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 |
TTL representation of the adi-enclosedPrecondition-extension extension.
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/StructureDefinition/adi-enclosedPrecondition-extension> a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "adi-enclosedPrecondition-extension"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition adi-enclosedPrecondition-extension</b></p><a name=\"adi-enclosedPrecondition-extension\"> </a><a name=\"hcadi-enclosedPrecondition-extension\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-adi-enclosedPrecondition-extension-definitions.html#Extension\" title=\"The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Enclosed Precondition</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Extension.</span><a href=\"StructureDefinition-adi-enclosedPrecondition-extension-definitions.html#Extension.extension\" class=\"xhtPieceStrikeout\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceStrikeout\"/><span class=\"xhtPieceStrikeout xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceStrikeout\">..</span><span class=\"xhtPieceStrikeout\">0</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">Extension</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Extension.</span><a href=\"StructureDefinition-adi-enclosedPrecondition-extension-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\" class=\"xhtPieceDeEmphasized\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDarkGreen\">\"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension\"</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Extension.</span><a href=\"StructureDefinition-adi-enclosedPrecondition-extension-definitions.html#Extension.value[x]\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Value of extension</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ; fhir:Extension.valueCode [ fhir:value "pe" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ; fhir:Extension.valueCode [ fhir:value "trial-use" ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi" ; fhir:link <http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi> ] ] ] ] ; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension"] ; fhir:StructureDefinition.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.68.42.44" ] ] ; fhir:StructureDefinition.version [ fhir:value "2.0.0"] ; fhir:StructureDefinition.name [ fhir:value "EnclosedPreconditionExtension"] ; fhir:StructureDefinition.title [ fhir:value "Enclosed Precondition"] ; fhir:StructureDefinition.status [ fhir:value "active"] ; fhir:StructureDefinition.date [ fhir:value "2026-10-15T19:33:19+00:00"^^xsd:dateTime] ; fhir:StructureDefinition.publisher [ fhir:value "HL7 International / Patient Empowerment"] ; fhir:StructureDefinition.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "HL7 International / Patient Empowerment" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/patientempowerment" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "patients@lists.HL7.org" ] ] ] ; fhir:StructureDefinition.description [ fhir:value "The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation."] ; fhir:StructureDefinition.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "US" ] ; fhir:Coding.display [ fhir:value "United States of America" ] ] ] ; fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ; fhir:StructureDefinition.mapping [ fhir:index 0 ; fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ] ] ; fhir:StructureDefinition.kind [ fhir:value "complex-type"] ; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ; fhir:StructureDefinition.context [ fhir:index 0 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "Observation" ] ], [ fhir:index 1 ; fhir:StructureDefinition.context.type [ fhir:value "element" ] ; fhir:StructureDefinition.context.expression [ fhir:value "Goal.description" ] ] ; fhir:StructureDefinition.type [ fhir:value "Extension"] ; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ; fhir:StructureDefinition.derivation [ fhir:value "constraint"] ; fhir:StructureDefinition.snapshot [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ; fhir:Extension.valueString [ fhir:value "4.0.1" ] ] ; fhir:StructureDefinition.snapshot.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "Extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.short [ fhir:value "Enclosed Precondition" ] ; fhir:ElementDefinition.definition [ fhir:value "The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.condition [ fhir:value "ele-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "Extension.id" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ] ; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ; fhir:ElementDefinition.short [ fhir:value "Extension" ] ; fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ; fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:ElementDefinition.comment [ fhir:value "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." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "uri" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension" ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 4 ; fhir:Element.id [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ; fhir:ElementDefinition.definition [ fhir:value "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)." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ] ] ; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "Extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension" ] ; fhir:ElementDefinition.short [ fhir:value "Enclosed Precondition" ] ; fhir:ElementDefinition.definition [ fhir:value "The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation." ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.extension" ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension" ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/StructureDefinition/adi-enclosedPrecondition-extension.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/StructureDefinition/adi-enclosedPrecondition-extension.ttl> .
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
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