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: Performer

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

The Advance Directive Information Performer Extension represents clinicians who actually and principally carry out the clinical services being documented. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patients key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.

Context of Use

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

- Element ID: `Composition`

Usage info

Usages:

- Use this Extension: ADI Composition Header
- Examples for this Extension: Bundle/PMO-Example-Smith-Johnson-Bundle2 and Composition/PMO-Example-Smith-Johnson-PMOComposition1

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 |  | 0..* | Extension | Performer
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension"
value[x] | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension"
value[x] | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Reference: The Advance Directive Information Performer Extension represents clinicians who actually and principally carry out the clinical services being documented. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patients key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension"
value[x] | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension"
value[x] | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Reference: The Advance Directive Information Performer Extension represents clinicians who actually and principally carry out the clinical services being documented. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patients key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### 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() |