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: 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*PADIHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for section 1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:healthcare_agent_appointment SI1..1BackboneElementComposition 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 S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81335-2
..... orderedBy S0..1CodeableConceptOrder of section entries
..... entry S0..*Reference(ADI Participant Consent | ADI Participant)A reference to data that supports this section
..... emptyReason 0..1CodeableConceptWhy the section is empty
Binding: No Healthcare Agent Included Reason (required)
.... section:gpp_personal_care_experience S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81338-6
..... entry S0..*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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81336-0
..... entry S0..*Reference(ADI Preference Care Plan)A reference to data that supports this section
.... section:gpp_upon_death S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81337-8
..... entry S0..*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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol 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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81339-4
..... entry 0..*Reference(RelatedPerson)A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*PADIHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... padi-versionNumber-extension S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... padi-effective-date-extension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... padi-jurisdiction-extension 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... padi-dataEnterer-extension S0..1Reference(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 S0..*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 S0..*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 S0..*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 S0..*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 S0..*Reference(Consent)Authorization
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
... padi-order-extension S0..*Reference(ServiceRequest)Order
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-order-extension
... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter SΣ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... Slices for attester 0..*BackboneElementAttests to accuracy of composition
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 1..*ExtensionExtension
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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.... attester:legal_attester S0..1BackboneElementAttests to accuracy of composition
..... 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
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
.... attester:notary_attester S0..*BackboneElementAttests to accuracy of composition
..... 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
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(RelatedPerson)Who attested the composition
.... attester:witness_attester S0..*BackboneElementAttests to accuracy of composition
..... 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
..... mode S1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian SΣ1..1Reference(US Core Organization Profile)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... 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
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... 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
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section I1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:healthcare_agent_appointment SI1..1BackboneElementComposition 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..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 81335-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy S0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*Reference(ADI Participant Consent | ADI Participant)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: No Healthcare Agent Included Reason (required)
..... section I0..*See section (Composition)Nested Section
.... section:gpp_personal_care_experience SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 81338-6
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:gpp_for_certain_health_condition SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 81336-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*Reference(ADI Preference Care Plan)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:gpp_upon_death SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 81337-8
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*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 I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:additional_documentation SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 77599-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(ADI Documentation Observation)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:witness_and_notary SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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: 81339-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(RelatedPerson)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*PADIHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... language 1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... padi-versionNumber-extension 0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... padi-effective-date-extension 0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-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 Σ1..1IdentifierVersion-independent identifier for the Composition
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category Σ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... attester:legal_attester 0..1BackboneElementAttests to accuracy of composition
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: legal
.... party 1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile)Who attested the composition
... attester:notary_attester 0..*BackboneElementAttests to accuracy of composition
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: professional
.... party 1..1Reference(RelatedPerson)Who attested the composition
... attester:witness_attester 0..*BackboneElementAttests to accuracy of composition
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Required Pattern: personal
.... party 1..1Reference(US Core Patient Profile | RelatedPerson)Who attested the composition
... custodian Σ1..1Reference(US Core Organization Profile)Organization which maintains the composition
... Slices for section I1..*BackboneElementComposition 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 I1..1NarrativeText summary of the section, for human interpretation
.... section:healthcare_agent_appointment I1..1BackboneElementComposition 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..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81335-2
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(ADI Participant Consent | ADI Participant)A reference to data that supports this section
.... section:gpp_personal_care_experience I0..1BackboneElementComposition is broken into sections
..... padi-clause-extension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81338-6
..... entry I0..*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 I0..1BackboneElementComposition is broken into sections
..... padi-clause-extension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81336-0
..... entry I0..*Reference(ADI Preference Care Plan)A reference to data that supports this section
.... section:gpp_upon_death I0..1BackboneElementComposition is broken into sections
..... padi-clause-extension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81337-8
..... entry I0..*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 I0..1BackboneElementComposition is broken into sections
..... padi-clause-extension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 77599-9
.... section:witness_and_notary I0..1BackboneElementComposition is broken into sections
..... padi-clause-extension 0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81339-4

doco Documentation for this format

Differential View

This structure is derived from PADIHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*PADIHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... Slices for section 1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:healthcare_agent_appointment SI1..1BackboneElementComposition 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 S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81335-2
..... orderedBy S0..1CodeableConceptOrder of section entries
..... entry S0..*Reference(ADI Participant Consent | ADI Participant)A reference to data that supports this section
..... emptyReason 0..1CodeableConceptWhy the section is empty
Binding: No Healthcare Agent Included Reason (required)
.... section:gpp_personal_care_experience S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81338-6
..... entry S0..*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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81336-0
..... entry S0..*Reference(ADI Preference Care Plan)A reference to data that supports this section
.... section:gpp_upon_death S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81337-8
..... entry S0..*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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol 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 S0..1BackboneElementComposition is broken into sections
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
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://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 81339-4
..... entry 0..*Reference(RelatedPerson)A reference to data that supports this section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*PADIHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... 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
... language S1..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... padi-versionNumber-extension S0..1integerVersion Number
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
... padi-effective-date-extension S0..1PeriodEffective Date
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
... padi-jurisdiction-extension 0..*CodeableConceptJurisdiction
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
Binding: Jurisdiction ValueSet (extensible)
... padi-dataEnterer-extension S0..1Reference(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 S0..*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 S0..*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 S0..*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 S0..*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 S0..*Reference(Consent)Authorization
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
... padi-order-extension S0..*Reference(ServiceRequest)Order
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-order-extension
... padi-clause-extension S0..*(Complex)Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: Advance Directive Categories (extensible)
... category SΣ1..1CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter SΣ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title