PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. 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 PMO Composition

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition | Version: 2.0.0-ballot
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ADIPMOComposition

This profile encompasses information that makes up a practitioner's portable medical order.

This profile defines the requirements for communicating a Portable Medical Order (PMO) using a Composition Resource. It is used to create a provider-generated document which is authored in collaboration with the subject of the document (the patient). It contains information about the person's medical orders, goals, preferences, and priorities (GPPs) for care and treatment under certain future conditions.

It is possible for a PMO composition to only contain textual information and not have any encoded entries. In this case, an implementer may populate the `section.text` element in place of a resource reference in the `section.entry` element.

For a provider-authored composition, the attester is set to legal.

Usages:

- Use this Profile: ADI Bundle
- Refer to this Profile: ADI PMO Participant Observation, ADI PMO Review Observation and ADI Provenance
- Examples for this Profile: Composition/PMO-Example-Smith-Johnson-PMOComposition1

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
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): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Slices for extension |  |  |  | Content/Rules for all slices
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:ExpirationDateExtension |  | 0..1 | dateTime | ADI Expiration Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension
extension:Jurisdiction |  | 0..* | CodeableConcept | US State or local jurisdiction URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction Binding: USPS Two Letter Alphabetic Codes (extensible): Target US State or local jurisdiction.
extension:DataEntererExtension |  | 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/adi-dataEnterer-extension
extension:InformantExtension |  | 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/adi-informant-extension
extension:ParticipantExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension
extension:PerformerExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
extension:DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Healthcare Directive Categories LOINC (extensible) 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: 93037-0
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
category | S Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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: 42348-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance healthcare directives
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
attester | S | 1..* | BackboneElement | Attests to accuracy of composition
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. Required Pattern: legal
party |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
section:portable_medical_orders | S C | 1..1 | BackboneElement | Portable Medical Orders Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S C | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S C | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S C | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
section:completion_information | C | 0..1 | BackboneElement | Portable medical order completion information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
section:administration_information | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal | C | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S C | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S C | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S C | 0..1 | Reference(Binary) | Minimal Source Form
section:gpp_upon_death | C | 0..1 | BackboneElement | Goals, preferences, and priorities upon death Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 |  | 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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(ADI PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
section:minimal_source_form | C | 0..1 | BackboneElement | Minimal source form Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
section:additional_documentation | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
section:witness_and_notary | C | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Healthcare Agent Participant) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | ADICompositionStatusVS `http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS` From this IG
Composition.type | extensible | Pattern Value: LOINC Code 93037-0 `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4` From https://vsac.nlm.nih.gov
Composition.category | example | Pattern Value: LOINC Code 42348-3("Advance healthcare directives") `http://hl7.org/fhir/ValueSet/document-classcodes` From the FHIR Standard
Composition.attester.mode | required | Pattern Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` From the FHIR Standard
Composition.section:portable_medical_orders.code | example | Pattern Value: LOINC Code 93037-0("Portable medical order form") `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:completion_information.code | example | Pattern Value: ldo `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:administration_information.code | example | Pattern Value: adm `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:gpp_upon_death.code | example | Pattern Value: LOINC Code 81337-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:minimal_source_form.code | example | Pattern Value: minimal_source_form `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:additional_documentation.code | example | Pattern Value: LOINC Code 77599-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:witness_and_notary.code | example | Pattern Value: LOINC Code 81339-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |
cmp-1 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from ADICompositionHeader

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) 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: 93037-0
author |  | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
attester | S | 1..* | BackboneElement | Attests to accuracy of composition
mode |  | 1..1 | code | personal | professional | legal | official Required Pattern: legal
party |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
event |  |  |  |
Slices for detail |  |  |  | Content/Rules for all slices
detail:pmo-servicerequest |  | 0..* | Reference(ADI PMO ServiceRequest) | ADI PMO Service Request
detail:pmo-healthcareagentconsent |  | 0..* | Reference(ADI Healthcare Agent Consent) | ADI Healthcare Agent Consent
detail:pmo-procedure |  | 0..* | Reference(ADI PMO Procedure) | ADI PMO Procedure
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:portable_medical_orders | S | 1..1 | BackboneElement | Portable Medical Orders
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Section clause, additional instructions, or information
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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
Slices for entry | S | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
section:completion_information |  | 0..1 | BackboneElement | Portable medical order completion information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Administrative, instructional, and/or legal information
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review |  | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant |  | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
section:administration_information |  | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal |  | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S | 0..1 | Reference(Binary) | Minimal Source Form
section:gpp_upon_death |  | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
title | S | 1..1 | string | Label for section (e.g. for ToC)
code |  | 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 PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
section:minimal_source_form |  | 0..1 | BackboneElement | Minimal source form
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
entry |  | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
section:additional_documentation |  | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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 |  | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document.
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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(ADI Healthcare Agent Participant) | A reference to data that supports this section
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:ExpirationDateExtension |  | 0..1 | dateTime | ADI Expiration Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension
extension:Jurisdiction |  | 0..* | CodeableConcept | US State or local jurisdiction URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction Binding: USPS Two Letter Alphabetic Codes (extensible): Target US State or local jurisdiction.
extension:DataEntererExtension |  | 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/adi-dataEnterer-extension
extension:InformantExtension |  | 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/adi-informant-extension
extension:ParticipantExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension
extension:PerformerExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
extension:DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Healthcare Directive Categories LOINC (extensible) 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: 93037-0
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
category | S Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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: 42348-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance healthcare directives
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S 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 | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
attester | S | 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 |  | 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 |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 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. 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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: acp-services
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care planning services
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period | Σ | 0..1 | Period | The period covered by the documentation
Slices for detail | Σ | 0..* | Reference(Resource) | The event(s) being documented Slice: Unordered, Open by profile:resolve()
detail:adiFacilitator | Σ | 0..1 | Reference(ADI Facilitator) | ADI Facilitator
detail:pmo-servicerequest | Σ | 0..* | Reference(ADI PMO ServiceRequest) | ADI PMO Service Request
detail:pmo-healthcareagentconsent | Σ | 0..* | Reference(ADI Healthcare Agent Consent) | ADI Healthcare Agent Consent
detail:pmo-procedure | Σ | 0..* | Reference(ADI PMO Procedure) | ADI PMO Procedure
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:portable_medical_orders | S C | 1..1 | BackboneElement | Portable Medical Orders Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | S C | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S C | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S C | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S C | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:completion_information | C | 0..1 | BackboneElement | Portable medical order completion information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:administration_information | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal | C | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S C | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S C | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S C | 0..1 | Reference(Binary) | Minimal Source Form
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:gpp_upon_death | C | 0..1 | BackboneElement | Goals, preferences, and priorities upon death Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 |  | 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | S C | 0..* | Reference(ADI PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:minimal_source_form | C | 0..1 | BackboneElement | Minimal source form Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:additional_documentation | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:witness_and_notary | C | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Healthcare Agent Participant) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | ADICompositionStatusVS `http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS` From this IG
Composition.type | extensible | Pattern Value: LOINC Code 93037-0 `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4` From https://vsac.nlm.nih.gov
Composition.category | example | Pattern Value: LOINC Code 42348-3("Advance healthcare directives") `http://hl7.org/fhir/ValueSet/document-classcodes` From the FHIR Standard
Composition.attester.mode | required | Pattern Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` From the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` From the FHIR Standard
Composition.event.code | example | Pattern Value: acp-services("Advance care planning services") `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:portable_medical_orders.code | example | Pattern Value: LOINC Code 93037-0("Portable medical order form") `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:portable_medical_orders.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:portable_medical_orders.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:portable_medical_orders.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:completion_information.code | example | Pattern Value: ldo `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:completion_information.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:completion_information.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:completion_information.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:administration_information.code | example | Pattern Value: adm `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:administration_information.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:administration_information.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:administration_information.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:gpp_upon_death.code | example | Pattern Value: LOINC Code 81337-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:gpp_upon_death.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:gpp_upon_death.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:gpp_upon_death.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:minimal_source_form.code | example | Pattern Value: minimal_source_form `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:minimal_source_form.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:minimal_source_form.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:minimal_source_form.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:additional_documentation.code | example | Pattern Value: LOINC Code 77599-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:additional_documentation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:additional_documentation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:additional_documentation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:witness_and_notary.code | example | Pattern Value: LOINC Code 81339-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:witness_and_notary.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:witness_and_notary.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:witness_and_notary.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |
cmp-1 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from ADICompositionHeader

