Example-Smith-Johnson-PACP-Bundle1
type: Bundle
node role: treeRoot
resource.id:
  value: Example-Smith-Johnson-PACP-Bundle1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
resource.language:
  value: en
bundle.identifier:
  identifier.system:
    value: http://example.org/GoodHealthClinic/id
  identifier.value:
    value: 20130607100315-CCDA-CCD
bundle.type:
  value: document
bundle.timestamp:
  value: 2021-03-29T14:25:34.001-05:00
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Composition/Example-Smith-Johnson-PACPComposition1
  bundle.entry.resource: Example-Smith-Johnson-PACPComposition1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Patient/Example-Smith-Johnson-Patient1
  bundle.entry.resource: Example-Smith-Johnson-Patient1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-Smith-Johnson-Notary1
  bundle.entry.resource: Example-Smith-Johnson-Notary1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent1
  bundle.entry.resource: Example-Smith-Johnson-HealthcareAgent1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent2
  bundle.entry.resource: Example-Smith-Johnson-HealthcareAgent2
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent3
  bundle.entry.resource: Example-Smith-Johnson-HealthcareAgent3
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent
  bundle.entry.resource: Example-Smith-Johnson-HealthcareAgentConsent
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/CarePlan/Example-Smith-Johnson-PreferenceCarePlan1
  bundle.entry.resource: Example-Smith-Johnson-PreferenceCarePlan1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/CarePlan/Example-Smith-Johnson-PreferenceCarePlan2
  bundle.entry.resource: Example-Smith-Johnson-PreferenceCarePlan2
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/CarePlan/Example-Smith-Johnson-PreferenceCarePlan3
  bundle.entry.resource: Example-Smith-Johnson-PreferenceCarePlan3
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference1
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference2
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference2
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference3
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference3
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference4
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference4
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference5
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference5
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference6
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference6
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference7
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference7
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference8
  bundle.entry.resource: Example-Smith-Johnson-CareExperiencePreference8
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-PersonalInterventionPreference1
  bundle.entry.resource: Example-Smith-Johnson-PersonalInterventionPreference1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-PersonalInterventionPreference3
  bundle.entry.resource: Example-Smith-Johnson-PersonalInterventionPreference3
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-PersonalInterventionPreference5
  bundle.entry.resource: Example-Smith-Johnson-PersonalInterventionPreference5
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-PersonalInterventionPreference6
  bundle.entry.resource: Example-Smith-Johnson-PersonalInterventionPreference6
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-OrganDonationObservation1
  bundle.entry.resource: Example-Smith-Johnson-OrganDonationObservation1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-AutopsyObservation1
  bundle.entry.resource: Example-Smith-Johnson-AutopsyObservation1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-UponDeathPreference1
  bundle.entry.resource: Example-Smith-Johnson-UponDeathPreference1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-Smith-Johnson-DocumentationObservation1
  bundle.entry.resource: Example-Smith-Johnson-DocumentationObservation1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Organization/Example-Smith-Johnson-OrganizationCustodian1
  bundle.entry.resource: Example-Smith-Johnson-OrganizationCustodian1
bundle.entry:
  index: -1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Binary/Example-Stub-SourceForm-Smith-Johnson-Binary
  bundle.entry.resource: Example-Stub-SourceForm-Smith-Johnson-Binary

