PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Resource Profile: ADI Personal Priorities Organizer

Defining URL: | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalPrioritiesOrganizer
Version: | 0.1.0
Name: | PADIPersonalPrioritiesOrganizer
Title: | ADI Personal Priorities Organizer
Status: | Active as of 12/6/21 8:50 PM
Definition: | Personal Priorities Organizer is used to represent a set of personal goals, preferences or care experiences in a preferred ranked order.
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-PersonalPrioritiesOrganizer

The ADI Personal Priorities organizer represents the patient’s ranked preferences for their stated personal goals of care, which is related to 8.12.1. A patient may rank avoiding prolonged dependence on machines higher than being able to die at home, which can impact the medical team’s recommendations as to which interventions and associated known outcomes would most closely result in the highest ranked priorities of the patient.

### 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 List

Summary

Mandatory: 5 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)

This structure is derived from List

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
List |  | 0..* | List | A list is a curated collection of resources
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
status | S | 1..1 | code | current | retired | entered-in-error
title |  | 1..1 | string | Descriptive name for the list
code |  | 1..1 | CodeableConcept | What the purpose of this list is 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: 81340-2
subject | S | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject
orderedBy | S | 1..1 | CodeableConcept | What order the list has 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://terminology.hl7.org/CodeSystem/list-order
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: priority
entry |  |  |  |
item |  | 1..1 | Reference(ADI Personal Goal | Personal Intervention Preference) | Actual entry
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
List | I | 0..* | List | A list is a curated collection of resources
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!S Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title | Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2
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
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject
encounter |  | 0..1 | Reference(Encounter) | Context in which list created
date | Σ | 0..1 | dateTime | When the list was prepared
source | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author)
orderedBy | S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. 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://terminology.hl7.org/CodeSystem/list-order
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: priority
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
note |  | 0..* | Annotation | Comments about the list
entry | I | 0..* | BackboneElement | Entries in the list
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
flag |  | 0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted | ?!I | 0..1 | boolean | If this item is actually marked as deleted
date |  | 0..1 | dateTime | When item added to list
item |  | 1..1 | Reference(ADI Personal Goal | Personal Intervention Preference) | Actual entry
emptyReason | I | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
List | I | 0..* | List | A list is a curated collection of resources
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
status | ?!Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
subject | Σ | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject
orderedBy |  | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. 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://terminology.hl7.org/CodeSystem/list-order
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: priority
Documentation for this format

This structure is derived from List

Summary

Mandatory: 5 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)

Differential View

This structure is derived from List

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
List |  | 0..* | List | A list is a curated collection of resources
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
status | S | 1..1 | code | current | retired | entered-in-error
title |  | 1..1 | string | Descriptive name for the list
code |  | 1..1 | CodeableConcept | What the purpose of this list is 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: 81340-2
subject | S | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject
orderedBy | S | 1..1 | CodeableConcept | What order the list has 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://terminology.hl7.org/CodeSystem/list-order
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: priority
entry |  |  |  |
item |  | 1..1 | Reference(ADI Personal Goal | Personal Intervention Preference) | Actual entry
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
List | I | 0..* | List | A list is a curated collection of resources
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business identifier
status | ?!S Σ | 1..1 | code | current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode | ?!Σ | 1..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title | Σ | 1..1 | string | Descriptive name for the list Example General: Dr. Jane's Patients
code | Σ | 1..1 | CodeableConcept | What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. 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: 81340-2
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
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | If all resources have the same subject
encounter |  | 0..1 | Reference(Encounter) | Context in which list created
date | Σ | 0..1 | dateTime | When the list was prepared
source | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | Who and/or what defined the list contents (aka Author)
orderedBy | S | 1..1 | CodeableConcept | What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list. 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://terminology.hl7.org/CodeSystem/list-order
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: priority
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
note |  | 0..* | Annotation | Comments about the list
entry | I | 0..* | BackboneElement | Entries in the list
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
flag |  | 0..1 | CodeableConcept | Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted | ?!I | 0..1 | boolean | If this item is actually marked as deleted
date |  | 0..1 | dateTime | When item added to list
item |  | 1..1 | Reference(ADI Personal Goal | Personal Intervention Preference) | Actual entry
emptyReason | I | 0..1 | CodeableConcept | Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
List.language | preferred | CommonLanguages Max Binding: AllLanguages
List.status | required | ListStatus
List.mode | required | ListMode
List.code | example | Pattern: LOINC code 81340-2
List.orderedBy | preferred | Pattern: priority
List.entry.flag | example | PatientMedicineChangeTypes
List.emptyReason | preferred | ListEmptyReasons