PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

Publication Build: This will be filled in by the publication tooling

## Extension: Attestation Information

The Attestation Information Extension allows for the capture of information relevant to the attestation.

The official URL for this extension is:

    http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-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-Smith-Johnson-Bundle1, Composition/Example-Smith-Johnson-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: 4 elements (4 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 6 elements
Prohibited: 6 elements

Slices

This structure defines the following Slices:

- The element Extension.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 | I | 0..* | Extension | Attestation Information notary-information-requires-notary-role: If Notary information (seal or commission expiration date exists, then role must be notary
extension |  | 1..* | Extension | Extension
extension:AttesterRole |  | 1..1 | Extension | Attester Role
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
Slices for value[x] | S | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension"
value[x] |  | 0..0 |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension | I | 0..* | Extension | Attestation Information notary-information-requires-notary-role: If Notary information (seal or commission expiration date exists, then role must be notary
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:AttesterRole |  | 1..1 | Extension | Attester Role
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
Slices for value[x] | S | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension"
Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 4 elements (4 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 6 elements
Prohibited: 6 elements

Slices

This structure defines the following Slices:

- The element Extension.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 | I | 0..* | Extension | Attestation Information notary-information-requires-notary-role: If Notary information (seal or commission expiration date exists, then role must be notary
extension |  | 1..* | Extension | Extension
extension:AttesterRole |  | 1..1 | Extension | Attester Role
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
Slices for value[x] | S | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension"
value[x] |  | 0..0 |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension | I | 0..* | Extension | Attestation Information notary-information-requires-notary-role: If Notary information (seal or commission expiration date exists, then role must be notary
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:AttesterRole |  | 1..1 | Extension | Attester Role
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttesterRole"
Slices for value[x] | S | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Attester Role (extensible)
extension:AttestationStatement |  | 0..1 | Extension | Attestation Statement
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "AttestationStatement"
value[x] | S | 1..1 |  | Value of extension
valueMarkdown |  |  | markdown |
valueString |  |  | string |
extension:NotarySealId |  | 0..1 | Extension | Notary seal id
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotarySealId"
value[x] | S | 1..1 | Identifier | Value of extension
extension:NotaryCommissionExpirationDate |  | 0..1 | Extension | Notary commission expiration date
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "NotaryCommissionExpirationDate"
value[x] | S | 1..1 | date | Value of extension
extension:Signature |  | 0..1 | Extension | Attester Signature with Date
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..0 |  |
url |  | 1..1 | uri | "Signature"
value[x] | S | 1..1 | Signature | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-attestationInformation-extension"
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
Extension.extension:AttesterRole.value[x]:valueCodeableConcept | extensible | PADIAttesterRoleTypeVS

#### Constraints

Id | Path | Details | Requirements
notary-information-requires-notary-role | Extension | If Notary information (seal or commission expiration date exists, then role must be notary : (extension.where(url = 'NotarySealId').valuerIdentifier.exists() or extension.where(url = 'NotaryCommissionExpirationDate').valueDate.exists()) implies extension.where(url = 'AttesterRole').valueCodeableConcept.where(coding.code='81372-5').exists() |