{
  "resourceType" : "Composition",
  "id" : "Example-Smith-Johnson-PACPComposition1",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
    "valueString" : "2022-03-29T14:25:34-05:00"
  },
  {
    "url" : "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension",
    "valueReference" : {
      "reference" : "Patient/Example-Smith-Johnson-Patient1"
    }
  },
  {
    "url" : "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension",
    "valueDateTime" : "2028-03-29T14:25:34-05:00"
  }],
  "identifier" : {
    "system" : "http://example.org/GoodHealthClinic/id",
    "value" : "0-87f37989294a408897aacd1fc5d8fd16"
  },
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "81334-5",
      "display" : "Patient Personal advance care plan"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "107903-7",
      "display" : "Clinical note"
    }]
  },
  {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "42348-3",
      "display" : "Advance healthcare directives"
    }]
  }],
  "subject" : {
    "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "date" : "2021-03-29T14:25:34-05:00",
  "author" : [{
    "reference" : "Patient/Example-Smith-Johnson-Patient1"
  }],
  "title" : "Personal Advance Care Plan",
  "attester" : [{
    "mode" : "personal",
    "party" : {
      "reference" : "Patient/Example-Smith-Johnson-Patient1"
    }
  }],
  "custodian" : {
    "reference" : "Organization/Example-Smith-Johnson-OrganizationCustodian1"
  },
  "section" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.usps.com/",
          "code" : "MI",
          "display" : "Michigan"
        }]
      }
    }],
    "title" : "Example Source Form - Betsy Smith-Johnson",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
        "code" : "advance_directive_source_form"
      }]
    },
    "text" : {
      "status" : "additional"
    },
    "entry" : [{
      "reference" : "Binary/Example-Stub-SourceForm-Smith-Johnson-Binary"
    }]
  },
  {
    "title" : "Appointment of a Primary Healthcare Agent and Alternate Healthcare Agents",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "81335-2",
        "display" : "Healthcare Agent"
      }]
    },
    "text" : {
      "status" : "additional"
    },
    "entry" : [{
      "reference" : "RelatedPerson/Example-Smith-Johnson-Notary1"
    },
    {
      "reference" : "RelatedPerson/Example-Smith-Johnson-HealthcareAgent1"
    },
    {
      "reference" : "RelatedPerson/Example-Smith-Johnson-HealthcareAgent2"
    },
    {
      "reference" : "Consent/Example-Smith-Johnson-HealthcareAgentConsent"
    }]
  },
  {
    "title" : "Patient Goals, Preferences, and Priorities for Care Experience",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "81338-6",
        "display" : "Patient Goals, Preferences, and Priorities for Care Experience"
      }]
    },
    "text" : {
      "status" : "additional"
    },
    "entry" : [{
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference1"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference2"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference3"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference4"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference5"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference6"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference7"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference8"
    }]
  },
  {
    "title" : "Patient Goals, preferences, and priorities under certain conditions",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "107905-2",
        "display" : "Treatment intervention preferences"
      }]
    },
    "text" : {
      "status" : "additional"
    },
    "entry" : [{
      "reference" : "CarePlan/Example-Smith-Johnson-PreferenceCarePlan1"
    },
    {
      "reference" : "CarePlan/Example-Smith-Johnson-PreferenceCarePlan2"
    },
    {
      "reference" : "CarePlan/Example-Smith-Johnson-PreferenceCarePlan3"
    }]
  },
  {
    "title" : "Goals, Preferences and Priorities Upon Death",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "81337-8",
        "display" : "Patient Goals, Preferences, and Priorities Upon Death"
      }]
    },
    "text" : {
      "status" : "additional"
    },
    "entry" : [{
      "reference" : "Observation/Example-Smith-Johnson-OrganDonationObservation1"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-AutopsyObservation1"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-PersonalInterventionPreference1"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-PersonalInterventionPreference3"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-PersonalInterventionPreference5"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-PersonalInterventionPreference6"
    },
    {
      "reference" : "Observation/Example-Smith-Johnson-UponDeathPreference1"
    }]
  },
  {
    "title" : "Additional Documentation",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "77599-9"
      }]
    },
    "text" : {
      "status" : "generated"
    },
    "entry" : [{
      "reference" : "Observation/Example-Smith-Johnson-DocumentationObservation1"
    }]
  },
  {
    "title" : "Witnesses and Notary",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "81339-4",
        "display" : "Witness and Notary Document"
      }]
    },
    "text" : {
      "status" : "additional"
    }
  }]
}