PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Extension: Performer

The Advance Directive Information Performer Extension represents clinicians who actually and principally carry out the clinical services being documented. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patients key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.

The official URL for this extension is:

    http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension

Status: active
Extension maintained by: HL7 Patient Empowerment Working Group

Context of Use

This extension may be used on the following element(s):

- Element

Usage info

Usage:

- Use this Extension: PACIO ADI Header, ADI Personal Advance Care Plan Composition
- Examples for this Extension: Bundle/Example-McBee-Bundle1, Composition/Example-McBee-PACPComposition1

### Formal Views of Extension Content

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

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 1 element
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- 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)

Slices

This structure defines the following Slices:

- The element Extension.value[x] is sliced based on the value of type:$this

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension"
Slices for value[x] |  | 1..1 | Reference() | Value of extension Slice: Unordered, Open by type:$this
valueReference | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension"
Slices for value[x] |  | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 1 element
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- 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)

Slices

This structure defines the following Slices:

- The element Extension.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension"
Slices for value[x] |  | 1..1 | Reference() | Value of extension Slice: Unordered, Open by type:$this
valueReference | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Performer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-performer-extension"
Slices for value[x] |  | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Value of extension
Documentation for this format

Other representations of profile: CSV, Excel, Schematron