adi-attester
type: StructureDefinition
node role: treeRoot
id:
  v: adi-attester
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition adi-attester Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> <a href="StructureDefinition-adi-attester-definitions.html#Extension" title="An advance healthcare directive attester is a person (typically a witness or notary) who formally verifies and confirms that an individual has voluntarily signed an advance healthcare directive—a legal document outlining their wishes for medical treatment if they become unable to communicate those decisions themselves. The attester's role is to authenticate that the directive was executed properly, that the signer appeared competent, and that no undue influence or coercion was involved.">Extension 0..* Extension ADI Attester #xD; Slices for extension Content/Rules for all slices #xD; extension:mode S 0..1 Extension mode #xD; extension 0..0 Extension #xD; url 1..1 uri "mode" #xD; value[x] 0..1 code Value of extension Binding: CompositionAttestationMode (required) #xD; extension:time S 0..1 Extension attestation or authentication time #xD; extension 0..0 Extension #xD; url 1..1 uri "time" #xD; value[x] 0..1 dateTime Value of extension #xD; extension:party S 0..1 Extension attester party #xD; extension 0..0 Extension #xD; url 1..1 uri "party" #xD; value[x] 0..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) Value of extension #xD; url 1..1 uri "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-attester" #xD; value[x] 0..0 Value of extension #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: pe
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 2
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi
        l: hl7.fhir.us.pacio-adi
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi
        l: hl7.fhir.us.pacio-adi
url:
  v: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-attester
  l: adi-attester
version:
  v: 2.0.0-ballot
name:
  v: ADIAttester
title:
  v: ADI Attester
status:
  v: active
date:
  v: 2026-02-13T17:57:43+00:00
publisher:
  v: HL7 International / Patient Empowerment
contact:
  name:
    v: HL7 International / Patient Empowerment
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/patientempowerment
  telecom:
    system:
      v: email
description:
  v: An advance healthcare directive attester is a person (typically a witness or notary) who formally verifies and confirms that an individual has voluntarily signed an advance healthcare directive—a legal document outlining their wishes for medical treatment if they become unable to communicate those decisions themselves. The attester's role is to authenticate that the directive was executed properly, that the signer appeared competent, and that no undue influence or coercion was involved.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context:
  type:
    v: element
  expression:
    v: DocumentReference
type:
  v: Extension
  l: Extension
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  l: Extension
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: ADI Attester
    definition:
      v: An advance healthcare directive attester is a person (typically a witness or notary) who formally verifies and confirms that an individual has voluntarily signed an advance healthcare directive—a legal document outlining their wishes for medical treatment if they become unable to communicate those decisions themselves. The attester's role is to authenticate that the directive was executed properly, that the signer appeared competent, and that no undue influence or coercion was involved.
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        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        l: Element
    constraint:
      key:
        v: ext-1
      severity:
        v: error
      human:
        v: Must have either extensions or value[x], not both
      expression:
        v: extension.exists() != value.exists()
      xpath:
        v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      source:
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        l: Extension
    is modifier:
      v: false
  element:
    id:
      v: Extension.id
    path:
      v: Extension.id
    representation:
      v: xmlAttr
    short:
      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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      code:
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        l: System.String
    is modifier:
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    is summary:
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    mapping:
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        v: rim
      map:
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Url
v: string
l: string

id:
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path:
  v: Extension.extension
slicing:
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    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
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alias:
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definition:
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must support:
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is modifier:
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is summary:
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id:
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path:
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short:
  v: Unique id for inter-element referencing
definition:
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      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:mode.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
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base:
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type:
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    v: http://hl7.org/fhir/StructureDefinition/Element
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constraint:
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  human:
    v: Must have either extensions or value[x], not both
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is modifier:
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is summary:
  v: false

id:
  v: Extension.extension:mode.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: mode
  l: mode
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:mode.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
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type:
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    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/composition-attestation-mode
    l: composition-attestation-mode
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:time
path:
  v: Extension.extension
slice name:
  v: time
short:
  v: attestation or authentication time
definition:
  v: An Extension
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    v: 0
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    l: Extension
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    v: Must have either extensions or value[x], not both
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is modifier:
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is summary:
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id:
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path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
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type:
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    value: Url
      v: string
      l: string
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    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
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    v: rim
  map:
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id:
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path:
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slicing:
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    type:
      v: value
    path:
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short:
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definition:
  v: An Extension
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constraint:
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constraint:
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is summary:
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id:
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path:
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representation:
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short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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base:
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    v: 1
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type:
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      v: uri
      l: uri
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    l: System.String
fixed: Uri
  v: time
  l: time
is modifier:
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is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
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base:
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    v: 0
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type:
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    l: dateTime
constraint:
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
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is modifier:
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is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
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slice name:
  v: party
short:
  v: attester party
definition:
  v: An Extension
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max:
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    v: 0
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constraint:
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is summary:
  v: false