Example-Smith-Johnson-PACPComposition1
type: Composition
resource.id:
  value: Example-Smith-Johnson-PACPComposition1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: Composition Example-Smith-Johnson-PACPComposition1 Language: en-US Profile: ADI Person-Authored Composition Composition Version Number: 2022-03-29T14:25:34-05:00 Data Enterer: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) ADI Expiration Date: 2028-03-29 14:25:34-0500 identifier: http://example.org/GoodHealthClinic/id/0-87f37989294a408897aacd1fc5d8fd16 status: Final type: Patient Personal advance care plan category: Clinical note, Advance healthcare directives date: 2021-03-29 14:25:34-0500 author: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) title: Personal Advance Care Plan Attesters - Mode Party * Personal Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) custodian: Organization example.org
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
  extension.value string:
    value: 2022-03-29T14:25:34-05:00
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
    reference.reference:
      value: Patient/Example-Smith-Johnson-Patient1
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension
  extension.value date time:
    value: 2028-03-29T14:25:34-05:00
composition.identifier:
  identifier.system:
    value: http://example.org/GoodHealthClinic/id
composition.status:
  value: final
composition.type:
  codeable concept.coding: http://loinc.org/rdf#81334-5
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81334-5
    coding.display:
      value: Patient Personal advance care plan
composition.category:
  index: -1
  codeable concept.coding: http://loinc.org/rdf#107903-7
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 107903-7
    coding.display:
      value: Clinical note
composition.category:
  index: -1
  codeable concept.coding: http://loinc.org/rdf#42348-3
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 42348-3
    coding.display:
      value: Advance healthcare directives
composition.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
composition.date:
  value: 2021-03-29T14:25:34-05:00
composition.author:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
composition.title:
  value: Personal Advance Care Plan
composition.attester:
  index: -1
  composition.attester.mode:
    value: personal
  composition.attester.party:
    link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
    reference.reference:
      value: Patient/Example-Smith-Johnson-Patient1
composition.custodian:
  link: http://hl7.org/fhir/us/pacio-adi/Organization/Example-Smith-Johnson-OrganizationCustodian1
  reference.reference:
    value: Organization/Example-Smith-Johnson-OrganizationCustodian1
composition.section:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension
    extension.value codeable concept:
      codeable concept.coding:
        index: -1
  composition.section.title:
    value: Example Source Form - Betsy Smith-Johnson
  composition.section.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs
      coding.code:
        value: advance_directive_source_form
  composition.section.text:
    narrative.status:
      value: additional
    narrative.div: I understand the purpose and effect of this Advance Directive, I agree with everything that is written in this form, and I have made this advance directive knowingly, willingly and after careful deliberation.
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Binary/Example-Stub-SourceForm-Smith-Johnson-Binary
    reference.reference:
      value: Binary/Example-Stub-SourceForm-Smith-Johnson-Binary
composition.section:
  index: -1
  composition.section.title:
    value: Appointment of a Primary Healthcare Agent and Alternate Healthcare Agents
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#81335-2
      index: -1
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 81335-2
      coding.display:
        value: Healthcare Agent
  composition.section.text:
    narrative.status:
      value: additional
    narrative.div: IF THIS PART OF THE uADD™ IS LEFT BLANK, I DO NOT WANT TO DESIGNATE A HEALTHCARE AGENT AT THIS TIME, AND I DO NOT WANT A DEFAULT HEALTHCARE AGENT DESIGNATED FOR ME UNDER APPLICABLE LAW. I TRUST THE DOCTORS AND NURSES TREATING ME TO MAKE MEDICAL TREATMENT DECISIONS REGARDING MY TREATMENT AND CARE. I am appointing the person or persons below as my healthcare agent and, if applicable, as my alternate healthcare agent(s), and I am granting to each of them the legal authority to make medical treatment decisions on my behalf and to consult with my physician and others. The power to make medical treatment decisions that I am granting to my healthcare agent(s) is expressly subject to, and limited by, the choices that I have expressed elsewhere in my uADD. If my medical treatment choices are not clear, I am authorizing and directing my healthcare agent to make decisions in my best interests and based on what is known of my wishes. Primary Healthcare Agent The person I choose as my Primary Healthcare Agent is: Charles Johnson (Son) CharlesSJ@example.com [SELECTED to act as a healthcare agent on 3/29/2021, at 2:25 PM CDT] [ACCEPTED to act as a healthcare agent on 4/1/2021, at 3:39 PM CDT] First Alternate Healthcare Agent If this healthcare agent is unable or unwilling to make medical treatment decisions for me, or if my spouse is designated as my primary healthcare agent and our marriage is annulled, or we are divorced or legally separated, then my next choice for a healthcare agent is: Debra Johnson (Daughter) DebraSJ@example.com [SELECTED to act as a healthcare agent on 3/29/2021, at 2:25 PM CDT] [As of 4/1/2021, at 3:40 PM CDT, a response is still PENDING] My Healthcare Agent’s General Authority Subject to my medical treatment choices expressed elsewhere in this uADD™ and applicable law that requires otherwise, I grant to my healthcare agent the power to make all choices and medical treatment decisions for me. If I cannot express my own wishes for medical treatment, I would…
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-Smith-Johnson-Notary1
    reference.reference:
      value: RelatedPerson/Example-Smith-Johnson-Notary1
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-Smith-Johnson-HealthcareAgent1
    reference.reference:
      value: RelatedPerson/Example-Smith-Johnson-HealthcareAgent1
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-Smith-Johnson-HealthcareAgent2
    reference.reference:
      value: RelatedPerson/Example-Smith-Johnson-HealthcareAgent2
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Consent/Example-Smith-Johnson-HealthcareAgentConsent
    reference.reference:
      value: Consent/Example-Smith-Johnson-HealthcareAgentConsent
composition.section:
  index: -1
  composition.section.title:
    value: Patient Goals, Preferences, and Priorities for Care Experience
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#81338-6
      index: -1
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 81338-6
      coding.display:
        value: Patient Goals, Preferences, and Priorities for Care Experience
  composition.section.text:
    narrative.status:
      value: additional
    narrative.div: MyDirectives® offers people a list of optional questions that can be answered by typing text in a text box or by uploading a video or audio file for each question. Only those questions answered by Betsy Smith-Johnson appear here. For a complete list of questions in My Thoughts, please visit www.example.org. In case I’m being cared for by a person(s) who doesn't know me very well, I’d like my following thoughts to be known. My likes / joys: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: I love the smell of lavender and the feeling of sunshine on my face. My dislikes / fears: Here is a list of things that I would like to avoid if at all possible, people that I don’t wish to see, and concerns I have about particular family members, pets, and so on: I do not like my feet to be cold. How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I want photos of my family where I can see them. My religion: If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest. Please attempt to notify someone from my religion at the following phone number: If I have included one Catholic My unfinished business: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address: I want my sister and I to talk again, and miss her. I wish we hadn't disagreed all those years ago and regret the time it has cost us. I'd like to see her face if I were very ill and needed the comfort of family at my side. Laughter: T…
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference1
    reference.reference:
      value: Observation/Example-Smith-Johnson-CareExperiencePreference1
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference2
    reference.reference:
      value: Observation/Example-Smith-Johnson-CareExperiencePreference2
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference3
    reference.reference:
      value: Observation/Example-Smith-Johnson-CareExperiencePreference3
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference4
    reference.reference:
      value: Observation/Example-Smith-Johnson-CareExperiencePreference4
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference5
    reference.reference:
      value: Observation/Example-Smith-Johnson-CareExperiencePreference5
  composition.section.entry:
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference6

