HL7.FHIR.US.PACIO-ADI\ADI Personal Advance Care Plan Composition

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: ADI Personal Advance Care Plan Composition

Defining URL:

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

Version:

0.1.0

Name:

PADIPACPComposition

Title:

ADI Personal Advance Care Plan Composition

Status:

Active as of 2021-11-08T23:13:35+00:00

Definition:

This profile encompasses information that makes up the author’s advance care information plan.

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-PACPComposition

This profile defines the requirements for communicating a Personal Advance Care Plan using a [Composition] Resource. It is used to create a person generated document which is authored by the subject of the document (the patient). It contains information about the person’s goals, preferences, and priorities (GPPs) for care and treatment under certain future conditions.

Formal Views of Profile Content

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

This structure is derived from PADIHeader

Summary

Mandatory: 5 elements (10 nested mandatory elements)
Must-Support: 24 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of pattern:code

This structure is derived from PADIHeader

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	PADIHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
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:healthcare_agent_appointment	SI	1..1	BackboneElement	Composition is broken into sections HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
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: 81335-2
orderedBy	S	0..1	CodeableConcept	Order of section entries
entry	S	0..*	Reference(ADI Participant Consent \| ADI Participant)	A reference to data that supports this section
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section:gpp_personal_care_experience	S	0..1	BackboneElement	Composition is broken into sections
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: 81338-6
entry	S	0..*	Reference(ADI Care Experience Preference \| ADI Personal Priorities Organizer \| ADI Personal Goal)	A reference to data that supports this section
section:gpp_for_certain_health_condition	S	0..1	BackboneElement	Composition is broken into sections
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: 81336-0
entry	S	0..*	Reference(ADI Preference Care Plan)	A reference to data that supports this section
section:gpp_upon_death	S	0..1	BackboneElement	Composition is broken into sections
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: 81337-8
entry	S	0..*	Reference(ADI Preference Care Plan \| Personal Intervention Preference \| ADI Personal Priorities Organizer \| ADI Autopsy Observation \| ADI Organ Donation \| ADI Personal Goal)	A reference to data that supports this section
section:additional_documentation	S	0..1	BackboneElement	Composition is broken into sections
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	Composition is broken into sections
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(RelatedPerson)	A reference to data that supports this section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	PADIHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	string	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) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
padi-versionNumber-extension	S	0..1	integer	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension	S	0..1	Period	Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-jurisdiction-extension		0..*	CodeableConcept	Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible)
padi-dataEnterer-extension	S	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/padi-dataEnterer-extension
padi-informant-extension	S	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/padi-informant-extension
padi-informationRecipient-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| US Core Patient Profile \| RelatedPerson \| US Core Organization Profile)	Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson)	Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension	S	0..*	Reference(Consent)	Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-order-extension	S	0..*	Reference(ServiceRequest)	Order URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-order-extension
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
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: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category	SΣ	1..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
encounter	SΣ	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 Practitioner Profile \| US Core PractitionerRole Profile \| PractitionerRole \| US Core Patient Profile \| Device \| RelatedPerson)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension		1..1	(Complex)	Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
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
attester:legal_attester	S	0..1	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson \| US Core Organization Profile)	Who attested the composition
attester:notary_attester	S	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(RelatedPerson)	Who attested the composition
attester:witness_attester	S	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(US Core Patient Profile \| RelatedPerson)	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(Resource)	The event(s) being documented
Slices for section	I	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
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
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	SI	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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:healthcare_agent_appointment	SI	1..1	BackboneElement	Composition is broken into sections HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81335-2
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
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	I	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	S	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SI	0..*	Reference(ADI Participant Consent \| ADI Participant)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section	I	0..*	See section (Composition)	Nested Section
