PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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 Personal Priorities Organizer

Defining URL:http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer
Version:0.1.0
Name:PADIPersonalPrioritiesOrganizer
Title:ADI Personal Priorities Organizer
Status:Active as of 12/3/21, 11:52 PM
Definition:

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

Publisher:HL7 Patient Empowerment Working Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer

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.

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 0..*ListA list is a curated collection of resources
... text S1..1NarrativeText summary of the resource, for human interpretation
... status S1..1codecurrent | retired | entered-in-error
... title 1..1stringDescriptive name for the list
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81340-2
... subject S1..1Reference(US Core Patient Profile)If all resources have the same subject
... orderedBy S1..1CodeableConceptWhat order the list has
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-order
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: priority
... entry
.... item 1..1Reference(ADI Personal Goal | Personal Intervention Preference)Actual entry

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. List I0..*ListA list is a curated collection of resources
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text S1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecurrent | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.

... mode ?!Σ1..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ1..1stringDescriptive name for the list
Example General: Dr. Jane's Patients
... code Σ1..1CodeableConceptWhat the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81340-2
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)If all resources have the same subject
... encounter 0..1Reference(Encounter)Context in which list created
... date Σ0..1dateTimeWhen the list was prepared
... source Σ0..1Reference(Practitioner | PractitionerRole | Patient | Device)Who and/or what defined the list contents (aka Author)
... orderedBy S1..1CodeableConceptWhat order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-order
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: priority
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... note 0..*AnnotationComments about the list
... entry I0..*BackboneElementEntries in the list
.... 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
.... flag 0..1CodeableConceptStatus/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 ?!I0..1booleanIf this item is actually marked as deleted
.... date 0..1dateTimeWhen item added to list
.... item 1..1Reference(ADI Personal Goal | Personal Intervention Preference)Actual entry
... emptyReason I0..1CodeableConceptWhy list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. List I0..*ListA list is a curated collection of resources
... text 1..1NarrativeText summary of the resource, for human interpretation
... status ?!Σ1..1codecurrent | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.

... subject Σ1..1Reference(US Core Patient Profile)If all resources have the same subject
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-order
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: priority

doco Documentation for this format

Differential View

This structure is derived from List

NameFlagsCard.TypeDescription & Constraintsdoco
.. List 0..*ListA list is a curated collection of resources
... text S1..1NarrativeText summary of the resource, for human interpretation
... status S1..1codecurrent | retired | entered-in-error
... title 1..1stringDescriptive name for the list
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81340-2
... subject S1..1Reference(US Core Patient Profile)If all resources have the same subject
... orderedBy S1..1CodeableConceptWhat order the list has
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-order
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: priority
... entry
.... item 1..1Reference(ADI Personal Goal | Personal Intervention Preference)Actual entry

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. List I0..*ListA list is a curated collection of resources
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text S1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness identifier
... status ?!SΣ1..1codecurrent | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.

... mode ?!Σ1..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.

... title Σ1..1stringDescriptive name for the list
Example General: Dr. Jane's Patients
... code Σ1..1CodeableConceptWhat the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81340-2
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)If all resources have the same subject
... encounter 0..1Reference(Encounter)Context in which list created
... date Σ0..1dateTimeWhen the list was prepared
... source Σ0..1Reference(Practitioner | PractitionerRole | Patient | Device)Who and/or what defined the list contents (aka Author)
... orderedBy S1..1CodeableConceptWhat order the list has
Binding: ListOrderCodes (preferred): What order applies to the items in a list.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-order
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: priority
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... note 0..*AnnotationComments about the list
... entry I0..*BackboneElementEntries in the list
.... 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
.... flag 0..1CodeableConceptStatus/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 ?!I0..1booleanIf this item is actually marked as deleted
.... date 0..1dateTimeWhen item added to list
.... item 1..1Reference(ADI Personal Goal | Personal Intervention Preference)Actual entry
... emptyReason I0..1CodeableConceptWhy list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
List.languagepreferredCommonLanguages
Max Binding: AllLanguages
List.statusrequiredListStatus
List.moderequiredListMode
List.codeexamplePattern: LOINC code 81340-2
List.orderedBypreferredPattern: priority
List.entry.flagexamplePatientMedicineChangeTypes
List.emptyReasonpreferredListEmptyReasons