Example-Smith-Johnson-Patient1
type: Patient
resource.id:
  value: Example-Smith-Johnson-Patient1
resource.meta:
  meta.last updated:
    value: 2021-03-29T14:25:34.001-05:00
  meta.profile:
    value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
    index: -1
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Patient Example-Smith-Johnson-Patient1 Last updated: 2021-03-29 14:25:34-0500; Language: en-US Profile: US Core Patient Profile Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) Active: true Marital Status: unknown Other Id: Medical Record Number/1032702 (use: usual, ) Contact Detail BetsySJ@example.com 111 Maple Court San Antonio TX 78212 US (home) Language: English (preferred) son: Charles Johnson 111 Maple Ct, Grand Rapids, MI 49503 ph: (210) 222-3333 daughter: Debra Johnson 333 W. Camden St., Baltimore, MD 21201 ph: (410) 444-5555 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system. Detailed race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity: 2106-3 (White) text: White
domain resource.extension:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: ombCategory
    extension.value coding:
      coding.system:
        value: urn:oid:2.16.840.1.113883.6.238
      coding.code:
        value: 2106-3
      coding.display:
        value: White
  element.extension:
    index: -1
    extension.url:
      value: text
    extension.value string:
      value: White
  extension.url:
    value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
patient.identifier:
  index: -1
  identifier.use:
    value: usual
  identifier.type:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MR
      coding.display:
        value: Medical Record Number
    codeable concept.text:
      value: Medical Record Number
  identifier.system:
    value: http://example.org/GoodHealthHospital
  identifier.value:
    value: 1032702
patient.identifier:
  index: -1
  identifier.system:
    value: http://hl7.org/fhir/sid/us-medicare
  identifier.value:
    value: 1PA3D58WH16
patient.active:
  value: true
patient.name:
  index: -1
  human name.use:
    value: usual
  human name.text:
    value: Smith-Johnson, Betsy
  human name.family:
    value: Smith-Johnson
  human name.given:
    value: Betsy
    index: -1
patient.telecom:
  index: -1
  contact point.system:
    value: email
  contact point.use:
    value: home
patient.gender:
  value: female
patient.birth date:
  value: 1950-11-15
patient.address:
  index: -1
  address.use:
    value: home
  address.type:
    value: physical
  address.line:
    value: 111 Maple Court
    index: -1
  address.city:
    value: San Antonio
  address.state:
    value: TX
  address.postal code:
    value: 78212
  address.country:
    value: US
patient.marital status:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    coding.code:
      value: UNK
patient.contact:
  index: -1
  patient.contact.relationship:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      coding.code:
        value: SONC
  patient.contact.name:
    human name.text:
      value: Charles Johnson
  patient.contact.telecom:
    index: -1
    contact point.system:
      value: phone
    contact point.value:
      value: (210) 222-3333
  patient.contact.address:
    address.text:
      value: 111 Maple Ct, Grand Rapids, MI 49503
patient.contact:
  index: -1
  patient.contact.relationship:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      coding.code:
        value: DAUC
  patient.contact.name:
    human name.text:
      value: Debra Johnson
  patient.contact.telecom:
    index: -1
    contact point.system:
      value: phone
    contact point.value:
      value: (410) 444-5555
  patient.contact.address:
    address.text:
      value: 333 W. Camden St., Baltimore, MD 21201
patient.communication:
  index: -1
  patient.communication.language:
    codeable concept.coding:
      index: -1
      coding.system:
        value: urn:ietf:bcp:47
      coding.code:
        value: en
      coding.display:
        value: English
  patient.communication.preferred:
    value: true

