Example-McBee-Bundle1
type: Bundle
node role: treeRoot
resource.id:
  value: Example-McBee-Bundle1
bundle.identifier:
  identifier.system:
    value: urn:oid:2.16.840.1.113883.3.3208.101.1
  identifier.value:
    value: 20130607100315-CCDA-CCD
bundle.type:
  value: document
bundle.timestamp:
  value: 2019-12-06T10:11:30.001-04:00
bundle.entry:
  index: 0
  bundle.entry.full url:
    value: http://www.example.org/fhir/Composition/Example-McBee-PACPComposition1
  bundle.entry.resource: Example-McBee-PACPComposition1
bundle.entry:
  index: 1
  bundle.entry.full url:
    value: http://www.example.org/fhir/Patient/Example-McBee-Patient1
  bundle.entry.resource: Example-McBee-Patient1
bundle.entry:
  index: 2
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-McBee-HealthcareAgent1
  bundle.entry.resource: Example-McBee-HealthcareAgent1
bundle.entry:
  index: 3
  bundle.entry.full url:
    value: http://www.example.org/fhir/RelatedPerson/Example-McBee-HealthcareAgent2
  bundle.entry.resource: Example-McBee-HealthcareAgent2
bundle.entry:
  index: 4
  bundle.entry.full url:
    value: http://www.example.org/fhir/Consent/Example-McBee-HealthcareAgentConsent
  bundle.entry.resource: Example-McBee-HealthcareAgentConsent
bundle.entry:
  index: 5
  bundle.entry.full url:
    value: http://www.example.org/fhir/CarePlan/Example-McBee-PreferenceCarePlan1
  bundle.entry.resource: Example-McBee-PreferenceCarePlan1
bundle.entry:
  index: 6
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-CareExperiencePreference1
  bundle.entry.resource: Example-McBee-CareExperiencePreference1
bundle.entry:
  index: 7
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-CareExperiencePreference2
  bundle.entry.resource: Example-McBee-CareExperiencePreference2
bundle.entry:
  index: 8
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-CareExperiencePreference3
  bundle.entry.resource: Example-McBee-CareExperiencePreference3
bundle.entry:
  index: 9
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-CareExperiencePreference4
  bundle.entry.resource: Example-McBee-CareExperiencePreference4
bundle.entry:
  index: 10
  bundle.entry.full url:
    value: http://www.example.org/fhir/List/Example-McBee-PersonalPrioritiesOrganizer1
  bundle.entry.resource: Example-McBee-PersonalPrioritiesOrganizer1
bundle.entry:
  index: 11
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference1
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference1
bundle.entry:
  index: 12
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference2
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference2
bundle.entry:
  index: 13
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference3
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference3
bundle.entry:
  index: 14
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference4
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference4
bundle.entry:
  index: 15
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference5
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference5
bundle.entry:
  index: 16
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference6
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference6
bundle.entry:
  index: 17
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference7
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference7
bundle.entry:
  index: 18
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalInterventionPreference8
  bundle.entry.resource: Example-McBee-PersonalInterventionPreference8
bundle.entry:
  index: 19
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal1
  bundle.entry.resource: Example-McBee-PersonalGoal1
bundle.entry:
  index: 20
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal2
  bundle.entry.resource: Example-McBee-PersonalGoal2
bundle.entry:
  index: 21
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal3
  bundle.entry.resource: Example-McBee-PersonalGoal3
bundle.entry:
  index: 22
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal4
  bundle.entry.resource: Example-McBee-PersonalGoal4
bundle.entry:
  index: 23
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal5
  bundle.entry.resource: Example-McBee-PersonalGoal5
bundle.entry:
  index: 24
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal6
  bundle.entry.resource: Example-McBee-PersonalGoal6
bundle.entry:
  index: 25
  bundle.entry.full url:
    value: http://www.example.org/fhir/Goal/Example-McBee-PersonalGoal7
  bundle.entry.resource: Example-McBee-PersonalGoal7
bundle.entry:
  index: 26
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-McBee-OrganDonationObservation1
  bundle.entry.resource: Example-McBee-OrganDonationObservation1
bundle.entry:
  index: 27
  bundle.entry.full url:
    value: http://www.example.org/fhir/Observation/Example-McBee-AutopsyObservation1
  bundle.entry.resource: Example-McBee-AutopsyObservation1
bundle.entry:
  index: 28
  bundle.entry.full url:
    value: http://www.example.org/fhir/Organization/Example-McBee-OrganizationCustodian1
  bundle.entry.resource: Example-McBee-OrganizationCustodian1

