Advance Directive Status Observation

Template ID(s)

2.16.840.1.113883.10.20.1.37
2.16.840.1.113883.10.20.1.57

Description

The Advance Directive status observation is used to convey the status of an advance directive.

RMIM Class

Observation

Profiled Elements

Element

Notes

code [1..1]
CE

The code element must carry code 33999-4 from LOINC code system

effectiveTime [0..1]
IVL

The effectiveTime element identifies the moment in time when the advance directive's status was changed

statusCode [1..1]CS

The statusCode element must be present and must be valued as "completed".

value [1..1]CD

The value of the advance directive status observation must be of type CD and must be drawn from the following SNOMED CT codes

Code

Description

425392003

Current and Verified

425394002

Supported By Healthcare Will

425393008

Supported By Durable Power of Attorney for Healthcare

425396000

Verified With Family Only

310305009

Verified By Medical Record Only

OpenSHR Implementation Notes

Data Model

Obs

Code File

StatusObservationEntryProcessor.java

Permitted Moods

EVN

Additional Constraints

• No additional constraints

Example

The following example represents an Advance Directive status observation which indicates that the advance directive is supported by the patient's legal Will.

<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.37"/>
<templateId root="2.16.840.1.113883.10.20.1.57"/>
<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>
<text representation="TXT" language="en-US">
<reference value="#obs8a4b3b73"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" code="425394002" codeSystem="2.16.840.1.113883.6.96"
displayName="Supported By Healthcare Will"/>
</observation>