PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Resource Profile: ADI Participant

Defining URL: | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant
Version: | 0.1.0
Name: | PADIParticipant
Title: | ADI Participant
Status: | Active as of 12/6/21 8:50 PM
Definition: | This profile represents a person participating in a persons advance directives in some capacity such as healthcare agent or healthcare agent advisor.
Publisher: | HL7 Patient Empowerment Working Group
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from RelatedPerson

Summary

Mandatory: 3 elements (2 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Slices

This structure defines the following Slices:

- The element RelatedPerson.relationship is sliced based on the value of pattern:$this

This structure is derived from RelatedPerson

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
patient | S | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S | 0..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: Participant Relationships (extensible)
relationship:personal_and_legal_relationship_role | S | 0..1 | CodeableConcept | The nature of the relationship Binding: Personal And Legal Relationship Role Type (required)
coding |  | 1..1 | Coding | Code defined by a terminology system
display |  | 1..1 | string | Representation defined by the system
name |  | 1..1 | HumanName | A name associated with the person
telecom |  | 1..* | ContactPoint | A contact detail for the person
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | A human identifier for this person
active | ?!Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 0..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: Participant Relationships (extensible)
relationship:personal_and_legal_relationship_role | S Σ | 0..1 | CodeableConcept | The nature of the relationship Binding: Personal And Legal Relationship Role Type (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
name | Σ | 1..1 | HumanName | A name associated with the person
telecom | Σ | 1..* | ContactPoint | A contact detail for the person
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the related person was born
address | Σ | 0..* | Address | Address where the related person can be contacted or visited
photo |  | 0..* | Attachment | Image of the person
period |  | 0..1 | Period | Period of time that this relationship is considered valid
communication |  | 0..* | BackboneElement | A language which may be used to communicate with about the patient's health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
preferred |  | 0..1 | boolean | Language preference indicator
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
patient | Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | Σ | 0..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: Participant Relationships (extensible)
relationship:personal_and_legal_relationship_role | Σ | 0..1 | CodeableConcept | The nature of the relationship Binding: Personal And Legal Relationship Role Type (required)
Documentation for this format

This structure is derived from RelatedPerson

Summary

Mandatory: 3 elements (2 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Slices

This structure defines the following Slices:

- The element RelatedPerson.relationship is sliced based on the value of pattern:$this

Differential View

This structure is derived from RelatedPerson

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
patient | S | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S | 0..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: Participant Relationships (extensible)
relationship:personal_and_legal_relationship_role | S | 0..1 | CodeableConcept | The nature of the relationship Binding: Personal And Legal Relationship Role Type (required)
coding |  | 1..1 | Coding | Code defined by a terminology system
display |  | 1..1 | string | Representation defined by the system
name |  | 1..1 | HumanName | A name associated with the person
telecom |  | 1..* | ContactPoint | A contact detail for the person
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
RelatedPerson |  | 0..* | RelatedPerson | A person that is related to a patient, but who is not a direct target of care
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | A human identifier for this person
active | ?!Σ | 0..1 | boolean | Whether this related person's record is in active use
patient | S Σ | 1..1 | Reference(US Core Patient Profile) | The patient this person is related to
Slices for relationship | S Σ | 0..* | CodeableConcept | The nature of the relationship Slice: Unordered, Open by pattern:$this Binding: Participant Relationships (extensible)
relationship:personal_and_legal_relationship_role | S Σ | 0..1 | CodeableConcept | The nature of the relationship Binding: Personal And Legal Relationship Role Type (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
name | Σ | 1..1 | HumanName | A name associated with the person
telecom | Σ | 1..* | ContactPoint | A contact detail for the person
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the related person was born
address | Σ | 0..* | Address | Address where the related person can be contacted or visited
photo |  | 0..* | Attachment | Image of the person
period |  | 0..1 | Period | Period of time that this relationship is considered valid
communication |  | 0..* | BackboneElement | A language which may be used to communicate with about the patient's health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
preferred |  | 0..1 | boolean | Language preference indicator
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
RelatedPerson.language | preferred | CommonLanguages Max Binding: AllLanguages
RelatedPerson.relationship | extensible | PADIParticipantRelationshipVS
RelatedPerson.relationship:personal_and_legal_relationship_role | required | PADIPersonalAndLegalRelationshipRoleTypeVS
RelatedPerson.gender | required | AdministrativeGender
RelatedPerson.communication.language | preferred | CommonLanguages Max Binding: AllLanguages