PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Resource Profile: ADI Personal Advance Care Plan Composition

Defining URL: | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PACPComposition
Version: | 0.1.0
Name: | PADIPACPComposition
Title: | ADI Personal Advance Care Plan Composition
Status: | Active as of 12/6/21 8:50 PM
Definition: | This profile encompasses information that makes up the author’s advance care information plan.
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-PACPComposition

This profile defines the requirements for communicating a Personal Advance Care Plan using a Composition Resource. It is used to create a person generated document which is authored by the subject of the document (the patient). It contains information about the person’s goals, preferences, and priorities (GPPs) for care and treatment under certain future conditions.

### 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 PADIHeader

Summary

Mandatory: 5 elements (12 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

- ADI Participant Consent (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-ParticipantConsent)
- ADI Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant)
- ADI Care Experience Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference)
- ADI Personal Priorities Organizer (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- ADI Preference Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)
- ADI Autopsy Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-AutopsyObservation)
- ADI Organ Donation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-OrganDonationObservation)
- ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-DocumentationObservation)

Slices

This structure defines the following Slices:

- The element Composition.section is sliced based on the value of pattern:code

This structure is derived from PADIHeader

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | PADIHeader | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for section |  | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation
section:healthcare_agent_appointment | S I | 1..1 | BackboneElement | Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81335-2
orderedBy | S | 0..1 | CodeableConcept | Order of section entries
entry | S | 0..* | Reference(ADI Participant Consent | ADI Participant) | A reference to data that supports this section
emptyReason |  | 0..1 | CodeableConcept | Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section:gpp_personal_care_experience | S | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
entry | S | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section
section:gpp_for_certain_health_condition | S | 0..1 | BackboneElement | Preference care plans defined for specific situations and/or conditions
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81336-0
entry | S | 0..* | Reference(ADI Preference Care Plan) | A reference to data that supports this section
section:gpp_upon_death | S | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81337-8
entry | S | 0..* | Reference(ADI Preference Care Plan | Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal) | A reference to data that supports this section
section:additional_documentation | S | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9
entry |  | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
section:witness_and_notary | S | 0..1 | BackboneElement | Witness and notary information
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4
entry |  | 0..* | Reference(ADI Participant) | A reference to data that supports this section
section:administrative_information | S | 0..1 | BackboneElement | Administrative information associated with this personal advance care plan
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81381-6
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | PADIHeader | A set of resources composed into a single coherent clinical statement with clinical attestation
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 | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
padi-versionNumber-extension | S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension | S | 0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-jurisdiction-extension |  | 0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible)
padi-dataEnterer-extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
padi-informant-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
padi-informationRecipient-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile) | Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension | S | 0..* | Reference(Consent) | Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category | S Σ | 1..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension | I | 1..1 | (Complex) | Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
attester:legal_attester | S | 0..1 | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile) | Who attested the composition
attester:notary_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(RelatedPerson) | Who attested the composition
attester:witness_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | I | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S I | 1..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:healthcare_agent_appointment | S I | 1..1 | BackboneElement | Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81335-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy | S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Participant Consent | ADI Participant) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_personal_care_experience | S I | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_for_certain_health_condition | S I | 0..1 | BackboneElement | Preference care plans defined for specific situations and/or conditions
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81336-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Preference Care Plan) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_upon_death | S I | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81337-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Preference Care Plan | Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:additional_documentation | S I | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:witness_and_notary | S I | 0..1 | BackboneElement | Witness and notary information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(ADI Participant) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:administrative_information | S I | 0..1 | BackboneElement | Administrative information associated with this personal advance care plan
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81381-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | PADIHeader | A set of resources composed into a single coherent clinical statement with clinical attestation
language |  | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
padi-versionNumber-extension |  | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension |  | 0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-dataEnterer-extension |  | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
padi-informant-extension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
padi-informationRecipient-extension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile) | Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension |  | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension |  | 0..* | Reference(Consent) | Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
identifier | Σ | 1..1 | Identifier | Version-independent identifier for the Composition
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category | Σ | 1..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition
date | Σ | 1..1 | dateTime | Composition editing time
author | Σ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition
title | Σ | 1..1 | string | Human Readable name/title
attester:legal_attester |  | 0..1 | BackboneElement | Attests to accuracy of composition
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
party |  | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile) | Who attested the composition
attester:notary_attester |  | 0..* | BackboneElement | Attests to accuracy of composition
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
party |  | 1..1 | Reference(RelatedPerson) | Who attested the composition
attester:witness_attester |  | 0..* | BackboneElement | Attests to accuracy of composition
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
party |  | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | Who attested the composition
custodian | Σ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
Slices for section | I | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
text | I | 1..1 | Narrative | Text summary of the section, for human interpretation
section:healthcare_agent_appointment | I | 1..1 | BackboneElement | Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81335-2
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(ADI Participant Consent | ADI Participant) | A reference to data that supports this section
section:gpp_personal_care_experience | I | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
entry | I | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section
section:gpp_for_certain_health_condition | I | 0..1 | BackboneElement | Preference care plans defined for specific situations and/or conditions
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81336-0
entry | I | 0..* | Reference(ADI Preference Care Plan) | A reference to data that supports this section
section:gpp_upon_death | I | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81337-8
entry | I | 0..* | Reference(ADI Preference Care Plan | Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal) | A reference to data that supports this section
section:additional_documentation | I | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9
section:witness_and_notary | I | 0..1 | BackboneElement | Witness and notary information
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4
section:administrative_information | I | 0..1 | BackboneElement | Administrative information associated with this personal advance care plan
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81381-6
Documentation for this format

