PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2 United States of America flag

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

Resource Profile: ADI Personal Priorities Organizer

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalPrioritiesOrganizer Version: 2.1.0
Active as of 2024-05-09 Computable Name: ADIPersonalPrioritiesOrganizer

Personal Priorities Organizer is used to represent a set of personal goals, preferences or care experiences in a preferred ranked order.

The ADI Personal Priorities organizer represents the patient’s ranked preferences for their stated personal goals of care, which is related to 8.12.1. A patient may rank avoiding prolonged dependence on machines higher than being able to die at home, which can impact the medical team’s recommendations as to which interventions and associated known outcomes would most closely result in the highest ranked priorities of the patient.

Usage:

Formal Views of Profile Content

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

This structure is derived from List

NameFlagsCard.TypeDescription & Constraintsdoco
.. List List
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... status S 1..1 code current | retired | entered-in-error
... title 1..1 string Descriptive name for the list
.... 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: 81340-2
... subject S 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... orderedBy S 1..1 CodeableConcept What order the list has
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://terminology.hl7.org/CodeSystem/list-order
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority
... entry
.... item 1..1 Reference(ADI Personal Goal | Personal Intervention Preference | ADI Care Experience Preference) Actual entry

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
lst-2: The deleted flag can only be used if the mode of the list is "changes"
lst-3: An entry date can only be used if the mode of the list is "working"
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


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: 81340-2
... subject SΣ 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... orderedBy S 1..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


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://terminology.hl7.org/CodeSystem/list-order
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.statusrequiredListStatus
http://hl7.org/fhir/ValueSet/list-status|4.0.1
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
List.codeexamplePattern: LOINC code 81340-2
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredPattern: priority
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
lst-2: The deleted flag can only be used if the mode of the list is "changes"
lst-3: An entry date can only be used if the mode of the list is "working"
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.

... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


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: 81340-2
..... 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
... subject SΣ 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... encounter 0..1 Reference(Encounter) Context in which list created
... date Σ 0..1 dateTime When the list was prepared
... source Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
... orderedBy S 1..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


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://terminology.hl7.org/CodeSystem/list-order
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority
..... 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
... note 0..* Annotation Comments about the list
... entry C 0..* BackboneElement Entries in the list
.... 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
.... flag 0..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date 0..1 dateTime When item added to list
.... item 1..1 Reference(ADI Personal Goal | Personal Intervention Preference | ADI Care Experience Preference) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
List.statusrequiredListStatus
http://hl7.org/fhir/ValueSet/list-status|4.0.1
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
List.codeexamplePattern: LOINC code 81340-2
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredPattern: priority
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard
List.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Differential View

This structure is derived from List

NameFlagsCard.TypeDescription & Constraintsdoco
.. List List
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... status S 1..1 code current | retired | entered-in-error
... title 1..1 string Descriptive name for the list
.... 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: 81340-2
... subject S 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... orderedBy S 1..1 CodeableConcept What order the list has
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://terminology.hl7.org/CodeSystem/list-order
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority
... entry
.... item 1..1 Reference(ADI Personal Goal | Personal Intervention Preference | ADI Care Experience Preference) Actual entry

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
lst-2: The deleted flag can only be used if the mode of the list is "changes"
lst-3: An entry date can only be used if the mode of the list is "working"
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


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: 81340-2
... subject SΣ 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... orderedBy S 1..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


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://terminology.hl7.org/CodeSystem/list-order
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.statusrequiredListStatus
http://hl7.org/fhir/ValueSet/list-status|4.0.1
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
List.codeexamplePattern: LOINC code 81340-2
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredPattern: priority
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. List C 0..* List A list is a curated collection of resources
lst-1: A list can only have an emptyReason if it is empty
lst-2: The deleted flag can only be used if the mode of the list is "changes"
lst-3: An entry date can only be used if the mode of the list is "working"
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier
... status ?!SΣ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.

... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ 1..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


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: 81340-2
..... 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
... subject SΣ 1..1 Reference(US Core Patient Profile) If all resources have the same subject
... encounter 0..1 Reference(Encounter) Context in which list created
... date Σ 0..1 dateTime When the list was prepared
... source Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | Device) Who and/or what defined the list contents (aka Author)
... orderedBy S 1..1 CodeableConcept What order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


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://terminology.hl7.org/CodeSystem/list-order
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: priority
..... 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
... note 0..* Annotation Comments about the list
... entry C 0..* BackboneElement Entries in the list
.... 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
.... flag 0..1 CodeableConcept Status/Workflow information about this item
Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.

.... deleted ?!C 0..1 boolean If this item is actually marked as deleted
.... date 0..1 dateTime When item added to list
.... item 1..1 Reference(ADI Personal Goal | Personal Intervention Preference | ADI Care Experience Preference) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
List.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
List.statusrequiredListStatus
http://hl7.org/fhir/ValueSet/list-status|4.0.1
from the FHIR Standard
List.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
List.codeexamplePattern: LOINC code 81340-2
http://hl7.org/fhir/ValueSet/list-example-codes
from the FHIR Standard
List.orderedBypreferredPattern: priority
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
List.entry.flagexamplePatientMedicineChangeTypes
http://hl7.org/fhir/ValueSet/list-item-flag
from the FHIR Standard
List.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron