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

## Extension: Notary Information

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

The Notary Information Extension allows for the capture of information relevant to the notary.

Context of Use

This extension may be used on the following element(s)

- Element ID: `RelatedPerson`

Usage info

Usages:

- Use this Extension: ADI Notary
- Examples for this Extension: RelatedPerson/Example-Smith-Johnson-ADIWitness1

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

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

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

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Notary Information Constraints: notary-information-requires-notary-role
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:AttesterRole |  | 1..1 | Extension | Attester Role
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
value[x] | S | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:NotaryCommissionJurisdiction |  | 0..1 | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: USPS Two Letter Alphabetic Codes (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension"
value[x] |  | 0..0 |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Notary Information Constraints: notary-information-requires-notary-role
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:AttesterRole |  | 1..1 | Extension | Attester Role
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
value[x] | S | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:NotaryCommissionJurisdiction |  | 0..1 | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: USPS Two Letter Alphabetic Codes (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The Notary Information Extension allows for the capture of information relevant to the notary.

- AttesterRole: CodeableConcept: An Extension
- AttestationStatement: markdown, string: An Extension
- Signature: Signature: An Extension
- NotarySealId: Identifier: An Extension
- NotaryCommissionExpirationDate: date: An Extension

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Notary Information Constraints: notary-information-requires-notary-role
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:AttesterRole |  | 1..1 | Extension | Attester Role
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
value[x] | S | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:NotaryCommissionJurisdiction |  | 0..1 | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: USPS Two Letter Alphabetic Codes (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension"
value[x] |  | 0..0 |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Notary Information Constraints: notary-information-requires-notary-role
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:AttesterRole |  | 1..1 | Extension | Attester Role
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
value[x] | S | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:NotaryCommissionJurisdiction |  | 0..1 | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: USPS Two Letter Alphabetic Codes (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The Notary Information Extension allows for the capture of information relevant to the notary.

- AttesterRole: CodeableConcept: An Extension
- AttestationStatement: markdown, string: An Extension
- Signature: Signature: An Extension
- NotarySealId: Identifier: An Extension
- NotaryCommissionExpirationDate: date: An Extension

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Extension.extension:AttesterRole.value[x] | extensible | ADIAttesterRoleTypeVS `http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIAttesterRoleTypeVS` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |
notary-information-requires-notary-role | error | Extension | If Notary information (seal or commission expiration date) exists, then role must be notary : extension.where(url = 'NotarySealId').value.exists() or extension.where(url = 'NotaryCommissionExpirationDate').value.exists() implies extension.where(url = 'AttesterRole').value.coding.exists(code='81372-5') |