Clause - PACIO Advance Healthcare Directive Interoperability Implementation Guide v2.0.0-ballot

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

Extension: Clause

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension				Version: 2.0.0-ballot
Standards status: Trial-use			Maturity Level: 2	Computable Name: ClauseExtension

A clause or set of clauses relevant to the resource or element being extended

Context of Use

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

Element ID: Bundle
Element ID: Composition
Element ID: Consent

Usage info

Usages:

Use this Extension: ADI Composition Header and ADI Healthcare Agent Consent
Examples for this Extension: Bundle/PMO-Example-Smith-Johnson-Bundle2 and Composition/PMO-Example-Smith-Johnson-PMOComposition1

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

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

Differential Table
Snapshot Table
Statistics/References
All

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Clause
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:Title		0..1	Extension	Section in which clauses are presented.
extension		0..0
url		1..1	uri	"Title"
value[x]		1..1	string	Value of extension
extension:Type		0..1	Extension	Type of clause.
extension		0..0
url		1..1	uri	"Type"
value[x]		1..1	CodeableConcept	Value of extension Binding: ADIClauseTypeVS (extensible)
extension:Policy		0..*	Extension	Link to the policies related to the clause
extension		0..0
url		1..1	uri	"Policy"
value[x]	S	1..1	Reference()	Value of extension
extension:Clause		1..*	Extension	A human readable clause.
extension		0..0
url		1..1	uri	"Clause"
value[x]	S	1..1	markdown	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension"
value[x]		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Clause
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Title		0..1	Extension	Section in which clauses are presented.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Title"
value[x]		1..1	string	Value of extension
extension:Type		0..1	Extension	Type of clause.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Type"
value[x]		1..1	CodeableConcept	Value of extension Binding: ADIClauseTypeVS (extensible)
extension:Policy		0..*	Extension	Link to the policies related to the clause
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Policy"
value[x]	S	1..1	Reference()	Value of extension
extension:Clause		1..*	Extension	A human readable clause.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Clause"
value[x]	S	1..1	markdown	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: A clause or set of clauses relevant to the resource or element being extended

Title: string: An Extension
Type: CodeableConcept: An Extension
Policy: Reference: An Extension
Clause: markdown: An Extension

Maturity: 2

Differential View

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Clause
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:Title		0..1	Extension	Section in which clauses are presented.
extension		0..0
url		1..1	uri	"Title"
value[x]		1..1	string	Value of extension
extension:Type		0..1	Extension	Type of clause.
extension		0..0
url		1..1	uri	"Type"
value[x]		1..1	CodeableConcept	Value of extension Binding: ADIClauseTypeVS (extensible)
extension:Policy		0..*	Extension	Link to the policies related to the clause
extension		0..0
url		1..1	uri	"Policy"
value[x]	S	1..1	Reference()	Value of extension
extension:Clause		1..*	Extension	A human readable clause.
extension		0..0
url		1..1	uri	"Clause"
value[x]	S	1..1	markdown	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension"
value[x]		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Clause
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Title		0..1	Extension	Section in which clauses are presented.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Title"
value[x]		1..1	string	Value of extension
extension:Type		0..1	Extension	Type of clause.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Type"
value[x]		1..1	CodeableConcept	Value of extension Binding: ADIClauseTypeVS (extensible)
extension:Policy		0..*	Extension	Link to the policies related to the clause
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Policy"
value[x]	S	1..1	Reference()	Value of extension
extension:Clause		1..*	Extension	A human readable clause.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"Clause"
value[x]	S	1..1	markdown	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: A clause or set of clauses relevant to the resource or element being extended

Title: string: An Extension
Type: CodeableConcept: An Extension
Policy: Reference: An Extension
Clause: markdown: An Extension

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet	URI
Extension.extension:Type.value[x]	extensible	ADIClauseTypeVS `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.14` From https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

IG © 2021+ HL7 International / Patient Empowerment. Package hl7.fhir.us.pacio-adi#2.0.0-ballot based on FHIR 4.0.1. Generated 2025-08-04
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