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.
package_name: hl7.cda.us.ccda
derivation: constraint
name: AdvanceDirectivesSection
type: http://hl7.org/cda/stds/core/StructureDefinition/Section
elements:
  nullFlavor: {short: 'If a required section contains no information, the @nullFlavor MAY be set to NI', index: 0}
  templateId:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        section:
          match: {root: 2.16.840.1.113883.10.20.22.2.21.1, extension: '2022-02-14'}
          schema:
            _required: true
            index: 2
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.2.21.1}
                index: 3
              extension:
                pattern: {type: String, value: '2022-02-14'}
                index: 4
            required: [root, extension]
            extensions: {}
  code:
    short: Advance Directives
    index: 5
    elements:
      code:
        pattern: {type: Code, value: 42348-3}
        index: 6
      codeSystem:
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 7
    required: [codeSystem, code]
  title: {index: 8}
  text: {index: 9}
  entry:
    short: 'If section/@nullFlavor is not present SHALL contain an Advance Directive Observation OR an Advance Directive Organizer (NEW):'
    index: 10
    slicing:
      rules: open
      discriminator:
      - {path: observation, type: profile}
      - {path: organizer, type: profile}
      min: null
      slices:
        observation:
          match: {}
          schema:
            array: true
            index: 11
            elements:
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 12}
            required: [observation]
        organizer:
          match: {}
          schema:
            array: true
            index: 13
            elements:
              organizer: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Organizer', index: 14}
            required: [organizer]
package_version: 3.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection
base: http://hl7.org/cda/stds/core/StructureDefinition/Section
version: 3.0.0-ballot
required: [text, title, templateId, code]