Example-McBee-PACPComposition1
type: Composition
resource.id:
  value: Example-McBee-PACPComposition1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PACPComposition
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PACPComposition
resource.language:
  value: en-US
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative Resource "Example-McBee-PACPComposition1" (Language "en-US") Profile: ADI Personal Advance Care Plan Composition Version Number: 1 Data Enterer: See above (Patient/Example-McBee-Patient1) Authorization: : Authorization Consent Effective Date: 2022-01-01 --> (ongoing) Informant: See above (RelatedPerson/Example-McBee-HealthcareAgent1) Information Recipient: See above (RelatedPerson/Example-McBee-HealthcareAgent1) Participant: See above (RelatedPerson/Example-McBee-HealthcareAgent1) Performer: : Advance Directives, Inc. identifier: id: 20130607100315-CCDA-CCD status: final type: Patient Personal advance care plan (LOINC#81334-5) category: Advance Directive (LOINC#75320-2) date: 2018-08-28T08:49:58.313-04:00 author: See above (Patient/Example-McBee-Patient1) title: Personal Advance Care Plan Document for Roger McBee custodian: See above (Organization/Example-McBee-OrganizationCustodian1)
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
  extension.value integer:
    value: 1
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
    reference.reference:
      value: Patient/Example-McBee-Patient1
domain resource.extension:
  index: 2
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
  extension.value reference:
    reference.identifier:
      identifier.value:
        value: 123456789
    reference.display:
      value: Authorization Consent
domain resource.extension:
  index: 3
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
  extension.value period:
    period.start:
      value: 2022-01-01
domain resource.extension:
  index: 4
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent1
    reference.reference:
      value: RelatedPerson/Example-McBee-HealthcareAgent1
domain resource.extension:
  index: 5
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent1
    reference.reference:
      value: RelatedPerson/Example-McBee-HealthcareAgent1
domain resource.extension:
  index: 6
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
  extension.value reference:
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent1
    reference.reference:
      value: RelatedPerson/Example-McBee-HealthcareAgent1
domain resource.extension:
  index: 7
  extension.url:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
  extension.value reference:
    reference.display:
      value: Advance Directives, Inc.
composition.identifier:
  identifier.system:
    value: urn:oid:2.16.840.1.113883.4.823.1.7124
  identifier.value:
    value: 20130607100315-CCDA-CCD
composition.status:
  value: final
composition.type:
  codeable concept.coding: http://loinc.org/rdf#81334-5
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81334-5
    coding.display:
      value: Patient Personal advance care plan
composition.category:
  index: 0
  codeable concept.coding: http://loinc.org/rdf#75320-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75320-2
    coding.display:
      value: Advance Directive
composition.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
composition.date:
  value: 2018-08-28T08:49:58.313-04:00
composition.author:
  index: 0
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
composition.title:
  value: Personal Advance Care Plan Document for Roger McBee
composition.custodian:
  link: http://hl7.org/fhir/us/pacio-adi/Organization/Example-McBee-OrganizationCustodian1
  reference.reference:
    value: Organization/Example-McBee-OrganizationCustodian1
composition.section:
  index: 0
  element.extension:
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: Clause
      extension.value markdown:
        value: I am appointing the person or persons below as my healthcare agent and, if applicable, as my alternate healthcare agent(s), and I am granting to each of them the legal authority to make medical treatment decisions on my behalf and to consult with my physician and others. The power to make medical treatment decisions that I am granting to my healthcare agent(s) is expressly subject to, and limited by, the choices that I have expressed elsewhere. If my medical treatment choices are not clear, I am authorizing and directing my healthcare agent to make decisions in my best interests and based on what is known of my wishes.
    extension.url:
      value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
  composition.section.title:
    value: Appointment of a Primary Healthcare Agent and Alternate Healthcare Agents
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#81335-2
      index: 0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 81335-2
      coding.display:
        value: Healthcare Agent
  composition.section.text:
    narrative.status:
      value: additional
    narrative.div: It is very important for you to discuss your medical treatment goals and wishes with your healthcare agent, your family, and your medical care providers. Keep in mind that advance medical directives are simply expressions of your medical treatment goals and preferences. There is no guarantee that your medical care providers will follow all of your wishes, but one thing is certain: If your advance medical directives cannot be quickly located and retrieved in a time of need, then medical care providers, your family and friends will not be able to take your wishes into consideration when they make critical decisions regarding your treatment. IF THIS PART OF THE uADD™ IS LEFT BLANK, I DO NOT WANT TO DESIGNATE A HEALTHCARE AGENT AT THIS TIME, AND I DO NOT WANT A DEFAULT HEALTHCARE AGENT DESIGNATED FOR ME UNDER APPLICABLE LAW. I TRUST THE DOCTORS AND NURSES TREATING ME TO MAKE MEDICAL TREATMENT DECISIONS REGARDING MY TREATMENT AND CARE. I am appointing the person or persons below as my healthcare agent and, if applicable, as my alternate healthcare agent(s), and I am granting to each of them the legal authority to make medical treatment decisions on my behalf and to consult with my physician and others. The power to make medical treatment decisions that I am granting to my healthcare agent(s) is expressly subject to, and limited by, the choices that I have expressed elsewhere in my uADD. If my medical treatment choices are not clear, I am authorizing and directing my healthcare agent to make decisions in my best interests and based on what is known of my wishes. Primary Healthcare Agent The person I choose as my Primary Healthcare Agent is: Sally Bobbins SallyBobbins@example.com [SELECTED to act as a healthcare agent on 3/23/2018, at 9:13 AM CST] [As of 12/6/2019, at 1:11 AM CDT, a response is still PENDING] First Alternate Healthcare Agent If this healthcare agent is unable or unwilling to make medical treatment decisions for me, or if my spouse is designated as my prima…
  composition.section.entry:
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent1
    reference.reference:
      value: RelatedPerson/Example-McBee-HealthcareAgent1
  composition.section.entry:
    index: 1
    link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent2
    reference.reference:
      value: RelatedPerson/Example-McBee-HealthcareAgent2
  composition.section.entry:
    index: 2
    link: http://hl7.org/fhir/us/pacio-adi/Consent/Example-McBee-HealthcareAgentConsent
    reference.reference:
      value: Consent/Example-McBee-HealthcareAgentConsent
composition.section:
  index: 1
  composition.section.title:
    value: Patient Goals, Preferences, and Priorities for Care Experience
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#81338-6
      index: 0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 81338-6
      coding.display:
        value: Patient Goals, Preferences, and Priorities for Care Experience
  composition.section.text:
    narrative.status:
      value: additional
    narrative.div: MyDirectives® offers people a list of optional questions that can be answered by typing text in a text box or by uploading a video or audio file for each question. Only those questions answered by Roger Rienman McBee appear here. For a complete list of questions in My Thoughts, please visit www.MyDirectives.com. In case I’m being cared for by a person(s) who doesn't know me very well, I’d like my following thoughts to be known. My likes / joys: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: Like Bach, especially the cantatas. St. Martin in the Fields How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I don’t like being treated like an object. I would like to be greeted like a person before working on me. Please attempt to notify someone from my religion at the following phone number: (If I have included one) Not Religious My unfinished business: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address: I am awaiting a message from the Noble Committee. Please keep me alive if I look promising this year.
  composition.section.entry:
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-CareExperiencePreference1
    reference.reference:
      value: Goal/Example-McBee-CareExperiencePreference1
  composition.section.entry:
    index: 1
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-CareExperiencePreference2
    reference.reference:
      value: Goal/Example-McBee-CareExperiencePreference2
  composition.section.entry:
    index: 2
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-CareExperiencePreference3
    reference.reference:
      value: Goal/Example-McBee-CareExperiencePreference3
  composition.section.entry:
    index: 3
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-CareExperiencePreference4
    reference.reference:
      value: Goal/Example-McBee-CareExperiencePreference4
  composition.section.entry:
    index: 4
    link: http://hl7.org/fhir/us/pacio-adi/List/Example-McBee-PersonalPrioritiesOrganizer1
    reference.reference:
      value: List/Example-McBee-PersonalPrioritiesOrganizer1

