PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

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

: Personal Advance Care Plan

Page standards status: Informative

Raw xml | Download


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