PACIO Advance Directive Interoperability Implementation Guide
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PACIO Advance Directive Interoperability Implementation Guide, published by HL7 Patient Empowerment Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI Composition Header ( Abstract )

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Composition-Header Version: 0.1.0
Active as of 2023-02-26 Computable Name: ADICompositionHeader

This abstract profile defines constraints that represent common administrative and demographic concepts for advance directives information used in US Realm clinical documents.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... language S1..1codeLanguage of the resource content
... VersionNumber S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... identifier S1..1IdentifierVersion-independent identifier for the Composition
... type S1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category S1..1CodeableConceptCategorization of Composition
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter 0..1Reference(US Core Encounter Profile)Context of the Composition
... date S1..1dateTimeComposition editing time
... author S1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title S1..1stringHuman Readable name/title
... confidentiality 0..0
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: legal
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: professional
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: personal
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian S1..1Reference(US Core Organization Profile)Organization which maintains the composition
... section
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... Jurisdiction 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian SΣ1..1Reference(US Core Organization Profile)Organization which maintains the composition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS
Composition.categoryexampleDocumentClassValueSet
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legal_attester.moderequiredPattern: legal
Composition.attester:notary_attester.moderequiredPattern: professional
Composition.attester:witness_attester.moderequiredPattern: personal
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... VersionNumber S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... Jurisdiction 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian SΣ1..1Reference(US Core Organization Profile)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section C0..*BackboneElementComposition is broken into sections
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... title 0..1stringLabel for section (e.g. for ToC)
.... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
.... text C0..1NarrativeText summary of the section, for human interpretation
.... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C0..*Reference(Resource)A reference to data that supports this section
.... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS
Composition.categoryexampleDocumentClassValueSet
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legal_attester.moderequiredPattern: legal
Composition.attester:notary_attester.moderequiredPattern: professional
Composition.attester:witness_attester.moderequiredPattern: personal
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons

This structure is derived from Clinical Document

Summary

Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.attester is sliced based on the value of value:mode

Differential View

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... language S1..1codeLanguage of the resource content
... VersionNumber S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... identifier S1..1IdentifierVersion-independent identifier for the Composition
... type S1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category S1..1CodeableConceptCategorization of Composition
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter 0..1Reference(US Core Encounter Profile)Context of the Composition
... date S1..1dateTimeComposition editing time
... author S1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title S1..1stringHuman Readable name/title
... confidentiality 0..0
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: legal
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: professional
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension 1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... mode S1..1codepersonal | professional | legal | official
Required Pattern: personal
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian S1..1Reference(US Core Organization Profile)Organization which maintains the composition
... section
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... Jurisdiction 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian SΣ1..1Reference(US Core Organization Profile)Organization which maintains the composition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS
Composition.categoryexampleDocumentClassValueSet
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legal_attester.moderequiredPattern: legal
Composition.attester:notary_attester.moderequiredPattern: professional
Composition.attester:witness_attester.moderequiredPattern: personal

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*Clinical DocumentThis is an abstract profile. Child profiles: Composition
A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... VersionNumber S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... EffectiveDateExtension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... Jurisdiction 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Data Enterer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
... InformatExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson)Informant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
... InformationRecipientExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile)Information Recipient
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
... ParticipantExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson)Participant
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
... PerformerExtension S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Performer
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... id 0..1stringUnique id for inter-element referencing
..... AttestationInformationExtension C1..1(Complex)Attestation Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian SΣ1..1Reference(US Core Organization Profile)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section C0..*BackboneElementComposition is broken into sections
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ClauseExtension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... title 0..1stringLabel for section (e.g. for ToC)
.... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

.... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
.... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
.... text C0..1NarrativeText summary of the section, for human interpretation
.... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... entry C0..*Reference(Resource)A reference to data that supports this section
.... emptyReason C0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section C0..*See section (Composition)Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
Composition.typeextensiblePADIAdvanceDirectiveCategoriesVS
Composition.categoryexampleDocumentClassValueSet
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legal_attester.moderequiredPattern: legal
Composition.attester:notary_attester.moderequiredPattern: professional
Composition.attester:witness_attester.moderequiredPattern: personal
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons

This structure is derived from Clinical Document

Summary

Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.attester is sliced based on the value of value:mode

 

Other representations of profile: CSV, Excel, Schematron