Example-Smith-Johnson-Notary1
type: RelatedPerson
resource.id:
  value: Example-Smith-Johnson-Notary1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Notary Charles Xavier
related person.active:
  value: true
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
related person.name:
  index: -1
  human name.text:
    value: Xavier, Charles
  human name.family:
    value: Xavier
  human name.given:
    value: Charles
    index: -1
related person.telecom:
  index: -1
  contact point.system:
    value: email
  contact point.use:
    value: work

Example-Smith-Johnson-HealthcareAgent1
type: RelatedPerson
resource.id:
  value: Example-Smith-Johnson-HealthcareAgent1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Primary Healthcare Agent The person I choose as my Primary Healthcare Agent is: Charles Johnson (Son) CharlesSJ@example.com [SELECTED to act as a healthcare agent on 3/29/2021, at 2:25 PM CDT] [ACCEPTED to act as a healthcare agent on 4/1/2021, at 3:39 PM CDT]
related person.active:
  value: true
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
related person.relationship:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    coding.code:
      value: SON
    coding.display:
      value: natural son
related person.name:
  index: -1
  human name.text:
    value: Johnson, Charles
  human name.family:
    value: Johnson
  human name.given:
    value: Charles
    index: -1
related person.telecom:
  index: -1
  contact point.system:
    value: email
  contact point.use:
    value: home

Example-Smith-Johnson-HealthcareAgent2
type: RelatedPerson
resource.id:
  value: Example-Smith-Johnson-HealthcareAgent2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: First Alternate Healthcare Agent If this healthcare agent is unable or unwilling to make medical treatment decisions for me, or if my spouse is designated as my primary healthcare agent and our marriage is annulled, or we are divorced or legally separated, then my next choice for a healthcare agent is: Debra Johnson (Daughter) DebraSJ@example.com [SELECTED to act as a healthcare agent on 3/29/2021, at 2:25 PM CDT] [As of 4/1/2021, at 3:40 PM CDT, a response is still PENDING]
related person.active:
  value: true
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
related person.relationship:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    coding.code:
      value: DAU
    coding.display:
      value: natural daughter
related person.name:
  index: -1
  human name.text:
    value: Johnson, Debra
  human name.family:
    value: Johnson
  human name.given:
    value: Debra
    index: -1
related person.telecom:
  index: -1
  contact point.system:
    value: email
  contact point.use:
    value: home

Example-Smith-Johnson-HealthcareAgent3
type: RelatedPerson
resource.id:
  value: Example-Smith-Johnson-HealthcareAgent3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Primary Healthcare Agent The person I choose as my Primary Healthcare Agent is: Charles Johnson (Son) CharlesSJ@example.com [SELECTED to act as a healthcare agent on 3/29/2021, at 2:25 PM CDT] [ACCEPTED to act as a healthcare agent on 4/1/2021, at 3:39 PM CDT]
related person.active:
  value: true
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
related person.relationship:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    coding.code:
      value: SON
    coding.display:
      value: natural son
related person.name:
  index: -1
  human name.text:
    value: Johnson, Charles
  human name.family:
    value: Johnson
  human name.given:
    value: Charles
    index: -1
related person.telecom:
  index: -1
  contact point.system:
    value: email
  contact point.use:
    value: home

