PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

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: Personal Advance Care Plan

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{
  "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"
      }
    }
  ]
}