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 Notary

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

This profile represents a person participating as a notary for a person's advance directives.

Usages:

- Refer to this Profile: ADI PtAuthored Composition
- Examples for this Profile: RelatedPerson/Example-Smith-Johnson-ADINotary2

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
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:NotaryInformationExtension | C | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension Constraints: notary-information-requires-notary-role
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!S Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S Σ | 1..1 | CodeableConcept | The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person. 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
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
name | S Σ | 1..1 | HumanName | A name associated with the person
telecom | S Σ | 1..* | ContactPoint | A contact detail for the person
address | S Σ | 0..* | Address | Address where the related person can be contacted or visited
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.relationship:notary | preferred | Pattern Value: NOTARY `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | RelatedPerson | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | RelatedPerson | 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 | RelatedPerson | 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 | RelatedPerson | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | RelatedPerson | 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() |
notary-information-requires-notary-role | error | RelatedPerson.extension:NotaryInformationExtension | 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') |

This structure is derived from RelatedPerson

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
RelatedPerson |  |  | RelatedPerson |
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:NotaryInformationExtension |  | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
active | S | 0..1 | boolean | Whether this related person's record is in active use
patient | S | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S | 1..1 | CodeableConcept | The nature of the relationship 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
name | S | 1..1 | HumanName | A name associated with the person
telecom | S | 1..* | ContactPoint | A contact detail for the person
address | S | 0..* | Address | Address where the related person can be contacted or visited
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
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 |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 1..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:NotaryInformationExtension | C | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension Constraints: notary-information-requires-notary-role
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | A human identifier for this person
active | ?!S Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S Σ | 1..1 | CodeableConcept | The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person. 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
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
name | S Σ | 1..1 | HumanName | A name associated with the person
telecom | S Σ | 1..* | ContactPoint | A contact detail for the person
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the related person was born
address | S Σ | 0..* | Address | Address where the related person can be contacted or visited
photo |  | 0..* | Attachment | Image of the person
period |  | 0..1 | Period | Period of time that this relationship is considered valid
communication |  | 0..* | BackboneElement | A language which may be used to communicate with about the patient's health
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
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
RelatedPerson.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.relationship:notary | preferred | Pattern Value: NOTARY `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
RelatedPerson.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | RelatedPerson | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | RelatedPerson | 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 | RelatedPerson | 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 | RelatedPerson | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | RelatedPerson | 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() |
notary-information-requires-notary-role | error | RelatedPerson.extension:NotaryInformationExtension | 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') |

This structure is derived from RelatedPerson

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of RelatedPerson.relationship

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:NotaryInformationExtension | C | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension Constraints: notary-information-requires-notary-role
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!S Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S Σ | 1..1 | CodeableConcept | The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person. 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
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
name | S Σ | 1..1 | HumanName | A name associated with the person
telecom | S Σ | 1..* | ContactPoint | A contact detail for the person
address | S Σ | 0..* | Address | Address where the related person can be contacted or visited
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.relationship:notary | preferred | Pattern Value: NOTARY `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | RelatedPerson | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | RelatedPerson | 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 | RelatedPerson | 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 | RelatedPerson | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | RelatedPerson | 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() |
notary-information-requires-notary-role | error | RelatedPerson.extension:NotaryInformationExtension | 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') |

Differential View

This structure is derived from RelatedPerson

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
RelatedPerson |  |  | RelatedPerson |
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:NotaryInformationExtension |  | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
active | S | 0..1 | boolean | Whether this related person's record is in active use
patient | S | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S | 1..1 | CodeableConcept | The nature of the relationship 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
name | S | 1..1 | HumanName | A name associated with the person
telecom | S | 1..* | ContactPoint | A contact detail for the person
address | S | 0..* | Address | Address where the related person can be contacted or visited
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
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 |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 1..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:NotaryInformationExtension | C | 0..1 | (Complex) | Notary Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension Constraints: notary-information-requires-notary-role
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | A human identifier for this person
active | ?!S Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 1..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: PatientRelationshipType (extensible)
relationship:notary | S Σ | 1..1 | CodeableConcept | The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person. 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://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NOTARY
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
name | S Σ | 1..1 | HumanName | A name associated with the person
telecom | S Σ | 1..* | ContactPoint | A contact detail for the person
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the related person was born
address | S Σ | 0..* | Address | Address where the related person can be contacted or visited
photo |  | 0..* | Attachment | Image of the person
period |  | 0..1 | Period | Period of time that this relationship is considered valid
communication |  | 0..* | BackboneElement | A language which may be used to communicate with about the patient's health
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
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
RelatedPerson.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
RelatedPerson.relationship | extensible | PatientRelationshipType `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.relationship:notary | preferred | Pattern Value: NOTARY `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` From the FHIR Standard
RelatedPerson.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
RelatedPerson.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | RelatedPerson | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | RelatedPerson | 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 | RelatedPerson | 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 | RelatedPerson | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | RelatedPerson | 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() |
notary-information-requires-notary-role | error | RelatedPerson.extension:NotaryInformationExtension | 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') |

This structure is derived from RelatedPerson

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of RelatedPerson.relationship

Maturity: 2

Other representations of profile: CSV, Excel, Schematron