Summary

Mandatory: 5 elements(13 nested mandatory elements)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- ADI PMO ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOServiceRequest)
- ADI Healthcare Agent Consent (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsent)
- ADI PMO Procedure (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOProcedure)
- ADI PMO Cardiopulmonary Resuscitation ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOCPRServiceRequest)
- ADI PMO Initial Treatment ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOInitialTreatmentServiceRequest)
- ADI PMO Additional orders or instructions ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOAdditionalOrdersOrInstructionsServiceRequest)
- ADI PMO Medically Assisted Nutrition Service Request (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOMedicallyAssistedNutritionServiceRequest)
- ADI PMO Medically Assisted Hydration Service Request (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOMedicallyAssistedHydrationServiceRequest)
- ADI PMO Review Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOReviewObservation)
- ADI PMO Participant Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOParticipantObservation)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalGoal)
- ADI Decisional Capacity (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity)
- ADI PMO Hospice Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOHospiceObservation)
- ADI PtAuthored Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference)
- ADI Personal Priorities Organizer (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalPrioritiesOrganizer)
- ADI Autopsy Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-AutopsyObservation)
- ADI Organ Donation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-OrganDonationObservation)
- ADI Upon Death Preferences (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-UponDeathPreferences)
- ADI Minimal Source Form (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIMinimalSourceFormInformation)
- ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation)
- ADI Healthcare Agent Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
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): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Slices for extension |  |  |  | Content/Rules for all slices
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:ExpirationDateExtension |  | 0..1 | dateTime | ADI Expiration Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension
extension:Jurisdiction |  | 0..* | CodeableConcept | US State or local jurisdiction URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction Binding: USPS Two Letter Alphabetic Codes (extensible): Target US State or local jurisdiction.
extension:DataEntererExtension |  | 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/adi-dataEnterer-extension
extension:InformantExtension |  | 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/adi-informant-extension
extension:ParticipantExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension
extension:PerformerExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
extension:DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Healthcare Directive Categories LOINC (extensible) 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: 93037-0
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
category | S Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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: 42348-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance healthcare directives
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
attester | S | 1..* | BackboneElement | Attests to accuracy of composition
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. Required Pattern: legal
party |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
section:portable_medical_orders | S C | 1..1 | BackboneElement | Portable Medical Orders Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S C | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S C | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S C | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
section:completion_information | C | 0..1 | BackboneElement | Portable medical order completion information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
section:administration_information | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal | C | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S C | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S C | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S C | 0..1 | Reference(Binary) | Minimal Source Form
section:gpp_upon_death | C | 0..1 | BackboneElement | Goals, preferences, and priorities upon death Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 |  | 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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(ADI PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
section:minimal_source_form | C | 0..1 | BackboneElement | Minimal source form Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
section:additional_documentation | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
section:witness_and_notary | C | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | C | 0..* | Reference(ADI Healthcare Agent Participant) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | ADICompositionStatusVS `http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS` From this IG
Composition.type | extensible | Pattern Value: LOINC Code 93037-0 `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4` From https://vsac.nlm.nih.gov
Composition.category | example | Pattern Value: LOINC Code 42348-3("Advance healthcare directives") `http://hl7.org/fhir/ValueSet/document-classcodes` From the FHIR Standard
Composition.attester.mode | required | Pattern Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` From the FHIR Standard
Composition.section:portable_medical_orders.code | example | Pattern Value: LOINC Code 93037-0("Portable medical order form") `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:completion_information.code | example | Pattern Value: ldo `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:administration_information.code | example | Pattern Value: adm `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:gpp_upon_death.code | example | Pattern Value: LOINC Code 81337-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:minimal_source_form.code | example | Pattern Value: minimal_source_form `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:additional_documentation.code | example | Pattern Value: LOINC Code 77599-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:witness_and_notary.code | example | Pattern Value: LOINC Code 81339-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |
cmp-1 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from ADICompositionHeader

