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

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: Documentation Types - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "ADIDocumentationTypeVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ADIDocumentationTypeVS</b></p><a name=\"ADIDocumentationTypeVS\"> </a><a name=\"hcADIDocumentationTypeVS\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/81352-7/\">81352-7</a></td><td>Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]</td></tr><tr><td><a href=\"https://loinc.org/81351-9/\">81351-9</a></td><td>Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]</td></tr><tr><td><a href=\"https://loinc.org/42348-3/\">42348-3</a></td><td>Advance healthcare directives</td></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/304253006\">304253006</a></td><td>Not for resuscitation</td></tr><tr><td><a href=\"http://snomed.info/id/714748000\">714748000</a></td><td>Has advance care plan</td></tr></table></li><li>Include codes from<a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a 425392003 (Active advance directive (finding))</li><li>Include codes from<a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a 423876004 (Clinical document (record artifact))</li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pe"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIDocumentationTypeVS",
  "version" : "2.0.0-ballot",
  "name" : "ADIDocumentationTypeVS",
  "title" : "Documentation Types",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-08-04T21:33:15+00:00",
  "publisher" : "HL7 International / Patient Empowerment",
  "contact" : [
    {
      "name" : "HL7 International / Patient Empowerment",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientempowerment"
        },
        {
          "system" : "email",
          "value" : "patients@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Types of Documents",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
  "compose" : {
    "include" : [
      {
        "system" : "http://loinc.org",
        "concept" : [
          {
            "code" : "81352-7",
            "display" : "Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]"
          },
          {
            "code" : "81351-9",
            "display" : "Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]"
          },
          {
            "code" : "42348-3",
            "display" : "Advance healthcare directives"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "concept" : [
          {
            "code" : "304253006",
            "display" : "Not for resuscitation"
          },
          {
            "code" : "714748000",
            "display" : "Has advance care plan"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "425392003"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "423876004"
          }
        ]
      }
    ]
  }
}