Example-Smith-Johnson-HealthcareAgentConsent
type: Consent
resource.id:
  value: Example-Smith-Johnson-HealthcareAgentConsent
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsentPermit
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsentPermit
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: status: active scope: Powers granted to healthcare agent - Reported category: Advance Directive patient: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15 dateTime: 2020-08-03 Policies - Authority Uri * https://www.michigan.gov/ http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&objectname=mcl-386-1998-V-5 provision type: permit actor role: Primary healthcare agent - Reported reference: natural son; Charles Johnson ; CharlesSJ@example.com actor role: First alternate healthcare agent - Reported reference: First alternate healthcare agent - Reported, natural daughter; Debra Johnson ; DebraSJ@example.com action: Advance directive - request for intubation, Advance directive - request for tube feeding, Advance directive - request for life support, Advance directive - request for IV fluid and support, Advance directive - request for antibiotics, Advance directive - request for resuscitation that differs from cardiopulmonary resuscitation purpose: power of attorney
consent.status:
  value: active
consent.scope:
  codeable concept.coding: http://loinc.org/rdf#81377-4
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81377-4
    coding.display:
      value: Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported
consent.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
    coding.version:
      value: 1.0.1
    coding.code:
      value: acd
    coding.display:
      value: Advance Directive
consent.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
consent.date time:
  value: 2020-08-03
consent.policy:
  index: -1
  consent.policy.uri:
    value: http://example.org/healthcare-agent-policy
consent.provision:
  consent.provision.type:
    value: permit
  consent.provision.actor:
    index: -1
    consent.provision.actor.role:
      codeable concept.coding: http://loinc.org/rdf#75783-1
        index: -1
    consent.provision.actor.reference:
      link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-Smith-Johnson-HealthcareAgent1
      reference.reference:
        value: RelatedPerson/Example-Smith-Johnson-HealthcareAgent1
  consent.provision.actor:
    index: -1
    consent.provision.actor.role:
      codeable concept.coding: http://loinc.org/rdf#75784-9
        index: -1
    consent.provision.actor.reference:
      link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-Smith-Johnson-HealthcareAgent3
      reference.reference:
        value: RelatedPerson/Example-Smith-Johnson-HealthcareAgent3
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: intubation
      coding.display:
        value: Intubation
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: tube-feeding
      coding.display:
        value: Tube feeding
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: life-support
      coding.display:
        value: Life support
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: iv-fluid-and-support
      coding.display:
        value: IV fluid and support
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: antibiotics
      coding.display:
        value: Antibiotics
  consent.provision.action:
    index: -1
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS
      coding.code:
        value: resuscitation-non-cpr
      coding.display:
        value: Non-CPR Resuscitation
  consent.provision.purpose:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActReason
    coding.code:
      value: PWATRNY

Example-Smith-Johnson-PreferenceCarePlan1
type: CarePlan
resource.id:
  value: Example-Smith-Johnson-PreferenceCarePlan1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: status: active intent: proposal category: Advance care plan subject: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15 addresses: Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery Persistent vegetative state (SNOMED CT 24473007) Irreversible coma (SNOMED CT 73453007) goal: Goals, preferences, and priorities under certain health conditions - Reported; If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive - Reported; If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently. Religious or cultural affiliation contact to notify - Reported; Please attempt to notify someone from my religion at the following phone number: If I have included one: Catholic Religious or cultural beliefs - Reported; If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest. Decision to inform doctors and nurses about the role religion, faith, culture, or spirituality play in my life - Reported; Here are some thoughts that I would like for my medical care team and my healthcar…
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0532
      coding.code:
        value: Y
care plan.status:
  value: active
care plan.intent:
  value: proposal
care plan.category:
  index: -1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions Narrative - Reported
care plan.title:
  value: Care Plan for Unconscious, vegetative state, coma for Smith-Johnson
care plan.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
care plan.addresses:
  index: -1
  reference.display:
    value: Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery
care plan.addresses:
  index: -1
  reference.display:
    value: Persistent vegetative state (SNOMED CT 24473007)
care plan.addresses:
  index: -1
  reference.display:
    value: Irreversible coma (SNOMED CT 73453007)
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference1
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference1
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference5
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference5
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference6
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference6

Example-Smith-Johnson-PreferenceCarePlan2
type: CarePlan
resource.id:
  value: Example-Smith-Johnson-PreferenceCarePlan2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: status: active intent: proposal category: Advance care plan subject: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15 addresses: Permanent, severe brain damage and I am unable to recognize my family and friends goal: Goals, preferences, and priorities under certain health conditions - Reported; If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive - Reported; If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently. Religious or cultural beliefs - Reported; If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest.
care plan.status:
  value: active
care plan.intent:
  value: proposal
care plan.category:
  index: -1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions Narrative - Reported
care plan.title:
  value: Care Plan for Permanent, severe brain damage
care plan.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
care plan.addresses:
  index: -1
  reference.display:
    value: Permanent, severe brain damage and I am unable to recognize my family and friends
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference5
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference5

Example-Smith-Johnson-PreferenceCarePlan3
type: CarePlan
resource.id:
  value: Example-Smith-Johnson-PreferenceCarePlan3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: status: active intent: proposal category: Advance care plan subject: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15 addresses: Terminal illness, lack of meaningful interaction goal: Goals, preferences, and priorities under certain health conditions - Reported; If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home Decision to inform doctors and nurses about the role religion, faith, culture, or spirituality play in my life - Reported; Here are some thoughts that I would like for my medical care team and my healthcare agent(s) to know about the role that religion, faith or spirituality play in my life: I am Catholic, please call Father Mark at Saint Catherine's on Main Street. My likes and joys - Reported; Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: I love the smell of lavender and the feeling of sunshine on my face. My dislikes and fears - Reported; Here is a list of things that I would like to avoid if at all possible, people that I don’t wish to see, and concerns I have about particular family members, pets, and so on: I do not like my feet to be cold. Goals, preferences, and priorities for care experience - Reported; How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I want photos of my family where I can see them. Religious or cultural beliefs - Reported; If I appear to be approaching the end of my life, here are some…
care plan.status:
  value: active
care plan.intent:
  value: proposal
care plan.category:
  index: -1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions Narrative - Reported
care plan.title:
  value: Care Plan for Terminal illness, lack of meaningful interaction
care plan.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
care plan.addresses:
  index: -1
  reference.display:
    value: Terminal illness, lack of meaningful interaction
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference1
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference1
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference2
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference2
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference3
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference3
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference4
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference4
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference5
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference5
care plan.supporting info:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference7
  reference.reference:
    value: Observation/Example-Smith-Johnson-CareExperiencePreference7