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) 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: 93037-0
author |  | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
attester | S | 1..* | BackboneElement | Attests to accuracy of composition
mode |  | 1..1 | code | personal | professional | legal | official Required Pattern: legal
party |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
event |  |  |  |
Slices for detail |  |  |  | Content/Rules for all slices
detail:pmo-servicerequest |  | 0..* | Reference(ADI PMO ServiceRequest) | ADI PMO Service Request
detail:pmo-healthcareagentconsent |  | 0..* | Reference(ADI Healthcare Agent Consent) | ADI Healthcare Agent Consent
detail:pmo-procedure |  | 0..* | Reference(ADI PMO Procedure) | ADI PMO Procedure
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:portable_medical_orders | S | 1..1 | BackboneElement | Portable Medical Orders
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Section clause, additional instructions, or information
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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
Slices for entry | S | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
section:completion_information |  | 0..1 | BackboneElement | Portable medical order completion information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Administrative, instructional, and/or legal information
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review |  | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant |  | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
section:administration_information |  | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal |  | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S | 0..1 | Reference(Binary) | Minimal Source Form
section:gpp_upon_death |  | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
title | S | 1..1 | string | Label for section (e.g. for ToC)
code |  | 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 PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
section:minimal_source_form |  | 0..1 | BackboneElement | Minimal source form
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
entry |  | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
section:additional_documentation |  | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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 |  | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document.
Slices for extension |  |  |  | Content/Rules for all slices
extension:ClauseExtension |  | 0..* | ClauseExtension | Clause
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(ADI Healthcare Agent Participant) | A reference to data that supports this section
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: Composition-section-code-equals-type
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:ExpirationDateExtension |  | 0..1 | dateTime | ADI Expiration Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension
extension:Jurisdiction |  | 0..* | CodeableConcept | US State or local jurisdiction URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction Binding: USPS Two Letter Alphabetic Codes (extensible): Target US State or local jurisdiction.
extension:DataEntererExtension |  | 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/adi-dataEnterer-extension
extension:InformantExtension |  | 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/adi-informant-extension
extension:ParticipantExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension
extension:PerformerExtension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
extension:DocumentRevokeStatus | S | 0..1 | code | Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Healthcare Directive Categories LOINC (extensible) 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: 93037-0
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
category | S Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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: 42348-3
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance healthcare directives
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S 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 | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
attester | S | 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 |  | 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 |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 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. 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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: acp-services
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care planning services
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period | Σ | 0..1 | Period | The period covered by the documentation
Slices for detail | Σ | 0..* | Reference(Resource) | The event(s) being documented Slice: Unordered, Open by profile:resolve()
detail:adiFacilitator | Σ | 0..1 | Reference(ADI Facilitator) | ADI Facilitator
detail:pmo-servicerequest | Σ | 0..* | Reference(ADI PMO ServiceRequest) | ADI PMO Service Request
detail:pmo-healthcareagentconsent | Σ | 0..* | Reference(ADI Healthcare Agent Consent) | ADI Healthcare Agent Consent
detail:pmo-procedure | Σ | 0..* | Reference(ADI PMO Procedure) | ADI PMO Procedure
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
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
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:portable_medical_orders | S C | 1..1 | BackboneElement | Portable Medical Orders Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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: 93037-0
display |  | 1..1 | string | Representation defined by the system Fixed Value: Portable medical order form
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | S C | 0..* | Reference(ADI PMO ServiceRequest) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:cardiopulmonary_resuscitation_service_request | S C | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section
entry:initial_treatment_service_request | S C | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section
entry:additional_orders_or_instructions_service_request | S C | 0..* | Reference(ADI PMO Additional orders or instructions ServiceRequest) | A reference to data that supports this section
entry:medically_assisted_nutrition_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Nutrition Service Request) | A reference to data that supports this section
entry:medically_assisted_hydration_service_request | S C | 0..1 | Reference(ADI PMO Medically Assisted Hydration Service Request) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:completion_information | C | 0..1 | BackboneElement | Portable medical order completion information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ldo
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:orders_review | C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section
entry:orders_participant | C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:administration_information | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adm
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:adi_personal_goal | C | 0..* | Reference(ADI Personal Goal) | ADI Personal Goal
entry:adi_decisional_capacity | S C | 0..1 | Reference(ADI Decisional Capacity) | ADI Decisional Capacity
entry:adi_pmo_hospice_observation | S C | 0..1 | Reference(ADI PMO Hospice Observation) | Hospice or palliative care enrollment
entry:minimal_source_form | S C | 0..1 | Reference(Binary) | Minimal Source Form
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:gpp_upon_death | C | 0..1 | BackboneElement | Goals, preferences, and priorities upon death Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 |  | 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | S C | 0..* | Reference(ADI PtAuthored Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal | ADI Upon Death Preferences) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:minimal_source_form | C | 0..1 | BackboneElement | Minimal source form Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: minimal_source_form
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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Minimal Source Form) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:additional_documentation | C | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:witness_and_notary | C | 0..1 | BackboneElement | Witness and notary information. The first witness should be the author of the document. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ClauseExtension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | C | 0..* | Reference(ADI Healthcare Agent Participant) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | ADICompositionStatusVS `http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS` From this IG
Composition.type | extensible | Pattern Value: LOINC Code 93037-0 `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4` From https://vsac.nlm.nih.gov
Composition.category | example | Pattern Value: LOINC Code 42348-3("Advance healthcare directives") `http://hl7.org/fhir/ValueSet/document-classcodes` From the FHIR Standard
Composition.attester.mode | required | Pattern Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` From the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` From the FHIR Standard
Composition.event.code | example | Pattern Value: acp-services("Advance care planning services") `http://terminology.hl7.org/ValueSet/v3-ActCode`
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:portable_medical_orders.code | example | Pattern Value: LOINC Code 93037-0("Portable medical order form") `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:portable_medical_orders.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:portable_medical_orders.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:portable_medical_orders.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:completion_information.code | example | Pattern Value: ldo `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:completion_information.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:completion_information.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:completion_information.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:administration_information.code | example | Pattern Value: adm `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:administration_information.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:administration_information.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:administration_information.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:gpp_upon_death.code | example | Pattern Value: LOINC Code 81337-8 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:gpp_upon_death.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:gpp_upon_death.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:gpp_upon_death.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:minimal_source_form.code | example | Pattern Value: minimal_source_form `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:minimal_source_form.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:minimal_source_form.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:minimal_source_form.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:additional_documentation.code | example | Pattern Value: LOINC Code 77599-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:additional_documentation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:additional_documentation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:additional_documentation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard
Composition.section:witness_and_notary.code | example | Pattern Value: LOINC Code 81339-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:witness_and_notary.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` From the FHIR Standard
Composition.section:witness_and_notary.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` From the FHIR Standard
Composition.section:witness_and_notary.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
Composition-section-code-equals-type | error | Composition | Composition section code must equal Composition type when section is portable_medical_orders : section.where(code.coding.code = 'portable_medical_orders').exists() implies section.where(code.coding.code = 'portable_medical_orders').code = type |
cmp-1 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | error | Composition.section, Composition.section:portable_medical_orders, Composition.section:completion_information, Composition.section:administration_information, Composition.section:gpp_upon_death, Composition.section:minimal_source_form, Composition.section:additional_documentation, Composition.section:witness_and_notary | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from ADICompositionHeader

