PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. 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
Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition | Version: 2.1.0 | |||
Active as of 2024-11-01 | Computable Name: ADIPMOComposition |
This profile encompasses information that makes up a practitioner's portable medical order.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ADICompositionHeader
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
author | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | |
event | ||||
detail | 0..* | Reference(ADI PMO ServiceRequest | ADI Participant Consent | ADI PMO Procedure) | The event(s) being documented | |
Slices for section | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
section:All Slices | Content/Rules for all slices | |||
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
section:portable_medical_orders | S | 1..1 | BackboneElement | Portable Medical Orders |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Section clause, additional instructions, or information | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59772-4 | |
Slices for entry | S | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
entry:cardiopulmonary_resuscitation_service_request | S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section |
entry:initial_treatment_service_request | S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section |
entry:additional_orders_or_instructions_service_request | S | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section |
entry:medically_assisted_nutrition_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section |
entry:medically_assisted_hydration_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section |
section:completion_information | S | 0..1 | BackboneElement | Portable medical order completion information |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Administrative, instructional, and/or legal information | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
entry:orders_review | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | |
entry:orders_participant | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | |
entry:hospice_observation | 0..1 | Reference(ADI PMO Hospice Observation) | A reference to data that supports this section | |
entry:hospice_agency | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | |
section:administration_information | S | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Clause | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
entry:adi_personal_goal | S | 0..* | Reference(ADI PtAuthored Personal Goal) | A reference to data that supports this section |
section:additional_documentation | S | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Clause | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |
entry | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section | |
section:witness_and_notary | S | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Clause | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4 | |
entry | 0..* | Reference(ADI Participant) | A reference to data that supports this section | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
versionNumber | S | 1..1 | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | ||||
EffectiveDateExtension | 0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
Jurisdiction | 0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
DataEntererExtension | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
InformantExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
ParticipantExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
PerformerExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required) | ||||
type | SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories (extensible) Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
category | SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Advance directives | |||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
date | SΣ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | ||||
title | SΣ | 1..1 | string | Human Readable name/title | ||||
custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
section:portable_medical_orders | SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59772-4 | |||||
Slices for entry | SC | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:cardiopulmonary_resuscitation_service_request | SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
entry:initial_treatment_service_request | SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
entry:additional_orders_or_instructions_service_request | SC | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section | ||||
entry:medically_assisted_nutrition_service_request | SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section | ||||
entry:medically_assisted_hydration_service_request | SC | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section | ||||
section:completion_information | SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo | |||||
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
entry:hospice_observation | C | 0..1 | Reference(ADI PMO Hospice Observation) | A reference to data that supports this section | ||||
entry:hospice_agency | C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
section:administration_information | SC | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm | |||||
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:adi_personal_goal | SC | 0..* | Reference(ADI PtAuthored Personal Goal) | A reference to data that supports this section | ||||
section:additional_documentation | SC | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |||||
entry | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section | ||||
section:witness_and_notary | SC | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
Slices for extension | Content/Rules for all slices | |||||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4 | |||||
entry | C | 0..* | Reference(ADI Participant) | A reference to data that supports this section | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | ADICompositionStatusVShttp://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS from this IG | ||||
Composition.type | extensible | Pattern: LOINC Code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
Composition.category | example | Pattern: LOINC Code 42348-3("Advance directives")http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.section:portable_medical_orders.code | example | Pattern: LOINC Code 59772-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:completion_information.code | example | Pattern: ldohttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:administration_information.code | example | Pattern: admhttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:additional_documentation.code | example | Pattern: LOINC Code 77599-9http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:witness_and_notary.code | example | Pattern: LOINC Code 81339-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
versionNumber | S | 1..1 | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | ||||
EffectiveDateExtension | 0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
Jurisdiction | 0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
DataEntererExtension | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
InformantExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
ParticipantExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
PerformerExtension | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required) | ||||
type | SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories (extensible) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category | SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Advance directives | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
date | SΣ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | ||||
title | SΣ | 1..1 | string | Human Readable name/title | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 0..* | CodeableConcept | Code(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 | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 0..* | Reference(ADI PMO ServiceRequest | ADI Participant Consent | ADI PMO Procedure) | The event(s) being documented | ||||
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification 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..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:portable_medical_orders | SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59772-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | SC | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:cardiopulmonary_resuscitation_service_request | SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
entry:initial_treatment_service_request | SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
entry:additional_orders_or_instructions_service_request | SC | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section | ||||
entry:medically_assisted_nutrition_service_request | SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section | ||||
entry:medically_assisted_hydration_service_request | SC | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:completion_information | SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
entry:hospice_observation | C | 0..1 | Reference(ADI PMO Hospice Observation) | A reference to data that supports this section | ||||
entry:hospice_agency | C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:administration_information | SC | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:adi_personal_goal | SC | 0..* | Reference(ADI PtAuthored Personal Goal) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:additional_documentation | SC | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:witness_and_notary | SC | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ClauseExtension | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(ADI Participant) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | ADICompositionStatusVShttp://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS from this IG | ||||
Composition.type | extensible | Pattern: LOINC Code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
Composition.category | example | Pattern: LOINC Code 42348-3("Advance directives")http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:portable_medical_orders.code | example | Pattern: LOINC Code 59772-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:portable_medical_orders.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:portable_medical_orders.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:portable_medical_orders.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:completion_information.code | example | Pattern: ldohttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:completion_information.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:completion_information.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:completion_information.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:administration_information.code | example | Pattern: admhttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:administration_information.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:administration_information.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:administration_information.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:additional_documentation.code | example | Pattern: LOINC Code 77599-9http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:additional_documentation.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:additional_documentation.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:additional_documentation.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:witness_and_notary.code | example | Pattern: LOINC Code 81339-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:witness_and_notary.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:witness_and_notary.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:witness_and_notary.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
This structure is derived from ADICompositionHeader
Summary
Mandatory: 5 elements(8 nested mandatory elements)
Must-Support: 23 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ADICompositionHeader
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
author | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | |
event | ||||
detail | 0..* | Reference(ADI PMO ServiceRequest | ADI Participant Consent | ADI PMO Procedure) | The event(s) being documented | |
Slices for section | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
section:All Slices | Content/Rules for all slices | |||
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
section:portable_medical_orders | S | 1..1 | BackboneElement | Portable Medical Orders |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Section clause, additional instructions, or information | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59772-4 | |
Slices for entry | S | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
entry:cardiopulmonary_resuscitation_service_request | S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section |
entry:initial_treatment_service_request | S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section |
entry:additional_orders_or_instructions_service_request | S | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section |
entry:medically_assisted_nutrition_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section |
entry:medically_assisted_hydration_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section |
section:completion_information | S | 0..1 | BackboneElement | Portable medical order completion information |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Administrative, instructional, and/or legal information | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
entry:orders_review | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | |
entry:orders_participant | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | |
entry:hospice_observation | 0..1 | Reference(ADI PMO Hospice Observation) | A reference to data that supports this section | |
entry:hospice_agency | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | |
section:administration_information | S | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information |
Slices for extension | Content/Rules for all slices | |||
extension:ClauseExtension | 0..* | ClauseExtension | Clause | |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
entry:adi_personal_goal | S | 0..* | Reference(ADI PtAuthored Personal Goal) | A reference to data that supports this section |