section:gpp_personal_care_experience	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81338-6
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	I	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	SI	0..*	Reference(ADI Care Experience Preference \| ADI Personal Priorities Organizer \| ADI Personal Goal)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:gpp_for_certain_health_condition	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81336-0
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
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	I	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	SI	0..*	Reference(ADI Preference Care Plan)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:gpp_upon_death	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81337-8
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	I	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	SI	0..*	Reference(ADI Preference Care Plan \| Personal Intervention Preference \| ADI Personal Priorities Organizer \| ADI Autopsy Observation \| ADI Organ Donation \| ADI Personal Goal)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:additional_documentation	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	I	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	I	0..*	Reference(ADI Documentation Observation)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:witness_and_notary	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	I	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	I	0..*	Reference(RelatedPerson)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	PADIHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
language		1..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
padi-versionNumber-extension		0..1	integer	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension		0..1	Period	Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-dataEnterer-extension		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/padi-dataEnterer-extension
padi-informant-extension		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/padi-informant-extension
padi-informationRecipient-extension		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| US Core Patient Profile \| RelatedPerson \| US Core Organization Profile)	Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson)	Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension		0..*	Reference(Consent)	Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-order-extension		0..*	Reference(ServiceRequest)	Order URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-order-extension
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
identifier	Σ	1..1	Identifier	Version-independent identifier for the Composition
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category	Σ	1..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	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	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| PractitionerRole \| US Core Patient Profile \| Device \| RelatedPerson)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
attester:legal_attester		0..1	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
party		1..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson \| US Core Organization Profile)	Who attested the composition
attester:notary_attester		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
party		1..1	Reference(RelatedPerson)	Who attested the composition
attester:witness_attester		0..*	BackboneElement	Attests to accuracy of composition
mode		1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
party		1..1	Reference(US Core Patient Profile \| RelatedPerson)	Who attested the composition
custodian	Σ	1..1	Reference(US Core Organization Profile)	Organization which maintains the composition
Slices for section	I	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
text	I	1..1	Narrative	Text summary of the section, for human interpretation
section:healthcare_agent_appointment	I	1..1	BackboneElement	Composition is broken into sections HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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: 81335-2
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	I	0..*	Reference(ADI Participant Consent \| ADI Participant)	A reference to data that supports this section
section:gpp_personal_care_experience	I	0..1	BackboneElement	Composition is broken into sections
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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: 81338-6
entry	I	0..*	Reference(ADI Care Experience Preference \| ADI Personal Priorities Organizer \| ADI Personal Goal)	A reference to data that supports this section
section:gpp_for_certain_health_condition	I	0..1	BackboneElement	Composition is broken into sections
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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: 81336-0
entry	I	0..*	Reference(ADI Preference Care Plan)	A reference to data that supports this section
section:gpp_upon_death	I	0..1	BackboneElement	Composition is broken into sections
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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: 81337-8
entry	I	0..*	Reference(ADI Preference Care Plan \| Personal Intervention Preference \| ADI Personal Priorities Organizer \| ADI Autopsy Observation \| ADI Organ Donation \| ADI Personal Goal)	A reference to data that supports this section
section:additional_documentation	I	0..1	BackboneElement	Composition is broken into sections
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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
section:witness_and_notary	I	0..1	BackboneElement	Composition is broken into sections
padi-clause-extension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title		1..1	string	Label for section (e.g. for ToC)
code		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
Documentation for this format

