.component.typeId.assigningAuthorityName",
"min": 0,
"definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Section.component.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Section.component.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Section.component.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Section.component.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/oid", "http://hl7.org/cda/stds/core/StructureDefinition/uuid", "http://hl7.org/cda/stds/core/StructureDefinition/ruid" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Section.component.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Section.component.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Section.component.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Section.component.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Section.component.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"
}, {
"path": "Section.component.typeCode",
"fixedCode": "COMP",
"min": 0,
"definition": "Drawn from concept domain DocumentSectionType",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Section.component.typeCode",
"base": {
"max": "1",
"min": 0,
"path": "Section.component.typeCode"
}
}, {
"id": "Section.component.contextConductionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Section.component.contextConductionInd"
},
"path": "Section.component.contextConductionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"fixedBoolean": true,
"representation": [ "xmlAttr" ]
}, {
"id": "Section.component.section",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Section.component.section"
},
"path": "Section.component.section",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Section"
} ]
} ]
},
"status": "draft",
"id": "061c54fa-58bc-4242-8400-4ceb8f097029",
"kind": "logical",
"url": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection",
"identifier": [ {
"value": "urn:hl7ii:2.16.840.1.113883.10.20.22.2.21.1:2022-02-14"
} ],
"version": "3.0.0-ballot",
"differential": {
"element": [ {
"id": "Section",
"path": "Section",
"constraint": [ {
"key": "shall-adv-directive-organizer",
"human": "SHALL contain at least one Advance Directive Organizer",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection",
"severity": "error",
"expression": "nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer'))"
} ]
}, {
"id": "Section.nullFlavor",
"path": "Section.nullFlavor",
"short": "If a required section contains no information, the @nullFlavor MAY be set to NI"
}, {
"id": "Section.templateId",
"min": 1,
"path": "Section.templateId",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "root",
"type": "value"
}, {
"path": "extension",
"type": "value"
} ]
}
}, {
"id": "Section.templateId:section",
"max": "1",
"min": 1,
"path": "Section.templateId",
"sliceName": "section"
}, {
"id": "Section.templateId:section.root",
"min": 1,
"path": "Section.templateId.root",
"patternString": "2.16.840.1.113883.10.20.22.2.21.1"
}, {
"id": "Section.templateId:section.extension",
"min": 1,
"path": "Section.templateId.extension",
"patternString": "2022-02-14"
}, {
"id": "Section.code",
"min": 1,
"path": "Section.code",
"short": "Advance Directives"
}, {
"id": "Section.code.code",
"min": 1,
"path": "Section.code.code",
"patternCode": "42348-3"
}, {
"id": "Section.code.codeSystem",
"min": 1,
"path": "Section.code.codeSystem",
"patternString": "2.16.840.1.113883.6.1"
}, {
"id": "Section.title",
"min": 1,
"path": "Section.title"
}, {
"id": "Section.text",
"min": 1,
"path": "Section.text"
}, {
"id": "Section.entry",
"path": "Section.entry",
"short": "If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW):",
"comment": "SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "observation",
"type": "profile"
}, {
"path": "organizer",
"type": "profile"
} ]
}
}, {
"id": "Section.entry:observation",
"max": "*",
"min": 0,
"path": "Section.entry",
"comment": "MAY contain zero or more [0..*] entry such that it",
"sliceName": "observation"
}, {
"id": "Section.entry:observation.observation",
"min": 1,
"path": "Section.entry.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation" ]
} ],
"comment": "SHALL contain exactly one [1..1] Advance Directive Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2022-02-14) (CONF:1198-15443)."
}, {
"id": "Section.entry:organizer",
"max": "*",
"min": 0,
"path": "Section.entry",
"comment": "SHALL contain one or more [1.*] entry such that it",
"sliceName": "organizer"
}, {
"id": "Section.entry:organizer.organizer",
"min": 1,
"path": "Section.entry.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer" ]
} ],
"comment": "SHALL contain exactly one [1..1] Advance Directive Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2022-02-14)."
} ]
},
"contact": [ {
"name": "HL7 International - Structured Documents",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/structure",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/cda/stds/core/StructureDefinition/Section"
}