Example-McBee-Patient1
type: Patient
resource.id:
  value: Example-McBee-Patient1
resource.meta:
  meta.last updated:
    value: 2021-04-07T19:55:22+00:00
  meta.profile:
    value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
    index: 0
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
resource.language:
  value: en-US
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "Example-McBee-Patient1" Updated "2021-04-07T19:55:22Z" (Language "en-US") Profile: US Core Patient Profile identifier: Social Beneficiary Identifier: 555-12-1246, Driver's License Number: 33487 active: true name: Roger Rienman McBee telecom: +1(469)238-2858, +1(214)497-9529, rogerb@example.com gender: male birthDate: 1945-04-01 address: 12345 Main Street Orlando FL 75219 US maritalStatus: NoInformation (NullFlavor#NI)
patient.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: SB
      coding.display:
        value: Social Beneficiary Identifier
  identifier.system:
    value: http://hl7.org/fhir/sid/us-ssn
  identifier.value:
    value: 555-12-1246
patient.identifier:
  index: 1
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: DL
      coding.display:
        value: Driver's License Number
  identifier.system:
    value: urn:oid:2.16.840.1.113883.4.3.12
  identifier.value:
    value: 33487
patient.active:
  value: true
patient.name:
  index: 0
  human name.family:
    value: McBee
  human name.given:
    value: Roger
    index: 0
  human name.given:
    value: Rienman
    index: 1
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +1(469)238-2858
  contact point.use:
    value: home
  contact point.rank:
    value: 1
patient.telecom:
  index: 1
  contact point.system:
    value: phone
  contact point.value:
    value: +1(214)497-9529
  contact point.use:
    value: mobile
  contact point.rank:
    value: 2
patient.telecom:
  index: 2
  contact point.system:
    value: email
  contact point.use:
    value: mobile
  contact point.rank:
    value: 3
patient.gender:
  value: male
patient.birth date:
  value: 1945-04-01
patient.address:
  index: 0
  address.type:
    value: physical
  address.line:
    value: 12345 Main Street
    index: 0
  address.city:
    value: Orlando
  address.state:
    value: FL
  address.postal code:
    value: 75219
  address.country:
    value: US
patient.marital status:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    coding.code:
      value: NI

