PACIO Advance Healthcare Directive Interoperability Implementation Guide
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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/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

: Mental Health Directive (Maryland) - TTL Representation

Page standards status: Informative

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

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

<http://hl7.org/fhir/Composition/MHAD-Example-Smith-Johnson-Composition> a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "MHAD-Example-Smith-Johnson-Composition"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en-US"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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 Person-Authored 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 107903-7}\">Clinical note</span>, <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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" ] ;
     fhir:Extension.valueString [ fhir:value "2024-12-22T05:00:00+00:00" ]
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "https://example.org/standards/terminology/namingSystem/setId" ] ;
     fhir:Identifier.value [ fhir:value "2.16.840.1.113883.15.15.200.1:11220-d580858d0d83427381cd9d2237580048" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:104144-1 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "104144-1" ] ;
       fhir:Coding.display [ fhir:value "Mental health Advance directives" ]
     ]
  ] ;
  fhir:Composition.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:107903-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "107903-7" ] ;
       fhir:Coding.display [ fhir:value "Clinical note" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:42348-3 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "42348-3" ] ;
       fhir:Coding.display [ fhir:value "Advance healthcare directives" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
     fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ]
  ] ;
  fhir:Composition.date [ fhir:value "2024-12-22T05:00:00+00:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
     fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ] ;
     fhir:Reference.display [ fhir:value "Betsy Smith-Johnson" ]
  ] ;
  fhir:Composition.title [ fhir:value "Mental Health Directive (Maryland)"] ;
  fhir:Composition.attester [
     fhir:index 0 ;
     fhir:Composition.attester.mode [ fhir:value "personal" ]
  ] ;
  fhir:Composition.custodian [
     fhir:link <http://hl7.org/fhir/Organization/Example-Smith-Johnson-OrganizationCustodian1> ;
     fhir:Reference.reference [ fhir:value "Organization/Example-Smith-Johnson-OrganizationCustodian1" ]
  ] ;
  fhir:Composition.section [
     fhir:index 0 ;
     fhir:Composition.section.title [ fhir:value "MHAD Source Form for Betsy Smith-Johnson" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs" ] ;
         fhir:Coding.code [ fhir:value "advance_directive_source_form" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ] ;
       fhir:Narrative.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>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Binary/MHAD-Example-Smith-Johnson-Binary> ;
       fhir:Reference.reference [ fhir:value "Binary/MHAD-Example-Smith-Johnson-Binary" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Composition.section.title [ fhir:value "Appointment of a Primary Healthcare Agent and Alternate Healthcare Agents" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:81335-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "81335-2" ] ;
         fhir:Coding.display [ fhir:value "Healthcare Agent" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>I am appointing my son, Charles Johnson, as my healthcare agent</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-Notary2> ;
       fhir:Reference.reference [ fhir:value "RelatedPerson/Example-Smith-Johnson-Notary2" ]
     ], [
       fhir:index 1 ;
       fhir:link <http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent3> ;
       fhir:Reference.reference [ fhir:value "RelatedPerson/Example-Smith-Johnson-HealthcareAgent3" ]
     ], [
       fhir:index 2 ;
       fhir:link <http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent2> ;
       fhir:Reference.reference [ fhir:value "Consent/Example-Smith-Johnson-HealthcareAgentConsent2" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> a fhir:Patient .

<http://hl7.org/fhir/Organization/Example-Smith-Johnson-OrganizationCustodian1> a fhir:Organization .

<http://hl7.org/fhir/Binary/MHAD-Example-Smith-Johnson-Binary> a fhir:Binary .

<http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-Notary2> a fhir:RelatedPerson .

<http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent3> a fhir:RelatedPerson .

<http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent2> a fhir:Consent .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Composition/MHAD-Example-Smith-Johnson-Composition.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Composition/MHAD-Example-Smith-Johnson-Composition.ttl> .