PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0 - STU 2 – Ballot United States of America flag

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

Resource Profile: ADI Notary

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Notary Version: 2.0.0
Standards status: Trial-use Computable Name: ADINotary
Other Identifiers: OID:2.16.840.1.113883.4.642.40.68.42.14

This profile represents a person participating as a notary for a person's advance directives.

The ADI Notary profile uses the RelatedPerson Resource to represent the individual who plays the role of the Notary for patient who is completing their advance healthcare directive document. The code NOTARY is used to express the relationship this individual has to the patient. This coded value is used as a fixed value to encode this notary role, as an alternative to the concepts available in the PatientRelationship type value set.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
Constraints: us-core-14
RelatedPerson.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
RelatedPerson.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether this related person's record is in active use
RelatedPerson.patient This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile) The patient this person is related to
RelatedPerson.Slices for relationship This element must be supported. This element is included in summaries. C 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. This element is included in summaries. C 1..1 CodeableConcept The nature of the relationship
Binding: Personal And Legal Relationship Role Type (preferred): Personal And Legal Relationship Role Type

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.name This element must be supported. This element is included in summaries. C 1..1 HumanName A name associated with the person
RelatedPerson.telecom This element must be supported. This element is included in summaries. 1..* ContactPoint A contact detail for the person
RelatedPerson.address This element must be supported. This element is included in summaries. 0..* Address Address where the related person can be contacted or visited

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.
RelatedPerson.relationship:notary Base preferred Personal And Legal Relationship Role Type ⏿20251204 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
us-core-14 error RelatedPerson Either a name or a relationship SHALL be provided (or both) name.exists() or relationship.exists()

This structure is derived from USCoreRelatedPersonProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.Slices for relationship 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. 1..1 CodeableConcept The nature of the relationship
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.telecom 1..* ContactPoint A contact detail for the person

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
Constraints: us-core-14
RelatedPerson.id This element is included in summaries. 0..1 id Logical id of this artifact
RelatedPerson.meta This element is included in summaries. 0..1 Meta Metadata about the resource
RelatedPerson.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
RelatedPerson.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
RelatedPerson.contained 0..* Resource Contained, inline Resources
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
RelatedPerson.identifier This element is included in summaries. 0..* Identifier A human identifier for this person
RelatedPerson.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether this related person's record is in active use
RelatedPerson.patient This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile) The patient this person is related to
RelatedPerson.Slices for relationship This element must be supported. This element is included in summaries. C 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. This element is included in summaries. C 1..1 CodeableConcept The nature of the relationship
Binding: Personal And Legal Relationship Role Type (preferred): Personal And Legal Relationship Role Type

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.name This element must be supported. This element is included in summaries. C 1..1 HumanName A name associated with the person
RelatedPerson.telecom This element must be supported. This element is included in summaries. 1..* ContactPoint A contact detail for the person
RelatedPerson.gender This element is included in summaries. 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
RelatedPerson.birthDate This element is included in summaries. 0..1 date The date on which the related person was born
RelatedPerson.address This element must be supported. This element is included in summaries. 0..* Address Address where the related person can be contacted or visited
RelatedPerson.photo 0..* Attachment Image of the person
RelatedPerson.period 0..1 Period Period of time that this relationship is considered valid
RelatedPerson.communication 0..* BackboneElement A language which may be used to communicate with about the patient's health
RelatedPerson.communication.id 0..1 string Unique id for inter-element referencing
RelatedPerson.communication.extension 0..* Extension Additional content defined by implementations
RelatedPerson.communication.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
RelatedPerson.communication.language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
RelatedPerson.communication.preferred 0..1 boolean Language preference indicator

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.
RelatedPerson.relationship:notary Base preferred Personal And Legal Relationship Role Type ⏿20251204 tx.fhir.org
RelatedPerson.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
RelatedPerson.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
us-core-14 error RelatedPerson Either a name or a relationship SHALL be provided (or both) name.exists() or relationship.exists()

This structure is derived from USCoreRelatedPersonProfile

Summary

Mandatory: 5 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of RelatedPerson.relationship