Example-McBee-HealthcareAgent1
type: RelatedPerson
resource.id:
  value: Example-McBee-HealthcareAgent1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Primary Healthcare Agent The person I choose as my Primary Healthcare Agent is: Sally Bobbins SallyBobbins@example.com [SELECTED to act as a healthcare agent on 3/23/2018, at 9:13 AM CST] [As of 12/6/2019, at 1:11 AM CDT, a response is still PENDING]
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
related person.name:
  index: 0
  human name.family:
    value: Sally
  human name.given:
    value: Bobbins
    index: 0
related person.telecom:
  index: 0
  contact point.system:
    value: email
  contact point.use:
    value: home

Example-McBee-HealthcareAgent2
type: RelatedPerson
resource.id:
  value: Example-McBee-HealthcareAgent2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: First Alternate Healthcare Agent If this healthcare agent is unable or unwilling to make medical treatment decisions for me, or if my spouse is designated as my primary healthcare agent and our marriage is annulled, or we are divorced or legally separated, then my next choice for a healthcare agent is: S. Leonard Susskind (Friend) ssuskind@example.com [SELECTED to act as a healthcare agent on 3/23/2018, at 9:13 AM CST] [ACCEPTED to act as a healthcare agent on 3/23/2018, at 9:14 AM CST]
related person.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
related person.relationship:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    coding.code:
      value: FRND
    coding.display:
      value: unrelated friend
related person.name:
  index: 0
  human name.family:
    value: S. Leonard
  human name.given:
    value: Susskind
    index: 0
related person.telecom:
  index: 0
  contact point.system:
    value: email
  contact point.use:
    value: home

Example-McBee-HealthcareAgentConsent
type: Consent
resource.id:
  value: Example-McBee-HealthcareAgentConsent
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-ParticipantConsent
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-ParticipantConsent
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: status: active scope: Powers granted to healthcare agent [Reported] category: Advance Directive patient: Social Beneficiary Identifier: 555-12-1246, Roger Rienman McBee; Phone: +1(469)238-2858, Phone: +1(214)497-9529, rogerb@example.com; gender: male; birthDate: 1945-04-01 dateTime: 2020-08-03 Policies - Authority Uri * https://www.michigan.gov/ http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&objectname=mcl-386-1998-V-5 provision type: permit actor role: Primary healthcare agent [Reported] reference: Bobbins Sally ; SallyBobbins@example.com actor role: First alternate healthcare agent [Reported] reference: unrelated friend; Susskind S. Leonard ; ssuskind@example.com action: Advance directive - request for intubation, Advance directive - request for tube feeding, Advance directive - request for life support purpose: power of attorney
consent.status:
  value: active
consent.scope:
  codeable concept.coding: http://loinc.org/rdf#75786-4
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75786-4
    coding.display:
      value: Powers granted to healthcare agent [Reported]
consent.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
    coding.code:
      value: acd
consent.patient:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
consent.date time:
  value: 2020-08-03
consent.policy:
  index: 0
  consent.policy.authority:
    value: https://www.michigan.gov/
  consent.policy.uri:
    value: http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx
consent.provision:
  consent.provision.type:
    value: permit
  consent.provision.actor:
    index: 0
    consent.provision.actor.role:
      codeable concept.coding: http://loinc.org/rdf#75783-1
        index: 0
    consent.provision.actor.reference:
      link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent1
      reference.reference:
        value: RelatedPerson/Example-McBee-HealthcareAgent1
  consent.provision.actor:
    index: 1
    consent.provision.actor.role:
      codeable concept.coding: http://loinc.org/rdf#75784-9
        index: 0
    consent.provision.actor.reference:
      link: http://hl7.org/fhir/us/pacio-adi/RelatedPerson/Example-McBee-HealthcareAgent2
      reference.reference:
        value: RelatedPerson/Example-McBee-HealthcareAgent2
  consent.provision.action:
    index: 0
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS
      coding.code:
        value: intubation
      coding.display:
        value: Intubation
  consent.provision.action:
    index: 1
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS
      coding.code:
        value: tube-feeding
      coding.display:
        value: Tube feeding
  consent.provision.action:
    index: 2
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS
      coding.code:
        value: life-support
      coding.display:
        value: Life support
  consent.provision.purpose:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActReason
    coding.code:
      value: PWATRNY