Example-Smith-Johnson-CareExperiencePreference1
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Here are some thoughts that I would like for my medical care team and my healthcare agent(s) to know about the role that religion, faith or spirituality play in my life: I am Catholic, please call Father Mark at Saint Catherine's on Main Street.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: Here are some thoughts that I would like for my medical care team and my healthcare agent(s) to know about the role that religion, faith or spirituality play in my life
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75775-7
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75775-7
    coding.display:
      value: Decision to inform doctors and nurses about the role religion, faith, culture, or spirituality play in my life Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I am Catholic, please call Father Mark at Saint Catherine's on Main Street.

Example-Smith-Johnson-CareExperiencePreference2
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: My likes / joys: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: I love the smell of lavender and the feeling of sunshine on my face.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81360-0
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81360-0
    coding.display:
      value: My likes and joys Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I love the smell of lavender and the feeling of sunshine on my face.

Example-Smith-Johnson-CareExperiencePreference3
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: My dislikes / fears: Here is a list of things that I would like to avoid if at all possible, people that I don’t wish to see, and concerns I have about particular family members, pets, and so on: I do not like my feet to be cold.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: Here is a list of things that I would like to avoid if at all possible, people that I don’t wish to see, and concerns I have about particular family members, pets, and so on
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81362-6
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81362-6
    coding.display:
      value: My dislikes and fears Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I do not like my feet to be cold.

Example-Smith-Johnson-CareExperiencePreference4
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference4
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I want photos of my family where I can see them.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81380-8
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81380-8
    coding.display:
      value: Goals, preferences, and priorities for care experience Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I want photos of my family where I can see them.

Example-Smith-Johnson-CareExperiencePreference5
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference5
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: My religion: If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion.
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81364-2
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81364-2
    coding.display:
      value: Religious or cultural beliefs Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Please call Father Mark if my condition warrants the services of a priest.

Example-Smith-Johnson-CareExperiencePreference6
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference6
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Please attempt to notify someone from my religion at the following phone number: If I have included one Catholic
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: Please attempt to notify someone from my religion at the following phone number If I have included one
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81365-9
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81365-9
    coding.display:
      value: Religious or cultural affiliation contact to notify - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Catholic

Example-Smith-Johnson-CareExperiencePreference7
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference7
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: My unfinished business: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address: I want my sister and I to talk again, and miss her. I wish we hadn't disagreed all those years ago and regret the time it has cost us. I'd like to see her face if I were very ill and needed the comfort of family at my side.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81366-7
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81366-7
    coding.display:
      value: Unfinished business Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I want my sister and I to talk again, and miss her. I wish we hadn't disagreed all those years ago and regret the time it has cost us. I'd like to see her face if I were very ill and needed the comfort of family at my side.

Example-Smith-Johnson-CareExperiencePreference8
type: Observation
resource.id:
  value: Example-Smith-Johnson-CareExperiencePreference8
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredCareExperiencePreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Laughter: These are some of my fondest memories from life that have always brought a smile to my face or made me laugh: My dogs make me laugh when they play together, and my grandchildren make me laugh when they put on plays for me. They bring me great joy.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: These are some of my fondest memories from life that have always brought a smile to my face or made me laugh
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81361-8
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81361-8
    coding.display:
      value: Things that make me laugh Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: My dogs make me laugh when they play together, and my grandchildren make me laugh when they put on plays for me. They bring me great joy.

Example-Smith-Johnson-PersonalInterventionPreference1
type: Observation
resource.id:
  value: Example-Smith-Johnson-PersonalInterventionPreference1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: If I am having significant pain or suffering, I would like my doctors to consult a Supportive and Palliative Care Team to help treat my physical, emotional and spiritual discomfort, and to support my family.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If I am having significant pain or suffering
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75780-7
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75780-7
    coding.display:
      value: Preferred location to spend final days if possible to choose Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I would like my doctors to consult a Supportive and Palliative Care Team to help treat my physical, emotional and spiritual discomfort, and to support my family.

Example-Smith-Johnson-PersonalInterventionPreference3
type: Observation
resource.id:
  value: Example-Smith-Johnson-PersonalInterventionPreference3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75778-1
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75778-1
    coding.display:
      value: Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently.

