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

## : Portable Medical Order - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Composition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "PMO-Example-Smith-Johnson-PMOComposition1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition>     ] )
      ] ; #
      fhir:language [ fhir:v "en-US"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir: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 PMO-Example-Smith-Johnson-PMOComposition1</b></p><a name=\"PMO-Example-Smith-Johnson-PMOComposition1\"> </a><a name=\"hcPMO-Example-Smith-Johnson-PMOComposition1\"> </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-PMOComposition.html\">ADI PMO Composition</a></p></div><p><b>Composition Version Number</b>: 2024-03-29T14:25:34-05:00</p><p><b>Data Enterer</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</a></p><p><b>Participant</b>: <a href=\"PractitionerRole-Example-Kyle-Anydoc-PractitionerRole1.html\">PractitionerRole: telecom = kanydoc@example.org(Work)</a></p><p><b>ADI Expiration Date</b>: 2024-03-29 14:25:34-0500</p><p><b>Performer</b>: <a href=\"PractitionerRole-Example-Kyle-Anydoc-PractitionerRole1.html\">PractitionerRole: telecom = kanydoc@example.org(Work)</a></p><p><b>Informant</b>: <a href=\"RelatedPerson-Example-Smith-Johnson-HealthcareAgent1.html\">RelatedPerson Johnson, Charles</a></p><p><b>Revoke Status</b>: deprecated</p><blockquote><p><b>Clause</b></p><ul><li>Clause: </li></ul></blockquote><div><p>&lt;div xmlns=\"http://www.w3.org/1999/xhtml\"&gt;&lt;p&gt;Example Clause Statement&lt;/p&gt;&lt;/div&gt;</p>\n</div><p><b>identifier</b>: <code>http://example.org/GoodHealthClinic/id</code>/0-87f37989294a408897aacd1fc5d8fd16</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 93037-0}\">Portable medical order form</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 42348-3}\">Advance healthcare directives</span></p><p><b>date</b>: 2023-03-29 14:25:34-0500</p><p><b>author</b>: <a href=\"PractitionerRole-Example-Kyle-Anydoc-PractitionerRole1.html\">PractitionerRole: telecom = kanydoc@example.org(Work)</a></p><p><b>title</b>: Portable Medical Order</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Legal</td><td><a href=\"PractitionerRole-Example-Kyle-Anydoc-PractitionerRole1.html\">PractitionerRole: telecom = kanydoc@example.org(Work)</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-Example-Smith-Johnson-OrganizationCustodian1.html\">Organization example.org</a></p><blockquote><p><b>event</b></p><p><b>detail</b>: </p><ul><li><a href=\"PractitionerRole-ADI-Facilitator-MSW-MargaretReynolds.html\">PractitionerRole primary performer</a></li><li><a href=\"Consent-Example-Smith-Johnson-HealthcareAgentConsent-Permit.html\">Consent: status = active; scope = Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported; category = Advance Directive</a></li><li><a href=\"Consent-Example-Smith-Johnson-HealthcareAgentConsent-Deny.html\">Consent: status = active; scope = Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported; category = Advance Directive</a></li></ul></blockquote></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "2024-03-29T14:25:34-05:00"     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:dateTime ;
    fhir:v "2024-03-29T14:25:34-05:00"^^xsd:dateTime     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "RelatedPerson/Example-Smith-Johnson-HealthcareAgent1" ]     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "deprecated"     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "Clause"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:markdown ;
    fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Example Clause Statement</p></div>"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension"^^xsd:anyURI ]
      ] ) ; #
      fhir:identifier [
    fhir:system [ fhir:v "http://example.org/GoodHealthClinic/id"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "0-87f37989294a408897aacd1fc5d8fd16" ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:93037-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "93037-0" ] ;
    fhir:display [ fhir:v "Portable medical order form" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    a loinc:42348-3 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "42348-3" ] ;
    fhir:display [ fhir:v "Advance healthcare directives" ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]
      ] ; #
      fhir:date [ fhir:v "2023-03-29T14:25:34-05:00"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:reference [ fhir:v "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]
      ] ) ; #
      fhir:title [ fhir:v "Portable Medical Order"] ; #
      fhir:attester ( [
    fhir:mode [ fhir:v "legal" ] ;
    fhir:party [
    fhir:reference [ fhir:v "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]     ]
      ] ) ; #
      fhir:custodian [
    fhir:reference [ fhir:v "Organization/Example-Smith-Johnson-OrganizationCustodian1" ]
      ] ; #
      fhir:event ( [
        ( fhir:detail [
    fhir:reference [ fhir:v "PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds" ]     ] [
    fhir:reference [ fhir:v "Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit" ]     ] [
    fhir:reference [ fhir:v "Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny" ]     ] )
      ] ) ; #
      fhir:section ( [
    fhir:title [ fhir:v "Portable Medical Orders" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:93037-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "93037-0" ] ;
    fhir:display [ fhir:v "Portable medical order form" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>PMO Medical Orders</b></p><p><i>Order Exists: <a href=\"http://www.example.com\">available here</a></i></p></div>"^^rdf:XMLLiteral     ] ;
        ( fhir:entry [
    fhir:reference [ fhir:v "ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1" ]     ] )
      ] [
    fhir:title [ fhir:v "Additional Documentation" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:77599-9 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "77599-9" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>PMOLST Order Observation</b></p><p><i>Order Exists: <a href=\"http://www.example.com\">available here</a></i></p></div>"^^rdf:XMLLiteral     ] ;
        ( fhir:entry [
    fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-DocumentationObservation2" ]     ] )
      ] [
    fhir:title [ fhir:v "Witnesses and Notary" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:81339-4 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "81339-4" ] ;
    fhir:display [ fhir:v "Witness and Notary Document" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>I am emotionally and mentally competent to make this uADD. I understand the purpose and effect of this uADD, I agree with everything that is written in this uADD, and I have made this uADD knowingly, willingly and after careful deliberation.</p><table><tbody><tr><td><b>Signature:</b></td><td>Betsy Smith-Johnson</td></tr><tr><td><b>Date:</b></td><td>3/29/2024</td></tr></tbody></table><p/><p><b>Statement of Witnesses</b></p><p/><p>I declare that the person who signed this uADD, or who asked another to sign this uADD on his/her behalf, is the individual identified in the document, and he/she did so in my presence or otherwise provided satisfactory proof to me of his/her identity. I believe him/her to be of sound mind and at least 18 years of age. I personally witnessed him/her sign this document or ask the person indicated to do so, or I received proof of his/her identity that I believe is adequate, and I believe that he/she did so voluntarily. By signing this document as a witness, I certify that I am:</p><p/><ul><li>At least 18 years of age.</li><li>Not related to the person signing this document by blood, marriage or adoption.</li><li>Not a healthcare agent appointed by the person signing this document.</li><li>Not directly financially responsible for that person’s healthcare.</li><li>Not a healthcare provider directly serving the person at this time.</li><li>Not an employee (other than a social worker or chaplain), officer, director, or partner of a healthcare provider (or any parent organization of such healthcare provider) directly serving the person at this time.</li><li>Not aware that I am entitled to or have a claim against the person’s estate.</li></ul><p/><table><tbody><tr><td><b>Witness Number:</b></td><td/></tr><tr><td><b>Signature:</b></td><td/></tr><tr><td><b>Date:</b></td><td/></tr></tbody></table></div>"^^rdf:XMLLiteral     ]
      ] ) . #