Example-McBee-PreferenceCarePlan1
type: CarePlan
resource.id:
  value: Example-McBee-PreferenceCarePlan1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "Example-McBee-PreferenceCarePlan1" Profile: ADI Preference Care Plan status: active intent: proposal category: Advance care plan (SNOMED CT#736366004) subject: Patient/Example-Smith-Johnson-Patient1 " SMITH-JOHNSON" addresses: : Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery : Persistent vegetative state (SNOMED CT 24473007) : Irreversible coma (SNOMED CT 73453007) goal: See above (Goal/Example-McBee-PersonalInterventionPreference1) See above (Goal/Example-McBee-PersonalInterventionPreference2) See above (Goal/Example-McBee-PersonalInterventionPreference3) See above (Goal/Example-McBee-PersonalInterventionPreference4) See above (Goal/Example-McBee-PersonalInterventionPreference5) See above (Goal/Example-McBee-PersonalInterventionPreference6) See above (Goal/Example-McBee-PersonalInterventionPreference7)
care plan.status:
  value: active
care plan.intent:
  value: proposal
care plan.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/736366004
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 736366004
    coding.display:
      value: Advance care plan
care plan.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-Smith-Johnson-Patient1
  reference.reference:
    value: Patient/Example-Smith-Johnson-Patient1
care plan.addresses:
  index: 0
  reference.display:
    value: Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery
care plan.addresses:
  index: 1
  reference.display:
    value: Persistent vegetative state (SNOMED CT 24473007)
care plan.addresses:
  index: 2
  reference.display:
    value: Irreversible coma (SNOMED CT 73453007)
care plan.goal:
  index: 0
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference1
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference1
care plan.goal:
  index: 1
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference2
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference2
care plan.goal:
  index: 2
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference3
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference3
care plan.goal:
  index: 3
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference4
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference4
care plan.goal:
  index: 4
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference5
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference5
care plan.goal:
  index: 5
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference6
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference6
care plan.goal:
  index: 6
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference7
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference7

Example-McBee-CareExperiencePreference1
type: Goal
resource.id:
  value: Example-McBee-CareExperiencePreference1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: My likes / joys: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: Like Bach, especially the cantatas. St. Martin in the Fields
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81360-0
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81360-0
    coding.display:
      value: My likes and joys [Reported]
goal.description:
  codeable concept.text:
    value: Here are some examples of the things that I would like to have near me, music that I’d like to hear, and other details of my care that would help to keep me happy and relaxed: Like Bach, especially the cantatas. St. Martin in the Fields
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-CareExperiencePreference2
type: Goal
resource.id:
  value: Example-McBee-CareExperiencePreference2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I don’t like being treated like an object. I would like to be greeted like a person before working on me.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81380-8
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81380-8
    coding.display:
      value: Goals, preferences, and priorities for care experience [Reported]
goal.description:
  codeable concept.text:
    value: How to care for me: If I become incapacitated and cannot express myself, here is what I would like to tell my healthcare agent, family and friends about how I would like for them to care for me: I don’t like being treated like an object. I would like to be greeted like a person before working on me.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-CareExperiencePreference3
type: Goal
resource.id:
  value: Example-McBee-CareExperiencePreference3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Please attempt to notify someone from my religion at the following phone number: (If I have included one) Not Religious
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81365-9
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81365-9
    coding.display:
      value: Religious Affiliation Contact to Notify [Reported]
goal.description:
  element.extension:
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: Context
      extension.value string:
        value: Please attempt to notify someone from my religion at the following phone number
    element.extension:
      index: 1
      extension.url:
        value: Value
      extension.value string:
        value: If I have included one - Not Religious
    extension.url:
      value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension
  codeable concept.text:
    value: Please attempt to notify someone from my religion at the following phone number: If I have included one - Not Religious
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-CareExperiencePreference4
type: Goal
resource.id:
  value: Example-McBee-CareExperiencePreference4
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: My unfinished business: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address: I am awaiting a message from the Noble Committee. Please keep me alive if I look promising this year.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: care-experience-preference
    coding.display:
      value: Care experience preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81366-7
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81366-7
    coding.display:
      value: Unfinished business [Reported]
goal.description:
  codeable concept.text:
    value: If it appears that I am approaching the end of my life, and I cannot communicate with persons around me, I would want my doctors and nurses, my family, and my friends to know about some unfinished business that I need to address: I am awaiting a message from the Noble Committee. Please keep me alive if I look promising this year.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalPrioritiesOrganizer1
type: List
resource.id:
  value: Example-McBee-PersonalPrioritiesOrganizer1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being at peace with my God Dying at home Being able to feed, bathe, and take care of myself Being free from pain Resolving conflicts Being with my family Not being a financial burden to my family
list.status:
  value: current
list.mode:
  value: working
list.title:
  value: My Advance Care Goals
list.code:
  codeable concept.coding: http://loinc.org/rdf#81340-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81340-2
    coding.display:
      value: Goals AndOr Preferences in Order of Priority [Reported]
list.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
list.ordered by:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/list-order
    coding.code:
      value: priority
list.entry:
  index: 0
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal1
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal1
list.entry:
  index: 1
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal2
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal2
list.entry:
  index: 2
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal3
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal3
list.entry:
  index: 3
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal4
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal4
list.entry:
  index: 4
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal5
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal5
list.entry:
  index: 5
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal6
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal6
list.entry:
  index: 6
  list.entry.item:
    link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalGoal7
    reference.reference:
      value: Goal/Example-McBee-PersonalGoal7

