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

: Documentation Types - XML Representation

Page standards status: Trial-use Maturity Level: 2

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="ADIDocumentationTypeVS"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pe"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIDocumentationTypeVS"/>
  <version value="2.0.0-ballot"/>
  <name value="ADIDocumentationTypeVS"/>
  <title value="Documentation Types"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-08-04T21:33:15+00:00"/>
  <publisher value="HL7 International / Patient Empowerment"/>
  <contact>
    <name value="HL7 International / Patient Empowerment"/>
    <telecom>
      <system value="url"/>
      <value
             value="http://www.hl7.org/Special/committees/patientempowerment"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="patients@lists.HL7.org"/>
    </telecom>
  </contact>
  <description value="Types of Documents"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="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 value="http://loinc.org"/>
      <concept>
        <code value="81352-7"/>
        <display
                 value="Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]"/>
      </concept>
      <concept>
        <code value="81351-9"/>
        <display
                 value="Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]"/>
      </concept>
      <concept>
        <code value="42348-3"/>
        <display value="Advance healthcare directives"/>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
      <concept>
        <code value="304253006"/>
        <display value="Not for resuscitation"/>
      </concept>
      <concept>
        <code value="714748000"/>
        <display value="Has advance care plan"/>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="425392003"/>
      </filter>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="423876004"/>
      </filter>
    </include>
  </compose>
</ValueSet>