description: This profile is used to indicate if additional advance directive documents, such as physician order for life sustaining treatment (MOLST or POLST) or Do Not Resuscitate Order (DNR) exist and a reference to the document. package_name: rs/hl7.fhir.us.pacio derivation: constraint name: ADIDocumentationObservation type: Observation elements: value: mustSupport: true choices: [valueCodeableConcept] index: 9 note: {mustSupport: true, index: 11} status: pattern: {type: code, value: final} type: code index: 1 effective: mustSupport: true choices: [] index: 6 code: mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 42348-3, system: 'http://loinc.org'} type: CodeableConcept index: 2 valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 10} focus: {short: Reference to the additional document this observation is about, index: 4} subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'] index: 3 performer: {index: 7} text: {mustSupport: true, index: 0} package_version: adi-1.0.0 class: profile kind: resource url: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.0.0 required: [effective, performer, subject, text, value, valueCodeableConcept]