Example-McBee-PersonalInterventionPreference1
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am having significant pain or suffering, I would like my doctors to consult a Supportive and Palliative Care Team to help treat my physical, emotional and spiritual discomfort, and to support my family.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75776-5
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75776-5
    coding.display:
      value: Preference on consulting a supportive and palliative care team to help treat physical, emotional, and spiritual discomfort and support family [Reported]
goal.description:
  codeable concept.text:
    value: If I am having significant pain or suffering, I would like my doctors to consult a Supportive and Palliative Care Team to help treat my physical, emotional and spiritual discomfort, and to support my family.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference2
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I prefer that they stop all life-sustaining treatments and let me die as gently as possible. I realize that I will not receive life-sustaining treatments including but not limited to breathing machines, blood transfusions, dialysis, heart machines, and IV drugs to keep my heart working. I also realize that medical personnel will not attempt cardiopulmonary resuscitation (CPR), and they will allow me to die naturally.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75777-3
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75777-3
    coding.display:
      value: Information to tell doctors if my health deteriorates due to a terminal illness and I am unable to interact meaningfully with family, friends, or surroundings [Reported]
goal.description:
  codeable concept.text:
    value: If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I prefer that they stop all life-sustaining treatments and let me die as gently as possible. I realize that I will not receive life-sustaining treatments including but not limited to breathing machines, blood transfusions, dialysis, heart machines, and IV drugs to keep my heart working. I also realize that medical personnel will not attempt cardiopulmonary resuscitation (CPR), and they will allow me to die naturally.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference3
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If my response above indicates that I do not want life-sustaining treatments, I expressly authorize my attending physician to withhold or withdraw artificial nutrition and hydration and instruct my healthcare agent (or, if I have not designated a healthcare agent, my default surrogate), my family and the doctors and nurses who are taking care of me to respect this request.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#77352-3
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 77352-3
    coding.display:
      value: Thoughts on artificial nutrition and hydration [Reported]
goal.description:
  codeable concept.text:
    value: If my response above indicates that I do not want life-sustaining treatments, I expressly authorize my attending physician to withhold or withdraw artificial nutrition and hydration and instruct my healthcare agent (or, if I have not designated a healthcare agent, my default surrogate), my family and the doctors and nurses who are taking care of me to respect this request.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference4
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference4
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I have a severe, irreversible brain injury or illness and can’t dress, feed, or bathe myself, or communicate my medical wishes, but doctors can keep me alive in this condition for a long period of time, I would like for them to keep trying life-sustaining treatments for 2 months.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75778-1
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75778-1
    coding.display:
      value: Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]
goal.description:
  codeable concept.text:
    value: If I have a severe, irreversible brain injury or illness and can’t dress, feed, or bathe myself, or communicate my medical wishes, but doctors can keep me alive in this condition for a long period of time, I would like for them to keep trying life-sustaining treatments for 2 months.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference5
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference5
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Although I understand that, depending on the situation and circumstances, medical personnel may not be able to follow my wishes, here are my general thoughts on cardiopulmonary resuscitation (CPR): I want my healthcare agent to make the decision, but if my chances are slim to none that I'll leave the hospital, even if they resuscitate me, then I absolutely do not want CPR.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75779-9
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75779-9
    coding.display:
      value: Thoughts on cardiopulmonary resuscitation (CPR) [Reported]
goal.description:
  codeable concept.text:
    value: Although I understand that, depending on the situation and circumstances, medical personnel may not be able to follow my wishes, here are my general thoughts on cardiopulmonary resuscitation (CPR): I do not want CPR attempted.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference6
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference6
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Although I understand that, depending on the situation and circumstances, medical personnel may not be able to follow my wishes, here are my general thoughts on cardiopulmonary resuscitation (CPR): I want my healthcare agent to make the decision, but if my chances are slim to none that I'll leave the hospital, even if they resuscitate me, then I absolutely do not want CPR.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75779-9
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75779-9
    coding.display:
      value: Thoughts on cardiopulmonary resuscitation (CPR) [Reported]
goal.description:
  codeable concept.text:
    value: Although I understand that, depending on the situation and circumstances, medical personnel may not be able to follow my wishes, here are my general thoughts on cardiopulmonary resuscitation (CPR): I want my healthcare agent to make the decision, but if my chances are slim to none that I'll leave the hospital, even if they resuscitate me, then I absolutely do not want CPR.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference7
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference7
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If it were possible to choose, here is where I would like to spend my final days: At home.I would like to receive hospice care at home if possible.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#75780-7
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75780-7
    coding.display:
      value: Preferred location to spend final days if possible to choose [Reported]
goal.description:
  codeable concept.text:
    value: If it were possible to choose, here is where I would like to spend my final days: At home.I would like to receive hospice care at home if possible.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalInterventionPreference8
type: Goal
resource.id:
  value: Example-McBee-PersonalInterventionPreference8
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Here are my thoughts on funeral or burial plans: If I were to pass away: I have a plot. My wife has the details, also my secretary, Ms. Williams, will know.
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: intervention-preference
    coding.display:
      value: Intervention preference
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81356-8
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81356-8
    coding.display:
      value: Death arrangements [Reported]
goal.description:
  codeable concept.text:
    value: Here are my thoughts on funeral or burial plans: If I were to pass away: I have a plot. My wife has the details, also my secretary, Ms. Williams, will know.
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal1
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being at peace with my God
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being at peace with my God
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal2
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal2
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Dying at home
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Dying at home
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal3
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal3
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being able to feed, bathe, and take care of myself
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being able to feed, bathe, and take care of myself
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal4
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal4
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being free from pain
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being free from pain
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal5
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal5
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Resolving conflicts
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Resolving conflicts
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal6
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal6
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being with my family
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being with my family
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-PersonalGoal7
type: Goal
resource.id:
  value: Example-McBee-PersonalGoal7
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Not being a financial burden to my family
goal.lifecycle status:
  value: proposed
goal.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIGoalCategoryCS
    coding.code:
      value: personal-goal
    coding.display:
      value: Personal Goal
goal.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#81378-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81378-2
    coding.display:
      value: Goals, preferences, and priorities under certain health conditions [Reported]
goal.description:
  codeable concept.text:
    value: If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Not being a financial burden to my family
goal.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
goal.expressed by:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1

