<attester> <mode value="legal"/> <party> <reference value="PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1"/> </party> </attester> <custodian> <reference value="Organization/Example-Smith-Johnson-OrganizationCustodian1"/> </custodian> <event> <detail> <reference value="PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds"/> </detail> <detail> <reference value="Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit"/> </detail> <detail> <reference value="Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny"/> </detail> </event> <section> <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="Portable Medical Orders"/> <code> <coding> <system value="http://loinc.org"/> <code value="93037-0"/> <display value="Portable medical order form"/> </coding> </code> <text> <status value="generated"/> </text> <entry> <reference value="ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1"/> </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-DocumentationObservation2"/> </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>


  
    
      
      
      
    
  
  
    
      
      
      
    
  
  
    
  
  
  
    
  
  
  <attester>
    <mode value="legal"/>
    <party>
      <reference value="PractitionerRole/Example-Kyle-Anydoc-PractitionerRole1"/>
    </party>
  </attester>
  <custodian>
    <reference value="Organization/Example-Smith-Johnson-OrganizationCustodian1"/>
  </custodian>
  <event>
    <detail>
      <reference value="PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds"/>
    </detail>
    <detail>
      <reference value="Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit"/>
    </detail>
    <detail>
      <reference value="Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny"/>
    </detail>
  </event>
  <section>
    <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="Portable Medical Orders"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="93037-0"/>
        <display value="Portable medical order form"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
    </text>
    <entry>
      <reference value="ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1"/>
    </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-DocumentationObservation2"/>
    </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>