This structure is derived from PADIHeader

Summary

Mandatory: 5 elements (12 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

- ADI Participant Consent (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-ParticipantConsent)
- ADI Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Participant)
- ADI Care Experience Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference)
- ADI Personal Priorities Organizer (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- ADI Preference Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)
- ADI Autopsy Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-AutopsyObservation)
- ADI Organ Donation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-OrganDonationObservation)
- ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-DocumentationObservation)

Slices

This structure defines the following Slices:

- The element Composition.section is sliced based on the value of pattern:code

Differential View

This structure is derived from PADIHeader

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | PADIHeader | A set of resources composed into a single coherent clinical statement with clinical attestation
Slices for section |  | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation
section:healthcare_agent_appointment | S I | 1..1 | BackboneElement | Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81335-2
orderedBy | S | 0..1 | CodeableConcept | Order of section entries
entry | S | 0..* | Reference(ADI Participant Consent | ADI Participant) | A reference to data that supports this section
emptyReason |  | 0..1 | CodeableConcept | Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section:gpp_personal_care_experience | S | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
entry | S | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section
section:gpp_for_certain_health_condition | S | 0..1 | BackboneElement | Preference care plans defined for specific situations and/or conditions
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81336-0
entry | S | 0..* | Reference(ADI Preference Care Plan) | A reference to data that supports this section
section:gpp_upon_death | S | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81337-8
entry | S | 0..* | Reference(ADI Preference Care Plan | Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal) | A reference to data that supports this section
section:additional_documentation | S | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9
entry |  | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
section:witness_and_notary | S | 0..1 | BackboneElement | Witness and notary information
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4
entry |  | 0..* | Reference(ADI Participant) | A reference to data that supports this section
section:administrative_information | S | 0..1 | BackboneElement | Administrative information associated with this personal advance care plan
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81381-6
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | PADIHeader | A set of resources composed into a single coherent clinical statement with clinical attestation
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 | S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
padi-versionNumber-extension | S | 0..1 | integer | Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
padi-effective-date-extension | S | 0..1 | Period | Effective Date URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
padi-jurisdiction-extension |  | 0..* | CodeableConcept | Jurisdiction URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension Binding: Jurisdiction ValueSet (extensible)
padi-dataEnterer-extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Data Enterer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
padi-informant-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | Informant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
padi-informationRecipient-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson | US Core Organization Profile) | Information Recipient URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
padi-participant-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson) | Participant URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
padi-performer-extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Performer URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
padi-authorization-extension | S | 0..* | Reference(Consent) | Authorization URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category | S Σ | 1..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition
title | S Σ | 1..1 | string | Human Readable name/title
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension | I | 1..1 | (Complex) | Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
attester:legal_attester | S | 0..1 | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | RelatedPerson | US Core Organization Profile) | Who attested the composition
attester:notary_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(RelatedPerson) | Who attested the composition
attester:witness_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
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
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: personal
time |  | 0..1 | dateTime | When the composition was attested
party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | Who attested the composition
custodian | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | I | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S I | 1..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:healthcare_agent_appointment | S I | 1..1 | BackboneElement | Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations HCA-section-entries: If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81335-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy | S | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Participant Consent | ADI Participant) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: No Healthcare Agent Included Reason (required)
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_personal_care_experience | S I | 0..1 | BackboneElement | Quality of Life related personal care experiences, personal goals, and priorities
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Care Experience Preference | ADI Personal Priorities Organizer | ADI Personal Goal) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_for_certain_health_condition | S I | 0..1 | BackboneElement | Preference care plans defined for specific situations and/or conditions
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81336-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Preference Care Plan) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:gpp_upon_death | S I | 0..1 | BackboneElement | Goals, preferences, and priorities upon death
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81337-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S I | 0..* | Reference(ADI Preference Care Plan | Personal Intervention Preference | ADI Personal Priorities Organizer | ADI Autopsy Observation | ADI Organ Donation | ADI Personal Goal) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:additional_documentation | S I | 0..1 | BackboneElement | Observations regarding the existence of other advance directive related information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 77599-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(ADI Documentation Observation) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:witness_and_notary | S I | 0..1 | BackboneElement | Witness and notary information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81339-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(ADI Participant) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
section:administrative_information | S I | 0..1 | BackboneElement | Administrative information associated with this personal advance care plan
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-clause-extension | S | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81381-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | I | 0..* | See section (Composition) | Nested Section
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.language | preferred | CommonLanguages Max Binding: AllLanguages
Composition.status | required | CompositionStatus
Composition.type | extensible | PADIAdvanceDirectiveCategoriesVS
Composition.category | example | DocumentClassValueSet
Composition.attester.mode | required | CompositionAttestationMode
Composition.attester:legal_attester.mode | required | Pattern: legal
Composition.attester:notary_attester.mode | required | Pattern: professional
Composition.attester:witness_attester.mode | required | Pattern: personal
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.event.code | example | ActCode
Composition.section.code | example | DocumentSectionCodes
Composition.section.mode | required | ListMode
Composition.section.orderedBy | preferred | ListOrderCodes
Composition.section.emptyReason | preferred | ListEmptyReasons
Composition.section:healthcare_agent_appointment.code | example | Pattern: LOINC code 81335-2
Composition.section:healthcare_agent_appointment.mode | required | ListMode
Composition.section:healthcare_agent_appointment.orderedBy | preferred | ListOrderCodes
Composition.section:healthcare_agent_appointment.emptyReason | required | PADINoHealthcareAgentIncludedReasonVS
Composition.section:gpp_personal_care_experience.code | example | Pattern: LOINC code 81338-6
Composition.section:gpp_personal_care_experience.mode | required | ListMode
Composition.section:gpp_personal_care_experience.orderedBy | preferred | ListOrderCodes
Composition.section:gpp_personal_care_experience.emptyReason | preferred | ListEmptyReasons
Composition.section:gpp_for_certain_health_condition.code | example | Pattern: LOINC code 81336-0
Composition.section:gpp_for_certain_health_condition.mode | required | ListMode
Composition.section:gpp_for_certain_health_condition.orderedBy | preferred | ListOrderCodes
Composition.section:gpp_for_certain_health_condition.emptyReason | preferred | ListEmptyReasons
Composition.section:gpp_upon_death.code | example | Pattern: LOINC code 81337-8
Composition.section:gpp_upon_death.mode | required | ListMode
Composition.section:gpp_upon_death.orderedBy | preferred | ListOrderCodes
Composition.section:gpp_upon_death.emptyReason | preferred | ListEmptyReasons
Composition.section:additional_documentation.code | example | Pattern: LOINC code 77599-9
Composition.section:additional_documentation.mode | required | ListMode
Composition.section:additional_documentation.orderedBy | preferred | ListOrderCodes
Composition.section:additional_documentation.emptyReason | preferred | ListEmptyReasons
Composition.section:witness_and_notary.code | example | Pattern: LOINC code 81339-4
Composition.section:witness_and_notary.mode | required | ListMode
Composition.section:witness_and_notary.orderedBy | preferred | ListOrderCodes
Composition.section:witness_and_notary.emptyReason | preferred | ListEmptyReasons
Composition.section:administrative_information.code | example | Pattern: LOINC code 81381-6
Composition.section:administrative_information.mode | required | ListMode
Composition.section:administrative_information.orderedBy | preferred | ListOrderCodes
Composition.section:administrative_information.emptyReason | preferred | ListEmptyReasons

#### Constraints

Id | Path | Details | Requirements
HCA-section-entries | Composition.section:healthcare_agent_appointment | If healthcare agent section entry exists, then the HCA consent entry and HCA relatedPerson entry must exist : entry.exists().not() or (entry.where($this.resolve() is Consent).exists() and entry.where($this.resolve() is relatedPerson).exists()) |