description: The Advance Directive Organizer includes information about who verified the content available in each advance healthcare directive source document or other verified source documentation. \nWhen documenting the existence of advance healthcare directive document(s), the organizer contains an observation which includes information about the kind of advance healthcare directive source document (e.g., Living Will, Personal Advance Care Plan, Portable Medical Order).  This observation provides identifier references to the external source advance healthcare directive document.\n\nIf a person has appointed healthcare agent(s), the organizer includes the current healthcare agent(s) information, and a reference to the external document which contains the healthcare agent appointment decisions. \nAdditional observations summarizing the type of content included in the advance directive source documents also can be included. Treatment Intervention Preferences, Care Experience Preferences, Upon Death Preferencesand Personal Health Goals may be considered relevant by the organization rendering care services to the patient and  included in the organizer as well although duplicating information is discouraged.\n\nWhen the existing advance healthcare directive document is a portable medical order, Advance Directive Observations are used to summarize the types of portable orders in the verified document. This provides new summary “structured data” for portable medical orders that often are still exchanged as scanned images.\n\nProvenance information such as author, performer, informant and participant can be used with the Organizer to minimize redundancy on each component Observation.
package_name: hl7.cda.us.ccda
derivation: constraint
name: AdvanceDirectiveOrganizer
type: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
elements:
  sdtcText:
    short: SHOULD reference the portion of section narrative text corresponding to this entry
    index: 10
    elements:
      reference:
        constraint:
          value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer', severity: error, expression: value.exists() implies value.startsWith('#')}
        index: 11
  participant: {short: SHOULD contain participant, index: 16}
  component:
    index: 17
    slicing:
      rules: open
      discriminator:
      - {path: observation, type: profile}
      min: 1
      slices:
        advDirObs:
          match: {}
          schema:
            array: true
            min: 1
            _required: true
            index: 18
            elements:
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 19}
            required: [observation]
  classCode:
    pattern: {type: Code, value: CLUSTER}
    index: 4
  author: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Author', index: 14}
  id: {index: 6}
  code:
    short: Advance directive/living will completed
    index: 7
    elements:
      code:
        pattern: {type: Code, value: 45473-6}
        index: 8
      codeSystem:
        short: LOINC
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 9
    required: [codeSystem, code]
  moodCode: {index: 5}
  templateId:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        advance-directive-org:
          match: {root: 2.16.840.1.113883.10.20.22.4.108, extension: '2022-02-14'}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.108}
                index: 2
              extension:
                pattern: {type: String, value: '2022-02-14'}
                index: 3
            required: [root, extension]
            extensions: {}
  statusCode:
    index: 12
    elements:
      code:
        pattern: {type: Code, value: completed}
        index: 13
    required: [code]
  informant: {short: SHOULD contain informant, index: 15}
package_version: 4.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveOrganizer
base: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
version: 4.0.0-ballot
required: [component, id, templateId, code]