Example-Smith-Johnson-PersonalInterventionPreference5
type: Observation
resource.id:
  value: Example-Smith-Johnson-PersonalInterventionPreference5
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: If it were possible to choose, here is where I would like to spend my final days: At home.I would like to receive hospice care at home if possible.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If it were possible to choose, here is where I would like to spend my final days
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75780-7
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75780-7
    coding.display:
      value: Preferred location to spend final days if possible to choose Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: At home.I would like to receive hospice care at home if possible.

Example-Smith-Johnson-PersonalInterventionPreference6
type: Observation
resource.id:
  value: Example-Smith-Johnson-PersonalInterventionPreference6
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Here are my thoughts on funeral or burial plans: If I were to pass away: Please call Jim Houston, my lawyer, for arrangements I have already made.
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
  extension.value codeable concept:
    codeable concept.text:
      value: If I were to pass away
observation.status:
  value: final
observation.category:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIPreferenceCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81356-8
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81356-8
    coding.display:
      value: Death arrangements Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Please call Jim Houston, my lawyer, for arrangements I have already made.

Example-Smith-Johnson-OrganDonationObservation1
type: Observation
resource.id:
  value: Example-Smith-Johnson-OrganDonationObservation1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-OrganDonationObservation
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-OrganDonationObservation
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Consent to Donate I consent to donate all organs and tissues.
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75781-5
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75781-5
    coding.display:
      value: Thoughts on organ and tissue donations Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Consent to Donate: I consent to donate all organs and tissues.

Example-Smith-Johnson-AutopsyObservation1
type: Observation
resource.id:
  value: Example-Smith-Johnson-AutopsyObservation1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-AutopsyObservation
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-AutopsyObservation
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Autopsy preferences I want an autopsy only if there are questions about my death.
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75782-3
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75782-3
    coding.display:
      value: Thoughts regarding autopsy Narrative - Reported
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2016-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Autopsy: I want an autopsy: only if there are questions about my death.

Example-Smith-Johnson-UponDeathPreference1
type: Observation
resource.id:
  value: Example-Smith-Johnson-UponDeathPreference1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-UponDeathPreferences
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-UponDeathPreferences
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Upon Death Preferences I want a military style funderal at the local Veterans Hall.
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#81356-8
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81356-8
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2022-05-18T22:33:22Z
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value string:
  value: Upon death preference: I want a military style funderal at the local Veterans Hall.

Example-Smith-Johnson-DocumentationObservation1
type: Observation
resource.id:
  value: Example-Smith-Johnson-DocumentationObservation1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: PMOLST Order Observation Order Exists: available here
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/DocumentReference/Example-Smith-Johnson-DocRef-DocumentReference
    reference.reference:
      value: DocumentReference/Example-Smith-Johnson-DocRef-DocumentReference
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#45473-6
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 45473-6
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.effective date time:
  value: 2021-03-29T14:25:34.001-05:00
observation.performer:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
observation.value codeable concept:
  codeable concept.coding: http://snomed.info/id/373066001
    index: -1
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 373066001
    coding.display:
      value: Yes (qualifier value)

Example-Smith-Johnson-OrganizationCustodian1
type: Organization
resource.id:
  value: Example-Smith-Johnson-OrganizationCustodian1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
    index: -1
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Organization Example-Smith-Johnson-OrganizationCustodian1 Profile: US Core Organization Profile identifier: United States National Provider Identifier/1234567893 active: true name: example.org telecom: +1(202)776-7700 address: 740 E. Campbell Rd. Suite 825 Richardson TX 75081 US
organization.identifier:
  index: -1
  identifier.system:
    value: http://hl7.org/fhir/sid/us-npi
  identifier.value:
    value: 1234567893
organization.active:
  value: true
organization.name:
  value: example.org
organization.telecom:
  index: -1
  contact point.system:
    value: phone
  contact point.value:
    value: +1(202)776-7700
  contact point.use:
    value: work
organization.address:
  index: -1
  address.type:
    value: physical
  address.line:
    value: 740 E. Campbell Rd. Suite 825
    index: -1
  address.city:
    value: Richardson
  address.state:
    value: TX
  address.postal code:
    value: 75081
  address.country:
    value: US

