description: This profile encompasses information that makes up the author’s advance care information plan.
package_name: hl7.fhir.us.pacio-adi
derivation: constraint
name: ADIPACPComposition
type: Composition
elements:
  author:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 0
  attester:
    mustSupport: true
    index: 1
    elements:
      mode:
        pattern: {type: code, value: personal}
        type: code
        index: 2
      party:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
        index: 3
  section:
    index: 4
    elements:
      text: {mustSupport: true, index: 5}
    required: [text]
    slicing:
      rules: open
      ordered: false
      description: Slice based on $this value
      discriminator:
      - {path: code, type: pattern}
      min: 1
      slices:
        healthcare_agent:
          match:
            code:
              coding:
              - {code: 81335-2, system: 'http://loinc.org'}
          schema:
            short: Healthcare agents, healthcare agent advisors, and consent regarding their roles, powers, and limitations
            constraint:
              HCA-section-entries: {human: 'If healthcare agent section entry exists, then the HCA consent entry and HCA RelatedPerson entry must exist', source: 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition', severity: error, expression: entry.exists().not() or (entry.where($this.resolve() is Consent).exists() and entry.where($this.resolve() is RelatedPerson).exists())}
            mustSupport: true
            _required: true
            index: 6
            extensions:
              ClauseExtension: {url: null, index: 7}
            elements:
              extension:
                index: 7
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 7}
              title: {mustSupport: true, index: 8}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81335-2, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 9
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsent', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant']
                index: 10
              emptyReason:
                short: This is only MS (must support) if the document types are supported.
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/pacio-adi/ValueSet/ADINoHealthcareAgentIncludedReasonVS'}
                index: 11
            required: [code, title]
        gpp_for_certain_health_condition:
          match:
            code:
              coding:
              - {code: 81336-0, system: 'http://loinc.org'}
          schema:
            short: Preference care plans defined for specific situations and/or conditions
            index: 12
            extensions:
              ClauseExtension: {url: null, index: 13}
            elements:
              extension:
                index: 13
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 13}
              title: {mustSupport: true, index: 14}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81336-0, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 15
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan']
                index: 16
            required: [code, title]
        gpp_personal_care_experience:
          match:
            code:
              coding:
              - {code: 81338-6, system: 'http://loinc.org'}
          schema:
            short: Quality of Life related personal care experiences, personal goals, and priorities
            index: 17
            extensions:
              ClauseExtension: {url: null, index: 18}
            elements:
              extension:
                index: 18
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 18}
              title: {mustSupport: true, index: 19}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81338-6, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 20
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-CareExperiencePreference', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalGoal', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalPrioritiesOrganizer']
                index: 21
            required: [code, title]
        gpp_upon_death:
          match:
            code:
              coding:
              - {code: 81337-8, system: 'http://loinc.org'}
          schema:
            short: Goals, preferences, and priorities upon death
            index: 22
            extensions:
              ClauseExtension: {url: null, index: 23}
            elements:
              extension:
                index: 23
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 23}
              title: {mustSupport: true, index: 24}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81337-8, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 25
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-AutopsyObservation', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-OrganDonationObservation', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalGoal', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalInterventionPreference', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonalPrioritiesOrganizer', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-UponDeathPreferences']
                index: 26
            required: [code, title]
        minimal_source_form:
          match:
            code:
              coding:
              - {code: minimal_source_form, system: 'http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs'}
          schema:
            short: Minimal source form
            index: 27
            extensions:
              ClauseExtension: {url: null, index: 28}
            elements:
              extension:
                index: 28
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 28}
              title: {mustSupport: true, index: 29}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: minimal_source_form, system: 'http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs'}
                type: CodeableConcept
                index: 30
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIMinimalSourceFormInformation']
                index: 31
            required: [code, title]
        additional_documentation:
          match:
            code:
              coding:
              - {code: 77599-9, system: 'http://loinc.org'}
          schema:
            short: Observations regarding the existence of other advance directive related information
            index: 32
            extensions:
              ClauseExtension: {url: null, index: 33}
            elements:
              extension:
                index: 33
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 33}
              title: {mustSupport: true, index: 34}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 77599-9, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 35
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation']
                index: 36
            required: [code, title]
        witness_and_notary:
          match:
            code:
              coding:
              - {code: 81339-4, system: 'http://loinc.org'}
          schema:
            short: Witness and notary information.  The first witness should be the author of the document
            index: 37
            extensions:
              ClauseExtension: {url: null, index: 38}
            elements:
              extension:
                index: 38
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 38}
              title: {mustSupport: true, index: 39}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81339-4, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 40
              entry:
                type: Reference
                refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Notary', 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Witness']
                index: 41
            required: [code, title]
        administrative_information:
          match:
            code:
              coding:
              - {code: 81381-6, system: 'http://loinc.org'}
          schema:
            short: Administrative information associated with this personal advance care plan
            index: 42
            extensions:
              ClauseExtension: {url: null, index: 43}
            elements:
              extension:
                index: 43
                slicing:
                  slices:
                    ClauseExtension:
                      match: {}
                      schema: {index: 43}
              title: {mustSupport: true, index: 44}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81381-6, system: 'http://loinc.org'}
                type: CodeableConcept
                index: 45
            required: [code, title]
package_version: 2.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PACPComposition
base: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Composition-Header
version: 2.0.0-ballot
required: [attester, section]