PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2 United States of America flag

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

Resource Profile: ADI Portable Medical Order Composition

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition Version: 2.1.0
Active as of 2024-07-17 Computable Name: ADIPMOComposition

This profile encompasses information that makes up a practitioner’s portable medical order.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ADICompositionHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... author 1..* Reference(US Core PractitionerRole Profile) Who and/or what authored the composition
... 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:orders_review 0..* Reference(ADI PMO Review Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:orders_participant 0..* Reference(ADI PMO Participant Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_observation 0..1 Reference(ADI Portable Medical Order Hospice Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_agency 0..1 Reference(US Core Organization Profile) A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... 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
.... DocumentRevokeStatusExtension S 0..1 code Revoke Status
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status-extension
Binding: ADI Document Revoke Status (required)
... identifier SΣ 1..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: ADI Composition Status (required)
... 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
..... display 1..1 string Representation defined by the system
Fixed Value: Advance directives
... 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 PractitionerRole Profile) 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
..... Slices for extension 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension 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
..... 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:orders_review C 0..* Reference(ADI PMO Review Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:orders_participant C 0..* Reference(ADI PMO Participant Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_observation C 0..1 Reference(ADI Portable Medical Order Hospice Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_agency C 0..1 Reference(US Core Organization Profile) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredADICompositionStatusVS
http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS
from this IG
Composition.typeextensiblePattern: LOINC Code 93037-0
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4
Composition.categoryexamplePattern: LOINC Code 42348-3("Advance directives")
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.section:portable_medical_orders.codeexamplePattern: LOINC Code 93037-0("Portable medical order form")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:gpp_personal_care_experience.codeexamplePattern: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:gpp_personal_care_experience.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:completion_information.codeexamplePattern: LOINC Code 100970-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
.... DocumentRevokeStatusExtension S 0..1 code Revoke Status
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status-extension
Binding: ADI Document Revoke Status (required)
... 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: ADI Composition Status (required)
... 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 1..1 string Representation defined by the system
Fixed Value: Advance directives
..... 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 PractitionerRole Profile) 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:cardiopulmonary_resuscitation_service_request SC 0..1 Reference(ADI PMO Cardiopulmonary Resuscitation ServiceRequest) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:initial_treatment_service_request SC 0..1 Reference(ADI PMO Initial Treatment ServiceRequest) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:medically_assisted_nutrition_service_request SC 0..1 Reference(ADI PMO Medically Assisted Nutrition ServiceRequest) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:additional_request_service_request SC 0..* Reference(ADI PMO Additional request or instruction ServiceRequest) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... 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
..... Slices for extension 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
..... 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:orders_review C 0..* Reference(ADI PMO Review Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:orders_participant C 0..* Reference(ADI PMO Participant Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_observation C 0..1 Reference(ADI Portable Medical Order Hospice Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredADICompositionStatusVS
http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS
from this IG
Composition.typeextensiblePattern: LOINC Code 93037-0
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4
Composition.categoryexamplePattern: LOINC Code 42348-3("Advance directives")
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:portable_medical_orders.codeexamplePattern: LOINC Code 93037-0("Portable medical order form")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:portable_medical_orders.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:portable_medical_orders.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:portable_medical_orders.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:gpp_personal_care_experience.codeexamplePattern: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:gpp_personal_care_experience.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:gpp_personal_care_experience.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:gpp_personal_care_experience.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:completion_information.codeexamplePattern: LOINC Code 100970-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:completion_information.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:completion_information.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:completion_information.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from 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:

  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from ADICompositionHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... author 1..* Reference(US Core PractitionerRole Profile) Who and/or what authored the composition
... 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:orders_review 0..* Reference(ADI PMO Review Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:orders_participant 0..* Reference(ADI PMO Participant Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_observation 0..1 Reference(ADI Portable Medical Order Hospice Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_agency 0..1 Reference(US Core Organization Profile) A reference to data that supports this section

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... Slices for extension Content/Rules for all slices
.... 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
.... DocumentRevokeStatusExtension S 0..1 code Revoke Status
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status-extension
Binding: ADI Document Revoke Status (required)
... identifier SΣ 1..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: ADI Composition Status (required)
... 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
..... display 1..1 string Representation defined by the system
Fixed Value: Advance directives
... 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 PractitionerRole Profile) 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
..... Slices for extension 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
..... Slices for extension Content/Rules for all slices
...... 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
..... Slices for extension 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
..... 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
..... Slices for extension Content/Rules for all slices
...... 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()
..... Slices for entry Content/Rules for all slices
...... entry:orders_review C 0..* Reference(ADI PMO Review Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:orders_participant C 0..* Reference(ADI PMO Participant Observation) A reference to data that supports this section
..... Slices for entry Content/Rules for all slices
...... entry:hospice_observation C 0..1 Reference(ADI Portable Medical Order Hospice Observation) A reference to data that supports this section