Example-Stub-SourceForm-Smith-Johnson-Binary
type: Binary
resource.id:
  value: Example-Stub-SourceForm-Smith-Johnson-Binary
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADISourceFormInformation
    index: -1
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADISourceFormInformation
resource.language:
  value: en
binary.content type:
  value: application/pdf

value: MI

value: Michigan

value: Observation/Example-Smith-Johnson-CareExperiencePreference6

index: -1
link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference7
reference.reference:
  value: Observation/Example-Smith-Johnson-CareExperiencePreference7

index: -1
link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-CareExperiencePreference8
reference.reference:
  value: Observation/Example-Smith-Johnson-CareExperiencePreference8

index: -1
composition.section.title:
  value: Patient Goals, preferences, and priorities under certain conditions
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#107905-2
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 107905-2
    coding.display:
      value: Treatment intervention preferences
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: Care Plan 1 status: active intent: proposal category: Advance care plan subject: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15 addresses: Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery Persistent vegetative state (SNOMED CT 24473007) Irreversible coma (SNOMED CT 73453007) goal: Goals, preferences, and priorities under certain health conditions - Reported; If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive - Reported; If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently. Religious or cultural affiliation contact to notify - Reported; Please attempt to notify someone from my religion at the following phone number: If I have included one: Catholic Religious or cultural beliefs - Reported; If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest. Decision to inform doctors and nurses about the role religion, faith, culture, or spirituality play in my life - Reported; Here are some thoughts that I would like for my medical care team and …
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/CarePlan/Example-Smith-Johnson-PreferenceCarePlan1
  reference.reference:
    value: CarePlan/Example-Smith-Johnson-PreferenceCarePlan1
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/CarePlan/Example-Smith-Johnson-PreferenceCarePlan2
  reference.reference:
    value: CarePlan/Example-Smith-Johnson-PreferenceCarePlan2
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/CarePlan/Example-Smith-Johnson-PreferenceCarePlan3
  reference.reference:
    value: CarePlan/Example-Smith-Johnson-PreferenceCarePlan3

index: -1
composition.section.title:
  value: Goals, Preferences and Priorities Upon Death
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#81337-8
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81337-8
    coding.display:
      value: Patient Goals, Preferences, and Priorities Upon Death
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: Consent to Donate I consent to donate all organs and tissues. Autopsy I want an autopsy only if there are questions about my death. Here are my thoughts on funeral or burial plans: If I were to pass away: Please call Jim Houston, my lawyer, for arrangements I have already made.
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-OrganDonationObservation1
  reference.reference:
    value: Observation/Example-Smith-Johnson-OrganDonationObservation1
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-AutopsyObservation1
  reference.reference:
    value: Observation/Example-Smith-Johnson-AutopsyObservation1
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-PersonalInterventionPreference1
  reference.reference:
    value: Observation/Example-Smith-Johnson-PersonalInterventionPreference1
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-PersonalInterventionPreference3
  reference.reference:
    value: Observation/Example-Smith-Johnson-PersonalInterventionPreference3
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-PersonalInterventionPreference5
  reference.reference:
    value: Observation/Example-Smith-Johnson-PersonalInterventionPreference5
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-PersonalInterventionPreference6
  reference.reference:
    value: Observation/Example-Smith-Johnson-PersonalInterventionPreference6
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-UponDeathPreference1
  reference.reference:
    value: Observation/Example-Smith-Johnson-UponDeathPreference1

index: -1
composition.section.title:
  value: Additional Documentation
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#77599-9
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 77599-9
composition.section.text:
  narrative.status:
    value: generated
  narrative.div: PMOLST Order Observation Order Exists: available here
composition.section.entry:
  index: -1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-Smith-Johnson-DocumentationObservation1
  reference.reference:
    value: Observation/Example-Smith-Johnson-DocumentationObservation1

index: -1
composition.section.title:
  value: Witnesses and Notary
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#81339-4
    index: -1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81339-4
    coding.display:
      value: Witness and Notary Document
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: I am emotionally and mentally competent to make this uADD. I understand the purpose and effect of this uADD, I agree with everything that is written in this uADD, and I have made this uADD knowingly, willingly and after careful deliberation. Signature: Betsy Smith-Johnson Date: 3/29/2021 Statement of Witnesses I declare that the person who signed this uADD, or who asked another to sign this uADD on his/her behalf, is the individual identified in the document, and he/she did so in my presence or otherwise provided satisfactory proof to me of his/her identity. I believe him/her to be of sound mind and at least 18 years of age. I personally witnessed him/her sign this document or ask the person indicated to do so, or I received proof of his/her identity that I believe is adequate, and I believe that he/she did so voluntarily. By signing this document as a witness, I certify that I am: At least 18 years of age. Not related to the person signing this document by blood, marriage or adoption. Not a healthcare agent appointed by the person signing this document. Not directly financially responsible for that person’s healthcare. Not a healthcare provider directly serving the person at this time. Not an employee (other than a social worker or chaplain), officer, director, or partner of a healthcare provider (or any parent organization of such healthcare provider) directly serving the person at this time. Not aware that I am entitled to or have a claim against the person’s estate. Witness Number: Signature: Date:

value: 75783-1

value: Primary healthcare agent [Reported]

value: 75784-9

value: First alternate healthcare agent [Reported]