id:
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path:
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representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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max:
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base:
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type:
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      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
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    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
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is summary:
  v: false
mapping:
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    v: rim
  map:
    v: n/a

id:
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path:
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slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
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short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
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base:
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type:
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    v: Extension
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constraint:
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    v: error
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
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  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
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  source:
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    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:party.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: party
  l: party
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:party.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    l: us-core-practitioner
  target profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
    l: us-core-practitionerrole
  target profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
    l: us-core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.url
path:
  v: Extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-attester
  l: adi-attester
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: canonical
    l: canonical
type:
  code:
    v: code
    l: code
type:
  code:
    v: date
    l: date
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: id
    l: id
type:
  code:
    v: instant
    l: instant
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: markdown
    l: markdown
type:
  code:
    v: oid
    l: oid
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: time
    l: time
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: uri
    l: uri
type:
  code:
    v: url
    l: url
type:
  code:
    v: uuid
    l: uuid
type:
  code:
    v: Address
    l: Address
type:
  code:
    v: Age
    l: Age
type:
  code:
    v: Annotation
    l: Annotation
type:
  code:
    v: Attachment
    l: Attachment
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Coding
    l: Coding
type:
  code:
    v: ContactPoint
    l: ContactPoint
type:
  code:
    v: Count
    l: Count
type:
  code:
    v: Distance
    l: Distance
type:
  code:
    v: Duration
    l: Duration
type:
  code:
    v: HumanName
    l: HumanName
type:
  code:
    v: Identifier
    l: Identifier
type:
  code:
    v: Money
    l: Money
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: Ratio
    l: Ratio
type:
  code:
    v: Reference
    l: Reference
type:
  code:
    v: SampledData
    l: SampledData
type:
  code:
    v: Signature
    l: Signature
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: ContactDetail
    l: ContactDetail
type:
  code:
    v: Contributor
    l: Contributor
type:
  code:
    v: DataRequirement
    l: DataRequirement
type:
  code:
    v: Expression
    l: Expression
type:
  code:
    v: ParameterDefinition
    l: ParameterDefinition
type:
  code:
    v: RelatedArtifact
    l: RelatedArtifact

code:
  v: TriggerDefinition
  l: TriggerDefinition

code:
  v: UsageContext
  l: UsageContext

code:
  v: Dosage
  l: Dosage

code:
  v: Meta
  l: Meta

key:
  v: ele-1
severity:
  v: error
human:
  v: All FHIR elements must have a @value or children
expression:
  v: hasValue() or (children().count() > id.count())
xpath:
  v: @value|f:*|h:div
source:
  v: http://hl7.org/fhir/StructureDefinition/Element
  l: Element

v: false

v: false

identity:
  v: rim
map:
  v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: ADI Attester
  definition:
    v: An advance healthcare directive attester is a person (typically a witness or notary) who formally verifies and confirms that an individual has voluntarily signed an advance healthcare directive—a legal document outlining their wishes for medical treatment if they become unable to communicate those decisions themselves. The attester's role is to authenticate that the directive was executed properly, that the signer appeared competent, and that no undue influence or coercion was involved.
element:
  id:
    v: Extension.extension:mode
  path:
    v: Extension.extension
  slice name:
    v: mode
  short:
    v: mode
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:mode.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:mode.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: mode
    l: mode
element:
  id:
    v: Extension.extension:mode.value[x]
  path:
    v: Extension.extension.value[x]
  type:
    code:
      v: code
      l: code
  binding:
    strength:
      v: required
    value set:
      v: http://hl7.org/fhir/ValueSet/composition-attestation-mode
      l: composition-attestation-mode
element:
  id:
    v: Extension.extension:time
  path:
    v: Extension.extension
  slice name:
    v: time
  short:
    v: attestation or authentication time
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:time.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:time.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: time
    l: time
element:
  id:
    v: Extension.extension:time.value[x]
  path:
    v: Extension.extension.value[x]
  type:
    code:
      v: dateTime
      l: dateTime
element:
  id:
    v: Extension.extension:party
  path:
    v: Extension.extension
  slice name:
    v: party
  short:
    v: attester party
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:party.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:party.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: party
    l: party
element:
  id:
    v: Extension.extension:party.value[x]
  path:
    v: Extension.extension.value[x]
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
      l: us-core-practitioner
    target profile:
      v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
      l: us-core-practitionerrole
    target profile:
      v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
      l: us-core-patient
element:
  id:
    v: Extension.url
  path:
    v: Extension.url
  fixed: Uri
    v: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-attester
    l: adi-attester
element:
  id:
    v: Extension.value[x]
  path:
    v: Extension.value[x]
  max:
    v: 0