Example-McBee-OrganDonationObservation1
type: Observation
resource.id:
  value: Example-McBee-OrganDonationObservation1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-OrganDonationObservation
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-OrganDonationObservation
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Consent to Donate I don’t want to donate my organs.
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75781-5
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75781-5
    coding.display:
      value: Thoughts on organ and tissue donations [Reported]
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
observation.value string:
  value: Consent to Donate: I don’t want to donate my organs.

Example-McBee-AutopsyObservation1
type: Observation
resource.id:
  value: Example-McBee-AutopsyObservation1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-AutopsyObservation
    index: 0
    link: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-AutopsyObservation
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Autopsy I want an autopsy if my doctor thinks it will help others.
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#75782-3
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 75782-3
    coding.display:
      value: Thoughts regarding autopsy [Reported]
observation.subject:
  link: http://hl7.org/fhir/us/pacio-adi/Patient/Example-McBee-Patient1
  reference.reference:
    value: Patient/Example-McBee-Patient1
observation.value string:
  value: Autopsy: I want an autopsy if my doctor thinks it will help others.

Example-McBee-OrganizationCustodian1
type: Organization
resource.id:
  value: Example-McBee-OrganizationCustodian1
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
    index: 0
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "Example-McBee-OrganizationCustodian1" Profile: US Core Organization Profile identifier: id: 44444 active: true name: MyDirectives.com telecom: +1(202)776-7700 address: 740 E. Campbell Rd. Suite 825 Richardson TX 75081 US
organization.identifier:
  index: 0
  identifier.system:
    value: http://hl7.org/fhir/sid/us-npi
  identifier.value:
    value: 44444
organization.active:
  value: true
organization.name:
  value: MyDirectives.com
organization.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +1(202)776-7700
  contact point.use:
    value: work
organization.address:
  index: 0
  address.type:
    value: physical
  address.line:
    value: 740 E. Campbell Rd. Suite 825
    index: 0
  address.city:
    value: Richardson
  address.state:
    value: TX
  address.postal code:
    value: 75081
  address.country:
    value: US

index: 2
composition.section.title:
  value: Goals, Priorities, and Preferences under certain health condition
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#81336-0
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81336-0
    coding.display:
      value: Patient Goals, preferences, and priorities under certain health conditions
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: My Advance Care Goals If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Being at peace with my God Dying at home Being able to feed, bathe, and take care of myself Being free from pain Resolving conflicts Being with my family Not being a financial burden to my family If I am having significant pain or suffering, I would like my doctors to consult a Supportive and Palliative Care Team to help treat my physical, emotional and spiritual discomfort, and to support my family. My Preferences in Specific Circumstances In addition to the general advance care goals provided above, below are specific treatment preferences with respect to certain specific circumstances or situations. If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I prefer that they stop all life-sustaining treatments and let me die as gently as possible. I realize that I will not receive life-sustaining treatments including but not limited to breathing machines, blood transfusions, dialysis, heart machines, and IV drugs to keep my heart working. I also realize that medical personnel will not attempt cardiopulmonary resuscitation (CPR), and they will allow me to die naturally. If my response above indicates that I do not want life-sustaining treatments, I expressly authorize my attending physician to withhold or withdraw artificial nutrition and hydration and instruct my healthcare agent (or, if I have not designated a healthcare agent, my default surrogate), my family and the doctors and nurses who are taking care of me to respect this request. If I have a severe, irreversible brain injury or illness and can’t dress, feed, or bathe myself, or c…
composition.section.entry:
  index: 0
  link: http://hl7.org/fhir/us/pacio-adi/CarePlan/Example-McBee-PreferenceCarePlan1
  reference.reference:
    value: CarePlan/Example-McBee-PreferenceCarePlan1

index: 3
composition.section.title:
  value: Goals, Preferences and Priorities upon Death
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#81337-8
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81337-8
    coding.display:
      value: Patient Goals, Preferences, and Priorities Upon Death
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: Consent to Donate I don’t want to donate my organs. Autopsy I want an autopsy if my doctor thinks it will help others. Here are my thoughts on funeral or burial plans: If I were to pass away: I have a plot. My wife has the details, also my secretary, Ms. Williams, will know.
composition.section.entry:
  index: 0
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-McBee-OrganDonationObservation1
  reference.reference:
    value: Observation/Example-McBee-OrganDonationObservation1
composition.section.entry:
  index: 1
  link: http://hl7.org/fhir/us/pacio-adi/Observation/Example-McBee-AutopsyObservation1
  reference.reference:
    value: Observation/Example-McBee-AutopsyObservation1
composition.section.entry:
  index: 2
  link: http://hl7.org/fhir/us/pacio-adi/Goal/Example-McBee-PersonalInterventionPreference8
  reference.reference:
    value: Goal/Example-McBee-PersonalInterventionPreference8

index: 4
composition.section.title:
  value: Witnesses and Notary
composition.section.code:
  codeable concept.coding: http://loinc.org/rdf#81339-4
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 81339-4
    coding.display:
      value: Witness and Notary Document
composition.section.text:
  narrative.status:
    value: additional
  narrative.div: I am emotionally and mentally competent to make this uADD. I understand the purpose and effect of this uADD, I agree with everything that is written in this uADD, and I have made this uADD knowingly, willingly and after careful deliberation. Signature: Roger R. McBee Date: 8/28/2018 Statement of Witnesses I declare that the person who signed this uADD, or who asked another to sign this uADD on his/her behalf, is the individual identified in the document, and he/she did so in my presence or otherwise provided satisfactory proof to me of his/her identity. I believe him/her to be of sound mind and at least 18 years of age. I personally witnessed him/her sign this document or ask the person indicated to do so, or I received proof of his/her identity that I believe is adequate, and I believe that he/she did so voluntarily. By signing this document as a witness, I certify that I am: At least 18 years of age. Not related to the person signing this document by blood, marriage or adoption. Not a healthcare agent appointed by the person signing this document. Not directly financially responsible for that person’s healthcare. Not a healthcare provider directly serving the person at this time. Not an employee (other than a social worker or chaplain), officer, director, or partner of a healthcare provider (or any parent organization of such healthcare provider) directly serving the person at this time. Not aware that I am entitled to or have a claim against the person’s estate. Witness Number: Signature: Date:

value: 75783-1

value: Primary healthcare agent [Reported]

value: 75784-9

value: First alternate healthcare agent [Reported]