PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Resource Profile: PACIO ADI Header

Defining URL: | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Header
Version: | 0.1.0
Name: | PADIHeader
Title: | PACIO ADI Header
Status: | Active as of 12/6/21 8:50 PM
Definition: | This abstract profile defines constraints that represent common administrative and demographic concepts for advance directives information used in US Realm clinical documents.
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-Header

This profile, largely based on the CCDA on FHIR US Realm Header profile, defines requirements that address specific exchange requirements for a composition containing a person’s advance care plan (PACP) information.

In the cases where the patient is not able to “write” the PACP contents due to literacy constraints or physical disability, e.g. hemiplegia, the patient/subject is still considered author of the content, and a data enterer will fill the role of physically creating the document by entering the author’s requested information into the system used to create the document.

### 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 Clinical Document

Summary

Mandatory: 5 elements (5 nested mandatory elements)
Must-Support: 29 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension

Slices

This structure defines the following Slices:

- The element Composition.attester is sliced based on the value of value:mode

This structure is derived from Clinical Document

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | This is an abstract profile A set of resources composed into a single coherent clinical statement with clinical attestation
language | S | 1..1 | code | Language of the resource content
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
identifier | S | 1..1 | Identifier | Version-independent identifier for the Composition
type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category | S | 1..1 | CodeableConcept | Categorization of Composition
subject | S | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition
date | S | 1..1 | dateTime | Composition editing time
author | S | 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 | 1..1 | string | Human Readable name/title
confidentiality |  | 0..0 |  |
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension |  | 1..1 | (Complex) | Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
attester:legal_attester | S | 0..1 | BackboneElement | Attests to accuracy of composition
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: legal
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
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: professional
party | S | 1..1 | Reference(RelatedPerson) | Who attested the composition
attester:witness_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: personal
party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | Who attested the composition
custodian | S | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
section |  |  |  |
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
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | This is an abstract profile 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
section | I | 0..* | BackboneElement | Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 | 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..* | Clinical Document | This is an abstract profile 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
section | I | 0..* | BackboneElement | Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
padi-clause-extension |  | 0..* | (Complex) | Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
Documentation for this format

This structure is derived from Clinical Document

Summary

Mandatory: 5 elements (5 nested mandatory elements)
Must-Support: 29 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-versionNumber-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-effective-date-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-jurisdiction-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-dataEnterer-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informant-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-informationRecipient-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-participant-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-authorization-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-clause-extension
- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension

Slices

This structure defines the following Slices:

- The element Composition.attester is sliced based on the value of value:mode

Differential View

This structure is derived from Clinical Document

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | This is an abstract profile A set of resources composed into a single coherent clinical statement with clinical attestation
language | S | 1..1 | code | Language of the resource content
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
identifier | S | 1..1 | Identifier | Version-independent identifier for the Composition
type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: Advance Directive Categories (extensible)
category | S | 1..1 | CodeableConcept | Categorization of Composition
subject | S | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition
date | S | 1..1 | dateTime | Composition editing time
author | S | 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 | 1..1 | string | Human Readable name/title
confidentiality |  | 0..0 |  |
Slices for attester |  | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
attester:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
padi-attestationInformation-extension |  | 1..1 | (Complex) | Attestation Information URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension
attester:legal_attester | S | 0..1 | BackboneElement | Attests to accuracy of composition
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: legal
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
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: professional
party | S | 1..1 | Reference(RelatedPerson) | Who attested the composition
attester:witness_attester | S | 0..* | BackboneElement | Attests to accuracy of composition
mode | S | 1..1 | code | personal | professional | legal | official Required Pattern: personal
party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | Who attested the composition
custodian | S | 1..1 | Reference(US Core Organization Profile) | Organization which maintains the composition
section |  |  |  |
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
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Clinical Document | This is an abstract profile 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
section | I | 0..* | BackboneElement | Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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 | 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

#### Constraints

Id | Path | Details | Requirements
cmp-1 | Composition.section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() |
cmp-2 | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() |