Summary

Mandatory: 5 elements(13 nested mandatory elements)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- ADI PMO ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOServiceRequest)
- ADI Healthcare Agent Consent (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsent)
- ADI PMO Procedure (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOProcedure)
- ADI PMO Cardiopulmonary Resuscitation ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOCPRServiceRequest)
- ADI PMO Initial Treatment ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOInitialTreatmentServiceRequest)
- ADI PMO Additional orders or instructions ServiceRequest (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOAdditionalOrdersOrInstructionsServiceRequest)
- ADI PMO Medically Assisted Nutrition Service Request (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOMedicallyAssistedNutritionServiceRequest)
- ADI PMO Medically Assisted Hydration Service Request (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOMedicallyAssistedHydrationServiceRequest)
- ADI PMO Review Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOReviewObservation)
- ADI PMO Participant Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOParticipantObservation)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalGoal)
- ADI Decisional Capacity (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity)
- ADI PMO Hospice Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOHospiceObservation)
- ADI PtAuthored Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference)
- ADI Personal Priorities Organizer (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalPrioritiesOrganizer)
- ADI Autopsy Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-AutopsyObservation)
- ADI Organ Donation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-OrganDonationObservation)
- ADI Upon Death Preferences (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-UponDeathPreferences)
- ADI Minimal Source Form (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIMinimalSourceFormInformation)
- ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation)
- ADI Healthcare Agent Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 2

Other representations of profile: CSV, Excel, Schematron