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

## : Mental Health Directive (Maryland) - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Composition",
      "id" : "MHAD-Example-Smith-Johnson-Composition",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition"
        ]
      },
      "language" : "en-US",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p class=\"res-header-id\"><b>Generated Narrative: Composition MHAD-Example-Smith-Johnson-Composition</b></p><a name=\"MHAD-Example-Smith-Johnson-Composition\"> </a><a name=\"hcMHAD-Example-Smith-Johnson-Composition\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ADI-PACPComposition.html\">ADI PtAuthored Composition</a></p></div><p><b>Composition Version Number</b>: 2024-12-22T05:00:00+00:00</p><p><b>identifier</b>: <code>https://example.org/standards/terminology/namingSystem/setId</code>/2.16.840.1.113883.15.15.200.1:11220-d580858d0d83427381cd9d2237580048</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 104144-1}\">Mental health Advance directives</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 42348-3}\">Advance healthcare directives</span></p><p><b>date</b>: 2024-12-22 05:00:00+0000</p><p><b>author</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Betsy Smith-Johnson</a></p><p><b>title</b>: Mental Health Directive (Maryland)</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td></tr><tr><td style=\"display: none\">*</td><td>Personal</td></tr></table><p><b>custodian</b>: <a href=\"Organization-Example-Smith-Johnson-OrganizationCustodian1.html\">Organization example.org</a></p></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
          "valueString" : "2024-12-22T05:00:00+00:00"
        }
      ],
      "identifier" : {
        "system" : "https://example.org/standards/terminology/namingSystem/setId",
        "value" : "2.16.840.1.113883.15.15.200.1:11220-d580858d0d83427381cd9d2237580048"
      },
      "status" : "final",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "104144-1",
            "display" : "Mental health Advance directives"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "42348-3",
              "display" : "Advance healthcare directives"
            }
          ]
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
      },
      "date" : "2024-12-22T05:00:00+00:00",
      "author" : [
        {
          🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1",
          "display" : "Betsy Smith-Johnson"
        }
      ],
      "title" : "Mental Health Directive (Maryland)",
      "attester" : [
        {
          "mode" : "personal"
        }
      ],
      "custodian" : {
        🔗 "reference" : "Organization/Example-Smith-Johnson-OrganizationCustodian1"
      },
      "section" : [
        {
          "title" : "Appointment of a Primary Healthcare Agent and Alternate Healthcare Agents",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "81335-2",
                "display" : "Healthcare Agent"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>I am appointing my son, Charles Johnson, as my healthcare agent</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "RelatedPerson/Example-Smith-Johnson-Notary2"
            },
            {
              🔗 "reference" : "RelatedPerson/Example-Smith-Johnson-HealthcareAgent3"
            },
            {
              🔗 "reference" : "Consent/Example-Smith-Johnson-HealthcareAgentConsent2"
            }
          ]
        },
        {
          "title" : "MHAD Minimal Source Form for Betsy Smith-Johnson",
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
                "code" : "minimal_source_form"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>I am emotionally and mentally competent to make this Mental Health Advance Directive (MHAD). I understand the purpose and effect of this MHAD, I agree with everything that is written in this uADD, and I have made this MHAD knowingly, willingly and after careful deliberation.</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Binary/MHAD-Example-Smith-Johnson-Binary"
            }
          ]
        }
      ]
    }