PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0 - STU 2 – Ballot
PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0 - STU 2 – Ballot
PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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
| Page standards status: Trial-use |
Mappings for the ADI-Composition-Header resource profile.
No Mappings Found
No Mappings Found
| Name | Workflow Pattern | RIM Mapping | CDA (R2) | FHIR DocumentReference | FiveWs Pattern Mapping |
|---|---|---|---|---|---|
  Composition |
Event |
Document[classCode="DOC" and moodCode="EVN" and isNormalAct()] |
ClinicalDocument |
when described by DocumentReference |
|
  id |
|||||
 meta |
|||||
| implicitRules |
|||||
| language |
languageCode |
||||
| text |
Act.text? |
||||
| contained |
N/A |
||||
  Slices for extension |
|||||
   extension:R5-Composition-version |
versionNumber |
||||
| extension:data-enterer |
assignedEntity.dataEnterer |
||||
| extension:informant |
informantChoice.informant |
||||
| extension:information-recipient |
intendedRecipient.informationRecipient |
||||
| extension:participant |
associatedEntity.participant |
||||
| extension:consent |
authorization.Consent |
||||
| extension:basedOn |
Event.basedOn |
.outboundRelationship[typeCode=FLFS].target |
inFulfillmentOf.basedOn |
||
| extension:change-made |
|||||
| extension:ExpirationDateExtension |
|||||
| extension:DataEntererExtension |
|||||
| extension:InformantExtension |
|||||
| extension:ParticipantExtension |
|||||
| extension:PerformerExtension |
|||||
| extension:ClauseExtension |
|||||
 extension:DocumentRevokeStatus |
|||||
 modifierExtension |
N/A |
||||
| identifier |
Event.identifier |
Document.id / Document.setId |
.setId |
DocumentReference.masterIdentifier |
FiveWs.identifier |
| status |
Event.status |
|
n/a |
DocumentReference.status |
FiveWs.status |
| id |
|||||
| Slices for extension |
|||||
| extension:R5-Composition-status |
|||||
 value |
|||||
| type |
Event.code |
./code |
.code |
DocumentReference.type |
FiveWs.class |
 Slices for category |
Event.subject |
|
n/a |
DocumenttReference.category |
FiveWs.class |
| category:clinicalnotecategory |
Event.subject |
|
n/a |
DocumenttReference.category |
FiveWs.class |
| category:advanceDirectiveCategory |
Event.subject |
|
n/a |
DocumenttReference.category |
FiveWs.class |
 subject |
.participation[typeCode="SBJ"].role[typeCode="PAT"] |
.recordTarget |
DocumentReference.subject |
FiveWs.subject | |
| encounter |
Event.context |
|
.componentOf.encompassingEncounter |
DocumentReference.context.encounter |
FiveWs.context |
| date |
Event.occurrence[x] |
.effectiveTime[type="TS"] |
.effectiveTime |
|
FiveWs.done[x] |
| author |
Event.performer |
.participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
.author.assignedAuthor |
DocumentReference.agent |
FiveWs.author |
| title |
./title |
.title |
|
||
| confidentiality |
.confidentialityCode |
.confidentialityCode |
DocumentReference.securityLabel |
||
| Slices for attester |
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
.authenticator/.legalAuthenticator |
DocumentReference.authenticator |
||
  attester:All Slices |
|||||
 id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| mode |
unique(./modeCode) |
implied by .authenticator/.legalAuthenticator |
|||
| time |
./time[type="TS" and isNormalDatatype()] |
.authenticator.time |
|||
| party |
|
.authenticator.assignedEnttty |
FiveWs.witness | ||
| attester:legal_attester |
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
.authenticator/.legalAuthenticator |
DocumentReference.authenticator |
||
 id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| mode |
unique(./modeCode) |
implied by .authenticator/.legalAuthenticator |
|||
| time |
./time[type="TS" and isNormalDatatype()] |
.authenticator.time |
|||
 party |
|
.authenticator.assignedEnttty |
FiveWs.witness | ||
 attester:professional_attester |
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
.authenticator/.legalAuthenticator |
DocumentReference.authenticator |
||
 id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| mode |
unique(./modeCode) |
implied by .authenticator/.legalAuthenticator |
|||
| time |
./time[type="TS" and isNormalDatatype()] |
.authenticator.time |
|||
| party |
|
.authenticator.assignedEnttty |
FiveWs.witness | ||
| custodian |
.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |
.custodian.assignedCustodian |