This structure is derived from PADIHeader

Summary

Mandatory: 5 elements (10 nested mandatory elements)
Must-Support: 24 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of pattern:code

Differential View

This structure is derived from PADIHeader

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	PADIHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
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:healthcare_agent_appointment	SI	1..1	BackboneElement	Composition is broken into sections HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
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: 81335-2
orderedBy	S	0..1	CodeableConcept	Order of section entries
entry	S	0..*	Reference(ADI Participant Consent \| ADI Participant)	A reference to data that supports this section
emptyReason		0..1	CodeableConcept	Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section:gpp_personal_care_experience	S	0..1	BackboneElement	Composition is broken into sections
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: 81338-6
entry	S	0..*	Reference(ADI Care Experience Preference \| ADI Personal Priorities Organizer \| ADI Personal Goal)	A reference to data that supports this section
section:gpp_for_certain_health_condition	S	0..1	BackboneElement	Composition is broken into sections
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: 81336-0
entry	S	0..*	Reference(ADI Preference Care Plan)	A reference to data that supports this section
section:gpp_upon_death	S	0..1	BackboneElement	Composition is broken into sections
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: 81337-8
entry	S	0..*	Reference(ADI Preference Care Plan \| Personal Intervention Preference \| ADI Personal Priorities Organizer \| ADI Autopsy Observation \| ADI Organ Donation \| ADI Personal Goal)	A reference to data that supports this section
section:additional_documentation	S	0..1	BackboneElement	Composition is broken into sections
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	Composition is broken into sections
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(RelatedPerson)	A reference to data that supports this section
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	PADIHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	string	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) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
padi-versionNumber-extension	S	0..1	integer	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension	S	0..1	Period	Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-jurisdiction-extension		0..*	CodeableConcept	Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible)
padi-dataEnterer-extension	S	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/padi-dataEnterer-extension
padi-informant-extension	S	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/padi-informant-extension
padi-informationRecipient-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| US Core Patient Profile \| RelatedPerson \| US Core Organization Profile)	Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson)	Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension	S	0..*	Reference(Consent)	Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-order-extension	S	0..*	Reference(ServiceRequest)	Order URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-order-extension
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
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: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category	SΣ	1..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who and/or what the composition is about
encounter	SΣ	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 Practitioner Profile \| US Core PractitionerRole Profile \| PractitionerRole \| US Core Patient Profile \| Device \| RelatedPerson)	Who and/or what authored the composition
title	SΣ	1..1	string	Human Readable name/title
Slices for attester		0..*	BackboneElement	Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension		1..1	(Complex)	Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
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
attester:legal_attester	S	0..1	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| RelatedPerson \| US Core Organization Profile)	Who attested the composition
attester:notary_attester	S	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(RelatedPerson)	Who attested the composition
attester:witness_attester	S	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	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(US Core Patient Profile \| RelatedPerson)	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(Resource)	The event(s) being documented
Slices for section	I	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code
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
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	SI	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	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:healthcare_agent_appointment	SI	1..1	BackboneElement	Composition is broken into sections HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81335-2
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
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	I	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	S	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SI	0..*	Reference(ADI Participant Consent \| ADI Participant)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section	I	0..*	See section (Composition)	Nested Section
section:gpp_personal_care_experience	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81338-6
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	I	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	SI	0..*	Reference(ADI Care Experience Preference \| ADI Personal Priorities Organizer \| ADI Personal Goal)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:gpp_for_certain_health_condition	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81336-0
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
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	I	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	SI	0..*	Reference(ADI Preference Care Plan)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:gpp_upon_death	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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: 81337-8
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	I	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	SI	0..*	Reference(ADI Preference Care Plan \| Personal Intervention Preference \| ADI Personal Priorities Organizer \| ADI Autopsy Observation \| ADI Organ Donation \| ADI Personal Goal)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:additional_documentation	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	I	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	I	0..*	Reference(ADI Documentation Observation)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
section:witness_and_notary	SI	0..1	BackboneElement	Composition is broken into sections
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
padi-clause-extension	S	0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-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	I	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	I	0..*	Reference(RelatedPerson)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	I	0..*	See section (Composition)	Nested Section
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Max Binding: AllLanguages
Composition.status	required	CompositionStatus
Composition.type	extensible	PADIAdvanceDirectiveCategoriesVS
Composition.category	example	DocumentClassValueSet
Composition.attester.mode	required	CompositionAttestationMode
Composition.attester:legal_attester.mode	required	Pattern: legal
Composition.attester:notary_attester.mode	required	Pattern: professional
Composition.attester:witness_attester.mode	required	Pattern: personal
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:healthcare_agent_appointment.code	example	Pattern: LOINC code 81335-2
Composition.section:healthcare_agent_appointment.mode	required	ListMode
Composition.section:healthcare_agent_appointment.orderedBy	preferred	ListOrderCodes
Composition.section:healthcare_agent_appointment.emptyReason	required	PADINoHealthcareAgentIncludedReasonVS
Composition.section:gpp_personal_care_experience.code	example	Pattern: LOINC code 81338-6
Composition.section:gpp_personal_care_experience.mode	required	ListMode
Composition.section:gpp_personal_care_experience.orderedBy	preferred	ListOrderCodes
Composition.section:gpp_personal_care_experience.emptyReason	preferred	ListEmptyReasons
Composition.section:gpp_for_certain_health_condition.code	example	Pattern: LOINC code 81336-0
Composition.section:gpp_for_certain_health_condition.mode	required	ListMode
Composition.section:gpp_for_certain_health_condition.orderedBy	preferred	ListOrderCodes
Composition.section:gpp_for_certain_health_condition.emptyReason	preferred	ListEmptyReasons
Composition.section:gpp_upon_death.code	example	Pattern: LOINC code 81337-8
Composition.section:gpp_upon_death.mode	required	ListMode
Composition.section:gpp_upon_death.orderedBy	preferred	ListOrderCodes
Composition.section:gpp_upon_death.emptyReason	preferred	ListEmptyReasons
Composition.section:additional_documentation.code	example	Pattern: LOINC code 77599-9
Composition.section:additional_documentation.mode	required	ListMode
Composition.section:additional_documentation.orderedBy	preferred	ListOrderCodes
Composition.section:additional_documentation.emptyReason	preferred	ListEmptyReasons
Composition.section:witness_and_notary.code	example	Pattern: LOINC code 81339-4
Composition.section:witness_and_notary.mode	required	ListMode
Composition.section:witness_and_notary.orderedBy	preferred	ListOrderCodes
Composition.section:witness_and_notary.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Path	Details	Requirements
HCA-section-entries	Composition.section:healthcare_agent_appointment	If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist : entry.exists().not() or (entry.where($this.resolve() is Consent).exists() and entry.where($this.resolve() is relatedPerson).exists())