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Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

HL7 CDA® R2 Implementation Guide: C-CDA R2.1; Advance Directives Templates, Release 1 - US Realm

2. Standards Material/Document

STU Extension

3. Date of Request

Jun 04, 2020

4. Use Period

5. Reason for extension, timeline, and actions

The standard continues to undergo trial use and is moving towards Normative. A C-CDA Supplement is dependent on C-CDA going Normative first prior to the supplement going normative.

6. Original Publication Date

Mar 27, 2018

7. End date of the current STU period

Mar 27, 2020

8. Length of the requested extension

2 years

9. Review Process

10. HL7 Work Group making this request and date

Structured Documents

10a. Requesting WG Date

Jun 04, 2020

11. URL of approval minutes

12. HL7 Product Management Group

CDA Management Group

12a. Management Group Date of Approval

Jun 03, 2020

13. URL of approval minutes

14. Is the artifact ready for final publication?


15. If not ready, please describe remaining steps.


16. Tool name used to produce the machine processable artifacts in the IG


17. The name of the “IG artifact” within the context of the above mentioned tool.

HL7 CDA® R2 Implementation Guide: C-CDA R2.1; Advance Directives Templates, Release 1 - US Realm

18. Balloted Name of the standard for which request is being made

19. Requested name for published standard

20. If CMET, list IDs balloted


21. Project Insight Number


22. Document Realm


23. Ballot cycle in which the document was successfully balloted


24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative

26. Negative

27. Abstentions

28. Not Returned

29. Total in ballot pool

30. Date on which final document/standards material was supplied to HQ

31. URL of publication material/ SVN repository

32. Publishing Facilitator

Andrew Statler

33. Special Publication Instructions

34. URL of ballot reconciliation document

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?

36. Substantive Changes Since Last Ballot?

37. Product Brief Reviewed By

Structured Documents

38. Date Product Brief Reviewed

Jun 04, 2020

39. Has the Product Brief changed?


Product Brief

Product Brief

40. Family


41. Section

Implementation Guides

42. Topic

Care Provision Medical Records Attachments Patient Administration Patient Care

43. Please Describe the Topic

This Implementation Guide is used for Advanced Directives. When patient's wishes have been recorded in advance and documents exist with express directions and instructions on the care they are to receive when unable to directly communicate with providers.

44. Product Type

Document Implementation Guide Methodology Specifications Standard Reference Materials

45. Parent standard


46. Parent Standard Status


47. Update/replace standard


48. Common name/search keyword

Advance Directives

49. Description

This Implementation Guide allows EMRs/EHRs to exchange Advance Directive information from patients. When used, this IG provides a Section with entries to indicate whether a patient has Advance Directives on file and can provide a quick way for providers to know if they need to take additional steps when making care decisions for a patient that is unable to make care decisions on their own. In addition, it is possible to attach the Advance Directive documentation to the C-CDA for the exchange so that the receiving provider may add it to the patient medical record file.



These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:

50. Stakeholders

51. Vendors

EHR, PHR, Health Care IT, HIS

52. Providers

Emergency Services Healthcare Institutions (hospitals, long term care, home care, mental health)

53. Benefits

Enables providers to make decisions for their patients while respecting their wishes when they are unable to speak for themselves.

54. Implementations/Case Studies

55. Development Background