PACIO Advance Directive Interoperability Implementation Guide
1.0.0 - STU 1 United States of America flag

This page is part of the PACIO Advance Directive Information Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: Enclosed Precondition

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension Version: 1.0.0
Active as of 2024-01-11 Computable Name: EnclosedPreconditionExtension

The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition ‘If I am so sick or seriously injured that I cannot express my own medical treatment preferences’ could be applied to the patient’s goal of ‘Avoiding prolonged dependence on machines’. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition ‘If I am nearing end of life’ could be applied to the preference ‘Please attempt to notify someone from my religion at the following number…’ recorded within an observation.

Context of Use

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

  • Element ID Observation
  • Element ID Goal.description

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionEnclosed Precondition
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension"
... value[x] S1..1CodeableConceptValue of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionEnclosed Precondition
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: The Enclosed Precondition Extension allows for a precondition to be applied to an advance directive observation or goal. When applied to Goal instance, the stated goal only applies if the precondition is met. For example, the precondition 'If I am so sick or seriously injured that I cannot express my own medical treatment preferences' could be applied to the patient's goal of 'Avoiding prolonged dependence on machines'. When applied to an Observation instance, it is important to note that the precondition applies only to the preference expressed within the observation, not to the observation itself, since the act of recording the preference as an observation has already been done. For example, the precondition 'If I am nearing end of life' could be applied to the preference 'Please attempt to notify someone from my religion at the following number...' recorded within an observation.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionEnclosed Precondition
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension"
... value[x] S1..1CodeableConceptValue of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionEnclosed Precondition
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron