1.3.6.1.4.1.19376.1.5.3.1.4.13.7
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Advance Directive Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
An advance directive observation is a simple observation that uses a specific vocabulary, and inherits constraints from CCD.
Standards
| CCD | ASTM/HL7 Continuity of Care Document |
Uses
See Templates using Advance Directive Observation
Specification
<observation typeCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <templateId root='2.16.840.1.113883.10.20.1.17'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.7'/> <id root=' ' extension=' '/> <code code=' ' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/> <text><reference value='#xxx'/></text> <statusCode code='completed'/> <effectiveTime value=' '/> |
An advanced directive <observation> shall be represented as shown above. They shall not contain any <repeatNumber>, <interpretationCode>, <methodCode> or <targetSiteCode> elements.
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<templateId root='2.16.840.1.113883.10.20.1.17'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.7'/>
The <templateId> elements shown above shall be present, and indicated that this is an Advance Directive entry.
<code code=' ' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
The <code> element records the type of advance directive. It should use one of the following SNOMED codes in the table below.
| Code | Description | Data Type |
|---|---|---|
| 304251008 | Resuscitation | BL |
| 52765003 | Intubation | |
| 225204009 | IV Fluid and Support | |
| 89666000 | CPR | |
| 281789004 | Antibiotics | |
| 78823007 | Life Support | |
| 61420007 | Tube Feedings | |
| 116859006 | Transfusion of blood product | |
| 71388002 | Other Directive | <value> not permitted |
<value xsi:type='BL' value='true|false'/>
The advance directive observation may include a <value> element using the Boolean (xsi:type='BL') data type to indicate simply whether the procedure described is permitted. Absence of the the <value> element indicates that an advance directive of the specified type has been recorded, and must be examined to determine what type of treatment should be performed. The value element is not permitted when the <code> element describes an Other directive.
<reference typeCode='REFR'>
<templateId root='2.16.840.1.113883.10.20.1.36'/>
<externalDocument classCode='DOC' moodCode='EVN'>
<id root=' ' extension=' '/>
<text><reference value=' '/></text>
The advanced directive observation may contain a single reference to an external document. That reference shall be recorded as shown above. The <id> element shall contain the appropriate root and extension attributes to identify the document. The <text> element may be present to provide a URL link to the document in the value attribute of the <reference> element. If the <reference> element is present, the Advance Directive in the narrative shall contain a <linkHTML> element to the same URL found in the value attribute.