DocumentReference.custodian |
||
| Slices for relatesTo |
.outboundRelationship |
.relatedDocument |
DocumentReference.relatesTo |
||
| relatesTo:All Slices |
|||||
| id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| code |
.outboundRelationship.typeCode |
.relatedDocument.typeCode |
DocumentReference.relatesTo.code |
||
| Slices for target[x] |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
| target[x]:targetIdentifier |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
| relatesTo:replaced_document |
.outboundRelationship |
.relatedDocument |
DocumentReference.relatesTo |
||
| id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| code |
.outboundRelationship.typeCode |
.relatedDocument.typeCode |
DocumentReference.relatesTo.code |
||
| Slices for target[x] |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
 Slices for target[x] |
|||||
| target[x]:targetIdentifier |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
| id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
| assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
| relatesTo:appended_document |
.outboundRelationship |
.relatedDocument |
DocumentReference.relatesTo |
||
| id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| code |
.outboundRelationship.typeCode |
.relatedDocument.typeCode |
DocumentReference.relatesTo.code |
||
| Slices for target[x] |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
| Slices for target[x] |
|||||
| target[x]:targetIdentifier |
|
.relatedDocument.id |
DocumentReference.relatesTo.target |
||
| id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
| assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
| event |
outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |
.documentationOf.serviceEvent |
DocumentReference.event |
||
| id |
n/a |
||||
| extension |
n/a |
||||
| modifierExtension |
N/A |
||||
| code |
.code |
.code |
DocumentReference.event.code |
||
| period |
.effectiveTime |
.effectiveTime |
DocumentReference.event.period |
||
 Slices for detail |
.outboundRelationship[typeCode="SUBJ"].target |
n/a |
|||
| detail:adiFacilitator |
.outboundRelationship[typeCode="SUBJ"].target |
n/a |
|||
| Slices for section |
./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
.component.structuredBody.component.section |
|||
| section:All Slices |
|||||
| id |
n/a |
||||
| Slices for extension |
|||||
| extension:change-made |
|||||
| extension:ClauseExtension |
|||||
| modifierExtension |
N/A |
||||
| title |
./title |
.title |
|||
| code |
./code |
.code |
|||
| author |
.participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
.author.assignedAuthor |
FiveWs.author | ||
| focus |
.subject? (CDA did not differentiate between subject and focus) |
||||
| text |
.text |
.text |
|||
| mode |
.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
n/a |
FiveWs.class | ||
| orderedBy |
.outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
n/a |
|||
| entry |
.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
.entry |
|||
| emptyReason |
|
n/a |
|||
| section |
./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
.component.section |
|||
| section:advance_directive_source_form |
./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
.component.structuredBody.component.section |
|||
| id |
n/a |
||||
| Slices for extension |
|||||
 Slices for extension |
|||||
 extension:change-made |
|||||
| extension:ADISourceFormJurisdiction |
|||||
| modifierExtension |
N/A |
||||
| title |
./title |
.title |
|||
| code |
./code |
.code |
|||
| author |
.participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
.author.assignedAuthor |
FiveWs.author | ||
| focus |
.subject? (CDA did not differentiate between subject and focus) |
||||
| text |
.text |
.text |
|||
| mode |
.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
n/a |
FiveWs.class | ||
| orderedBy |
.outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
n/a |
|||
| entry |
.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
.entry |
|||
| emptyReason |
|
n/a |
|||
| section |
./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
.component.section |
|||
| Documentation for this format | |||||
IG © 2021+ HL7 International / Patient Empowerment. Package hl7.fhir.us.pacio-adi#2.0.0 based on FHIR 4.0.1. Generated 2026-10-15
Links: Table of Contents |
QA Report
| Version History |
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