PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2
PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2
PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 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
| Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition | Version: 2.1.0 | |||
| Active as of 2024-05-09 | Computable Name: ADIPMOComposition | |||
This profile encompasses information that makes up a practitioner’s portable medical order.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ADICompositionHeader
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) 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://loinc.org | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
 Slices for section |
1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
 section:All Slices |
Content/Rules for all slices | |||
  text |
S | 1..1 | Narrative | Text summary of the section, for human interpretation |
 section:portable_medical_orders |
S | 1..1 | BackboneElement | Portable Medical Orders |
 extension:ClauseExtension |
0..* | ClauseExtension | Section clause, additional instructions, or information | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
 code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |
 Slices for entry |
S | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
 entry:cardiopulmonary_resuscitation_service_request |
S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section |
| entry:initial_treatment_service_request |
S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section |
| entry:medically_assisted_nutrition_service_request |
S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section |
| entry:additional_request_service_request |
S | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section |
| entry:no_additional_request_service_request |
S | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section |
| section:gpp_personal_care_experience |
0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities | |
| extension:ClauseExtension |
0..* | ClauseExtension | Clause | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries |
  entry |
S | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section |
 section:completion_information |
S | 0..1 | BackboneElement | Portable medical order completion information |
| extension:ClauseExtension |
0..* | ClauseExtension | Administrative, instructional, and/or legal information | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:orders_review |
0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | |
| entry:orders_participant |
0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | |
| entry:hospice_observation |
0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | |
| entry:hospice_agency |
0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
| versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| VersionNumber |
S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-versionNumber-extension | ||||
| EffectiveDateExtension |
0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
| Jurisdiction |
0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
| DataEntererExtension |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
| InformantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
| ParticipantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
| PerformerExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
 identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories  (extensible)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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| category |
SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| date |
SΣ | 1..1 | dateTime | Composition editing time | ||||
| author |
SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| custodian |
SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| text |
SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
| section:portable_medical_orders |
SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |||||
| Slices for entry |
SC | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:cardiopulmonary_resuscitation_service_request |
SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
| entry:initial_treatment_service_request |
SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
| entry:medically_assisted_nutrition_service_request |
SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section | ||||
| entry:additional_request_service_request |
SC | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section | ||||
| entry:no_additional_request_service_request |
SC | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section | ||||
| section:gpp_personal_care_experience |
C | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | ||||
| entry |
SC | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section | ||||
| section:completion_information |
SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:orders_review |
C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
| entry:orders_participant |
C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
| entry:hospice_observation |
C | 0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | ||||
| entry:hospice_agency |
C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: LOINC code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
| Composition.category | example | Pattern: LOINC code 42348-3http://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.code | example | Pattern: LOINC code 93037-0("Portable medical order form")http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.code | example | Pattern: LOINC code 81338-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:completion_information.code | example | Pattern: LOINC code 100970-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| 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 |
S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| VersionNumber |
S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-versionNumber-extension | ||||
| EffectiveDateExtension |
0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
| Jurisdiction |
0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
| DataEntererExtension |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
| InformantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
| ParticipantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
| PerformerExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories (extensible)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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| 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 | |||||
| category |
SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| 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 | |||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| encounter |
Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date |
SΣ | 1..1 | dateTime | Composition editing time | ||||
| author |
SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| 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 | ||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| 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 | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| 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 | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:portable_medical_orders |
SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:cardiopulmonary_resuscitation_service_request |
SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
| entry:initial_treatment_service_request |
SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
| entry:medically_assisted_nutrition_service_request |
SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section | ||||
| entry:additional_request_service_request |
SC | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section | ||||
| entry:no_additional_request_service_request |
SC | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:gpp_personal_care_experience |
C | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||
| 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 | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | ||||
| entry |
SC | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:completion_information |
SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |||||
| 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 | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:orders_review |
C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
| entry:orders_participant |
C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
| entry:hospice_observation |
C | 0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | ||||
| entry:hospice_agency |
C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: LOINC code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
| Composition.category | example | Pattern: LOINC code 42348-3http://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.code | example | Pattern: LOINC code 93037-0("Portable medical order form")http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:portable_medical_orders.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.code | example | Pattern: LOINC code 81338-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:completion_information.code | example | Pattern: LOINC code 100970-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:completion_information.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:completion_information.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:completion_information.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from ADICompositionHeader
Summary
Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ADICompositionHeader
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
| Slices for section |
1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | |
| section:All Slices |
Content/Rules for all slices | |||
| text |
S | 1..1 | Narrative | Text summary of the section, for human interpretation |
| section:portable_medical_orders |
S | 1..1 | BackboneElement | Portable Medical Orders |
| extension:ClauseExtension |
0..* | ClauseExtension | Section clause, additional instructions, or information | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |
| Slices for entry |
S | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:cardiopulmonary_resuscitation_service_request |
S | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section |
| entry:initial_treatment_service_request |
S | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section |
| entry:medically_assisted_nutrition_service_request |
S | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section |
| entry:additional_request_service_request |
S | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section |
| entry:no_additional_request_service_request |
S | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section |
| section:gpp_personal_care_experience |
0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities | |
| extension:ClauseExtension |
0..* | ClauseExtension | Clause | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries |
| entry |
S | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section |
| section:completion_information |
S | 0..1 | BackboneElement | Portable medical order completion information |
| extension:ClauseExtension |
0..* | ClauseExtension | Administrative, instructional, and/or legal information | |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) 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://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |
| Slices for entry |
0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:orders_review |
0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | |
| entry:orders_participant |
0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | |
| entry:hospice_observation |
0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | |
| entry:hospice_agency |
0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
| versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| VersionNumber |
S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-versionNumber-extension | ||||
| EffectiveDateExtension |
0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
| Jurisdiction |
0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
| DataEntererExtension |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
| InformantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
| ParticipantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
| PerformerExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories (extensible)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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| category |
SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| date |
SΣ | 1..1 | dateTime | Composition editing time | ||||
| author |
SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| custodian |
SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| text |
SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
| section:portable_medical_orders |
SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |||||
| Slices for entry |
SC | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:cardiopulmonary_resuscitation_service_request |
SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
| entry:initial_treatment_service_request |
SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
| entry:medically_assisted_nutrition_service_request |
SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section | ||||
| entry:additional_request_service_request |
SC | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section | ||||
| entry:no_additional_request_service_request |
SC | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section | ||||
| section:gpp_personal_care_experience |
C | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | ||||
| entry |
SC | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section | ||||
| section:completion_information |
SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| ClauseExtension |
0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:orders_review |
C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
| entry:orders_participant |
C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
| entry:hospice_observation |
C | 0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | ||||
| entry:hospice_agency |
C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: LOINC code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
| Composition.category | example | Pattern: LOINC code 42348-3http://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.code | example | Pattern: LOINC code 93037-0("Portable medical order form")http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.code | example | Pattern: LOINC code 81338-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:completion_information.code | example | Pattern: LOINC code 100970-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | ADICompositionHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| 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 |
S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| VersionNumber |
S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-versionNumber-extension | ||||
| EffectiveDateExtension |
0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-effective-date-extension | |||||
| Jurisdiction |
0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible) | |||||
| DataEntererExtension |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension | |||||
| InformantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension | |||||
| ParticipantExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-participant-extension | |||||
| PerformerExtension |
0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directives Categories (extensible)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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| 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 | |||||
| category |
SΣ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| 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 | |||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| encounter |
Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date |
SΣ | 1..1 | dateTime | Composition editing time | ||||
| author |
SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| 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 | ||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| 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 | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| 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 | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 1..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:portable_medical_orders |
SC | 1..1 | BackboneElement | Portable Medical Orders cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Section clause, additional instructions, or information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 93037-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Portable medical order form | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(ADI ServiceRequest | ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:cardiopulmonary_resuscitation_service_request |
SC | 0..1 | Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) | A reference to data that supports this section | ||||
| entry:initial_treatment_service_request |
SC | 0..1 | Reference(ADI PMO Initial Treatment ServiceRequest) | A reference to data that supports this section | ||||
| entry:medically_assisted_nutrition_service_request |
SC | 0..1 | Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) | A reference to data that supports this section | ||||
| entry:additional_request_service_request |
SC | 0..* | Reference(ADI PMO Additional request or instruction ServiceRequest) | A reference to data that supports this section | ||||
| entry:no_additional_request_service_request |
SC | 0..1 | Reference(ADI PMO No Additional request or instruction Observation) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:gpp_personal_care_experience |
C | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||
| 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 | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | ||||
| entry |
SC | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:completion_information |
SC | 0..1 | BackboneElement | Portable medical order completion information cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ClauseExtension |
0..* | (Complex) | Administrative, instructional, and/or legal information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 100970-3 | |||||
| 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 | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:orders_review |
C | 0..* | Reference(ADI PMO Review Observation) | A reference to data that supports this section | ||||
| entry:orders_participant |
C | 0..* | Reference(ADI PMO Participant Observation) | A reference to data that supports this section | ||||
| entry:hospice_observation |
C | 0..1 | Reference(ADI Portable Medical Order Hospice Observation) | A reference to data that supports this section | ||||
| entry:hospice_agency |
C | 0..1 | Reference(US Core Organization Profile) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | Pattern: LOINC code 93037-0http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 | ||||
| Composition.category | example | Pattern: LOINC code 42348-3http://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.code | example | Pattern: LOINC code 93037-0("Portable medical order form")http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:portable_medical_orders.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:portable_medical_orders.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.code | example | Pattern: LOINC code 81338-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:gpp_personal_care_experience.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:completion_information.code | example | Pattern: LOINC code 100970-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:completion_information.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:completion_information.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:completion_information.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from ADICompositionHeader
Summary
Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 International / Patient Empowerment. Package hl7.fhir.us.pacio-adi#2.1.0 based on FHIR 4.0.1. Generated 2024-05-09
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