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

: Portable Medical Order

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Composition/PMO-Example-Smith-Johnson-PMOComposition1> a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PMO-Example-Smith-Johnson-PMOComposition1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOComposition>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" ] ;
     fhir:Extension.valueString [ fhir:value "2024-03-29T14:25:34-05:00" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-dataEnterer-extension" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
       fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-healthcareAgentParticipant-extension" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1> ;
       fhir:Reference.reference [ fhir:value "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-expiration-date-extension" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2024-03-29T14:25:34-05:00"^^xsd:dateTime ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-performer-extension" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1> ;
       fhir:Reference.reference [ fhir:value "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-informant-extension" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent1> ;
       fhir:Reference.reference [ fhir:value "RelatedPerson/Example-Smith-Johnson-HealthcareAgent1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status" ] ;
     fhir:Extension.valueCode [ fhir:value "deprecated" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "Clause" ] ;
       fhir:Extension.valueMarkdown [ fhir:value "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Example Clause Statement</p></div>" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension" ]
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "http://example.org/GoodHealthClinic/id" ] ;
     fhir:Identifier.value [ fhir:value "0-87f37989294a408897aacd1fc5d8fd16" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:93037-0 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "93037-0" ] ;
       fhir:Coding.display [ fhir:value "Portable medical order form" ]
     ]
  ] ;
  fhir:Composition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:107903-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "107903-7" ] ;
       fhir:Coding.display [ fhir:value "Clinical note" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:42348-3 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "42348-3" ] ;
       fhir:Coding.display [ fhir:value "Advance healthcare directives" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
     fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ]
  ] ;
  fhir:Composition.date [ fhir:value "2023-03-29T14:25:34-05:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]
  ] ;
  fhir:Composition.title [ fhir:value "Portable Medical Order"] ;
  fhir:Composition.attester [
     fhir:index -1 ;
     fhir:Composition.attester.mode [ fhir:value "legal" ] ;
     fhir:Composition.attester.party [
       fhir:link <http://hl7.org/fhir/PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1> ;
       fhir:Reference.reference [ fhir:value "PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1" ]
     ]
  ] ;
  fhir:Composition.custodian [
     fhir:link <http://hl7.org/fhir/Organization/Example-Smith-Johnson-OrganizationCustodian1> ;
     fhir:Reference.reference [ fhir:value "Organization/Example-Smith-Johnson-OrganizationCustodian1" ]
  ] ;
  fhir:Composition.event [
     fhir:index -1 ;
     fhir:Composition.event.detail [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds> ;
       fhir:Reference.reference [ fhir:value "PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit> ;
       fhir:Reference.reference [ fhir:value "Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny> ;
       fhir:Reference.reference [ fhir:value "Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny" ]
     ]
  ] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Example Source Form - Betsy Smith-Johnson" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs" ] ;
         fhir:Coding.code [ fhir:value "advance_directive_source_form" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Binary/Example-Stub-SourceForm-Smith-Johnson-Binary> ;
       fhir:Reference.reference [ fhir:value "Binary/Example-Stub-SourceForm-Smith-Johnson-Binary" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Portable Medical Orders" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:93037-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "93037-0" ] ;
         fhir:Coding.display [ fhir:value "Portable medical order form" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Additional Documentation" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:77599-9 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "77599-9" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/Example-Smith-Johnson-DocumentationObservation2> ;
       fhir:Reference.reference [ fhir:value "Observation/Example-Smith-Johnson-DocumentationObservation2" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Witnesses and Notary" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:81339-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "81339-4" ] ;
         fhir:Coding.display [ fhir:value "Witness and Notary Document" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> a fhir:Patient .

<http://hl7.org/fhir/PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1> a fhir:PractitionerRole .

<http://hl7.org/fhir/RelatedPerson/Example-Smith-Johnson-HealthcareAgent1> a fhir:RelatedPerson .

<http://hl7.org/fhir/Organization/Example-Smith-Johnson-OrganizationCustodian1> a fhir:Organization .

<http://hl7.org/fhir/PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds> a fhir:PractitionerRole .

<http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit> a fhir:Consent .

<http://hl7.org/fhir/Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny> a fhir:Consent .

<http://hl7.org/fhir/Binary/Example-Stub-SourceForm-Smith-Johnson-Binary> a fhir:Binary .

<http://hl7.org/fhir/ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1> a fhir:ServiceRequest .

<http://hl7.org/fhir/Observation/Example-Smith-Johnson-DocumentationObservation2> a fhir:Observation .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Composition/PMO-Example-Smith-Johnson-PMOComposition1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Composition/PMO-Example-Smith-Johnson-PMOComposition1.ttl> .