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-PersonalPrioritiesOrganizer | Version: 2.1.0 | |||
| Active as of 2024-11-01 | Computable Name: ADIPersonalPrioritiesOrganizer | |||
Personal Priorities Organizer is used to represent a set of personal goals, preferences or care experiences in a preferred ranked order.
The ADI Personal Priorities organizer represents the patient’s ranked preferences for their stated personal goals of care, which is related to 8.12.1. A patient may rank avoiding prolonged dependence on machines higher than being able to die at home, which can impact the medical team’s recommendations as to which interventions and associated known outcomes would most closely result in the highest ranked priorities of the patient.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from List
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  List |
List | |||
  text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
| status |
S | 1..1 | code | current | retired | entered-in-error |
| title |
1..1 | string | Descriptive name for the list | |
 code |
1..1 | CodeableConcept | What the purpose of this list is 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: 81340-2 | |
 subject |
S | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject |
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |
| entry |
||||
| item |
1..1 | Reference(ADI PtAuthored Personal Goal | ADI PtAuthored Personal Intervention Preference | ADI PtAuthored Care Experience Preference) | Actual entry | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working" |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. |
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. |
| title |
Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients |
| code |
Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2 | |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject |
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1from the FHIR Standard | |
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| List.code | example | Pattern: LOINC Code 81340-2http://hl7.org/fhir/ValueSet/list-example-codesfrom the FHIR Standard | |
| List.orderedBy | preferred | Pattern: priorityhttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working" | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
?!SΣ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. | ||||
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. | ||||
| title |
Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients | ||||
| code |
Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2 | |||||
| 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) | If all resources have the same subject | ||||
| encounter |
0..1 | Reference(Encounter) | Context in which list created | |||||
| date |
Σ | 0..1 | dateTime | When the list was prepared | ||||
| source |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author) | ||||
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |||||
| 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 | |||||
| note |
0..* | Annotation | Comments about the list | |||||
| entry |
C | 0..* | BackboneElement | Entries in the list | ||||
| 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 | ||||
| flag |
0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list. | |||||
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted | ||||
| date |
0..1 | dateTime | When item added to list | |||||
| item |
1..1 | Reference(ADI PtAuthored Personal Goal | ADI PtAuthored Personal Intervention Preference | ADI PtAuthored Care Experience Preference) | Actual entry | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| List.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1from the FHIR Standard | ||||
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| List.code | example | Pattern: LOINC Code 81340-2http://hl7.org/fhir/ValueSet/list-example-codesfrom the FHIR Standard | ||||
| List.orderedBy | preferred | Pattern: priorityhttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| List.entry.flag | example | PatientMedicineChangeTypeshttp://hl7.org/fhir/ValueSet/list-item-flagfrom the FHIR Standard | ||||
| List.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from List
Summary
Mandatory: 5 elements
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from List
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| List |
List | |||
| text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
| status |
S | 1..1 | code | current | retired | entered-in-error |
| title |
1..1 | string | Descriptive name for the list | |
| code |
1..1 | CodeableConcept | What the purpose of this list is 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: 81340-2 | |
| subject |
S | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject |
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |
| entry |
||||
| item |
1..1 | Reference(ADI PtAuthored Personal Goal | ADI PtAuthored Personal Intervention Preference | ADI PtAuthored Care Experience Preference) | Actual entry | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working" |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. |
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. |
| title |
Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients |
| code |
Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2 | |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject |
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1from the FHIR Standard | |
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| List.code | example | Pattern: LOINC Code 81340-2http://hl7.org/fhir/ValueSet/list-example-codesfrom the FHIR Standard | |
| List.orderedBy | preferred | Pattern: priorityhttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| List |
C | 0..* | List | A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working" | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 1..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
?!SΣ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. | ||||
| mode |
?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. | ||||
| title |
Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients | ||||
| code |
Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2 | |||||
| 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) | If all resources have the same subject | ||||
| encounter |
0..1 | Reference(Encounter) | Context in which list created | |||||
| date |
Σ | 0..1 | dateTime | When the list was prepared | ||||
| source |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author) | ||||
| orderedBy |
S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-order | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: priority | |||||
| 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 | |||||
| note |
0..* | Annotation | Comments about the list | |||||
| entry |
C | 0..* | BackboneElement | Entries in the list | ||||
| 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 | ||||
| flag |
0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list. | |||||
| deleted |
?!C | 0..1 | boolean | If this item is actually marked as deleted | ||||
| date |
0..1 | dateTime | When item added to list | |||||
| item |
1..1 | Reference(ADI PtAuthored Personal Goal | ADI PtAuthored Personal Intervention Preference | ADI PtAuthored Care Experience Preference) | Actual entry | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| List.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| List.status | required | ListStatushttp://hl7.org/fhir/ValueSet/list-status|4.0.1from the FHIR Standard | ||||
| List.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| List.code | example | Pattern: LOINC Code 81340-2http://hl7.org/fhir/ValueSet/list-example-codesfrom the FHIR Standard | ||||
| List.orderedBy | preferred | Pattern: priorityhttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| List.entry.flag | example | PatientMedicineChangeTypeshttp://hl7.org/fhir/ValueSet/list-item-flagfrom the FHIR Standard | ||||
| List.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from List
Summary
Mandatory: 5 elements
Must-Support: 4 elements
Structures
This structure refers to these other structures:
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 2024-11-01
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