PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU1

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/pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: PACIO ADI Header

Defining URL:http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Header
Version:0.1.0
Name:PADIHeader
Title:PACIO ADI Header
Status:Active as of 2021-11-08T23:13:35+00:00
Definition:

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

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-Header

This profile, largely based on the CCDA on FHIR US Realm Header profile, defines requirements that address specific exchange requirements for a composition containing a person’s advance care plan (PACP) information.

In the cases where the patient is not able to “write” the PACP contents due to literacy constraints or physical disability, e.g. hemiplegia, the patient/subject is still considered author of the content, and a data enterer will fill the role of physically creating the document by entering the author’s requested information into the system used to create the document.

Formal Views of Profile Content

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

This structure is derived from Clinical Document

Summary

Mandatory: 5 elements (5 nested mandatory elements)
Must-Support: 30 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

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
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

Constraints

IdPathDetailsRequirements
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()