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
Constraints: us-core-14
RelatedPerson.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
RelatedPerson.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether this related person's record is in active use
RelatedPerson.patient This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile) The patient this person is related to
RelatedPerson.Slices for relationship This element must be supported. This element is included in summaries. C 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. This element is included in summaries. C 1..1 CodeableConcept The nature of the relationship
Binding: Personal And Legal Relationship Role Type (preferred): Personal And Legal Relationship Role Type

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.name This element must be supported. This element is included in summaries. C 1..1 HumanName A name associated with the person
RelatedPerson.telecom This element must be supported. This element is included in summaries. 1..* ContactPoint A contact detail for the person
RelatedPerson.address This element must be supported. This element is included in summaries. 0..* Address Address where the related person can be contacted or visited

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.
RelatedPerson.relationship:notary Base preferred Personal And Legal Relationship Role Type ⏿20251204 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
us-core-14 error RelatedPerson Either a name or a relationship SHALL be provided (or both) name.exists() or relationship.exists()

Differential View

This structure is derived from USCoreRelatedPersonProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.Slices for relationship 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. 1..1 CodeableConcept The nature of the relationship
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.name 1..1 HumanName A name associated with the person
RelatedPerson.telecom 1..* ContactPoint A contact detail for the person

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
Constraints: us-core-14
RelatedPerson.id This element is included in summaries. 0..1 id Logical id of this artifact
RelatedPerson.meta This element is included in summaries. 0..1 Meta Metadata about the resource
RelatedPerson.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
RelatedPerson.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
RelatedPerson.text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
RelatedPerson.contained 0..* Resource Contained, inline Resources
RelatedPerson.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for extension.extension:NotaryInformationExtension 0..1 (Complex) Notary Information
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-notaryInformation-extension
RelatedPerson.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
RelatedPerson.identifier This element is included in summaries. 0..* Identifier A human identifier for this person
RelatedPerson.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether this related person's record is in active use
RelatedPerson.patient This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile) The patient this person is related to
RelatedPerson.Slices for relationship This element must be supported. This element is included in summaries. C 1..* CodeableConcept The nature of the relationship
Slice: Unordered, Open by pattern:$this
Binding: PatientRelationshipType (extensible)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
RelatedPerson.Slices for relationship.relationship:notary This element must be supported. This element is included in summaries. C 1..1 CodeableConcept The nature of the relationship
Binding: Personal And Legal Relationship Role Type (preferred): Personal And Legal Relationship Role Type

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "code" : "NOTARY"
    }
  ]
}
RelatedPerson.name This element must be supported. This element is included in summaries. C 1..1 HumanName A name associated with the person
RelatedPerson.telecom This element must be supported. This element is included in summaries. 1..* ContactPoint A contact detail for the person
RelatedPerson.gender This element is included in summaries. 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
RelatedPerson.birthDate This element is included in summaries. 0..1 date The date on which the related person was born
RelatedPerson.address This element must be supported. This element is included in summaries. 0..* Address Address where the related person can be contacted or visited
RelatedPerson.photo 0..* Attachment Image of the person
RelatedPerson.period 0..1 Period Period of time that this relationship is considered valid
RelatedPerson.communication 0..* BackboneElement A language which may be used to communicate with about the patient's health
RelatedPerson.communication.id 0..1 string Unique id for inter-element referencing
RelatedPerson.communication.extension 0..* Extension Additional content defined by implementations
RelatedPerson.communication.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
RelatedPerson.communication.language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
RelatedPerson.communication.preferred 0..1 boolean Language preference indicator

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RelatedPerson.relationship Base extensible Patient relationship type 📦4.0.1 FHIR Std.
RelatedPerson.relationship:notary Base preferred Personal And Legal Relationship Role Type ⏿20251204 tx.fhir.org
RelatedPerson.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
RelatedPerson.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
us-core-14 error RelatedPerson Either a name or a relationship SHALL be provided (or both) name.exists() or relationship.exists()

This structure is derived from USCoreRelatedPersonProfile

Summary

Mandatory: 5 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of RelatedPerson.relationship

 

Other representations of profile: CSV, Excel, Schematron