PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

This page is part of the PACIO Advance Directive Information Implementation Guide (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Composition: Portable Medical Order

Page standards status: Informative

Language: en-US

Profile: ADI PMO Composition

Composition Version Number: 2024-03-29T14:25:34-05:00

Data Enterer: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)

Participant: PractitionerRole: telecom = kanydoc@example.org(Work)

ADI Expiration Date: 2024-03-29 14:25:34-0500

Performer: PractitionerRole: telecom = kanydoc@example.org(Work)

Informant: RelatedPerson Johnson, Charles

Revoke Status: deprecated

Clause

  • Clause:

<div xmlns="http://www.w3.org/1999/xhtml"><p>Example Clause Statement</p></div>

identifier: http://example.org/GoodHealthClinic/id/0-87f37989294a408897aacd1fc5d8fd16

status: Final

type: Portable medical order form

category: Advance healthcare directives

date: 2023-03-29 14:25:34-0500

author: PractitionerRole: telecom = kanydoc@example.org(Work)

title: Portable Medical Order

Attesters

-ModeParty
*LegalPractitionerRole: telecom = kanydoc@example.org(Work)

custodian: Organization example.org

event

detail: