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

ValueSet: Documentation Types

Official URL: http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIDocumentationTypeVS Version: 1.0.0
Active as of 2024-01-11 Computable Name: ADIDocumentationTypeVS

Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc

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

Types of Documents

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://loinc.org
    CodeDisplay
    81352-7Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]
    81351-9Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]
    42348-3Advance directives
  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    304253006Not for resuscitation
    714748000Has advance care plan
  • Include codes from http://snomed.info/sct where concept is-a 425392003 (Active advance directive (finding))
  • Include codes from http://snomed.info/sct where concept is-a 423876004 (Clinical document (record artifact))

 

Expansion

Expansion based on:

  • Loinc v2.74
  • SNOMED CT United States edition 01-Sep 2023
  • Loinc v2.74
  • SNOMED CT United States edition 01-Sep 2023

This value set contains 116 concepts

CodeSystemDisplay
  81352-7http://loinc.orgMedical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]
  81351-9http://loinc.orgDo Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]
  42348-3http://loinc.orgAdvance directives
  304253006http://snomed.info/sctNot for resuscitation
  714748000http://snomed.info/sctHas advance care plan
  425392003http://snomed.info/sctActive advance directive (finding)
  310305009http://snomed.info/sctActive advance directive (copy within chart) (finding)
  425393008http://snomed.info/sctActive Durable Power of Attorney for Healthcare (finding)
  425394002http://snomed.info/sctActive healthcare will (finding)
  425395001http://snomed.info/sctActive living will (finding)
  425396000http://snomed.info/sctActive advance directive with verification by family (finding)
  425397009http://snomed.info/sctActive advance directive with verification by healthcare professional (finding)
  3011000175104http://snomed.info/sctActive limitation of emergency treatment (finding)
  3021000175108http://snomed.info/sctActive heathcare surrogate (finding)
  3041000175100http://snomed.info/sctActive five wishes (finding)
  4921000175109http://snomed.info/sctActive mental health treatment preference declaration (finding)
  423876004http://snomed.info/sctClinical document (record artifact)
  270107007http://snomed.info/sctCoroner's postmortem report
  270116006http://snomed.info/sctPostmortem report
  308376004http://snomed.info/sctPolice surgeon postmortem report
  371525003http://snomed.info/sctClinical procedure report
  371526002http://snomed.info/sctOperative report
  371527006http://snomed.info/sctRadiology report
  371528001http://snomed.info/sctPathology report
  371529009http://snomed.info/sctHistory and physical report
  371530004http://snomed.info/sctClinical consultation report
  371531000http://snomed.info/sctEncounter report
  371532007http://snomed.info/sctProgress report
  371535009http://snomed.info/sctTransfer summary report
  371537001http://snomed.info/sctConsent report
  371538006http://snomed.info/sctAdvance directive report
  371539003http://snomed.info/sctConference report
  371540001http://snomed.info/sctSupervising physician report
  371541002http://snomed.info/sctProvider comment report
  371542009http://snomed.info/sctAdmission history and physical report
  371543004http://snomed.info/sctComprehensive history and physical report
  371544005http://snomed.info/sctTargeted history and physical report
  371545006http://snomed.info/sctConfirmatory consultation report
  371546007http://snomed.info/sctEducational visit report
  373942005http://snomed.info/sctDischarge summary
  399345000http://snomed.info/sctAdult echocardiography procedure report
  416700005http://snomed.info/sctWritten operative report
  417185000http://snomed.info/sctDictated operative report
  422735006http://snomed.info/sctSummary clinical document (record artifact)
  444754002http://snomed.info/sctHospital inpatient progress report (record artifact)
  444804000http://snomed.info/sctMultidisciplinary care conference report (record artifact)
  445042000http://snomed.info/sctHospital outpatient progress report (record artifact)
  697978002http://snomed.info/sctProvider orders for life-sustaining treatment
  714335001http://snomed.info/sctLower gastrointestinal tract endoscopy report (record artifact)
  714337009http://snomed.info/sctUpper gastrointestinal tract endoscopy report (record artifact)
  714340009http://snomed.info/sctImplanted device maintenance report
  720449003http://snomed.info/sctPulmonary function report (record artifact)
  721599005http://snomed.info/sctWound care management note (record artifact)
  721631001http://snomed.info/sctBone marrow pathology biopsy report (record artifact)
  721913004http://snomed.info/sctPrivacy policy acknowledgment of electronic data usage (record artifact)
  721914005http://snomed.info/sctPatient consent document (record artifact)
  721915006http://snomed.info/sctAdmission request document (record artifact)
  721916007http://snomed.info/sctPhysician consulting initial evaluation note (record artifact)
  721917003http://snomed.info/sctPhysician discharge concise summary (record artifact)
  721919000http://snomed.info/sctNurse discharge summary (record artifact)
  721921005http://snomed.info/sctNurse discharge concise summary (record artifact)
  721923008http://snomed.info/sctObstetrics and gynecology discharge summary (record artifact)
  721924002http://snomed.info/sctOverall plan of care (record artifact)
  721967005http://snomed.info/sctTissue pathology biopsy report (record artifact)
  721968000http://snomed.info/sctCardiac catheterization report (record artifact)
  721981007http://snomed.info/sctDiagnostic studies report (record artifact)
  722014005http://snomed.info/sctCardiology hospital progress note (record artifact)
  722015006http://snomed.info/sctIntensive care unit progress note (record artifact)
  722052006http://snomed.info/sctPhysical therapy consult note (record artifact)
  722091001http://snomed.info/sctConclusion interpretation document (record artifact)
  722124004http://snomed.info/sctRadiology studies report (record artifact)
  722143004http://snomed.info/sctInfectious disease diagnostic study note (record artifact)
  723394009http://snomed.info/sctPhotographic image record (record artifact)
  725869001http://snomed.info/sctRecord of implantation of cardiac electronic device (record artifact)
  725870000http://snomed.info/sctDiagnostic coronary angiography report (record artifact)
  725956001http://snomed.info/sctAmbulatory blood pressure monitoring report (record artifact)
  726566009http://snomed.info/sctPathology biopsy report (record artifact)
  770572002http://snomed.info/sctEndoscopic ultrasound report (record artifact)
  770573007http://snomed.info/sctAirway endoscopy report (record artifact)
  770574001http://snomed.info/sctEndoscopic retrograde cholangiopancreatography report
  770575000http://snomed.info/sctEndobronchial ultrasound report (record artifact)
  782659005http://snomed.info/sctCystoscopy report (record artifact)
  782660000http://snomed.info/sctCombined upper and lower gastrointestinal tract endoscopy report
  787607005http://snomed.info/sctPhotographic image with lips closed (record artifact)
  787610003http://snomed.info/sctMirrored visible image corrected
  787611004http://snomed.info/sctPhotographic image extraoral with mandible postured forward (record artifact)
  787612006http://snomed.info/sctPhotographic image extraoral with 45 degree view
  789130005http://snomed.info/sctPhotographic image with mouth partially opened position and teeth apart (record artifact)
  789131009http://snomed.info/sctClose up photographic view of teeth with no set magnification or distance
  789132002http://snomed.info/sctMirrored visible image uncorrected flipped horizontally and vertically
  789133007http://snomed.info/sctMirrored visible image uncorrected flipped vertically
  789134001http://snomed.info/sctMirrored visible image uncorrected flipped horizontally (record artifact)
  789135000http://snomed.info/sctMirrored visible image uncorrected (record artifact)
  789310004http://snomed.info/sctMirrored photographic image of teeth corrected flipped horizontally (record artifact)
  789311000http://snomed.info/sctMirrored photographic image of teeth corrected flipped vertically
  789312007http://snomed.info/sctMirrored photographic image of teeth corrected flipped vertically and horizontally
  789313002http://snomed.info/sctPhotographic image of anterior teeth
  789314008http://snomed.info/sctPhotographic image of face with lips in relaxed position (record artifact)
  551000220107http://snomed.info/sctGynecology discharge summary (record artifact)
  601000220109http://snomed.info/sctNewborn discharge summary (record artifact)
  4201000179104http://snomed.info/sctImaging report (record artifact)
  4211000179102http://snomed.info/sctBone density scan report (record artifact)
  4221000179107http://snomed.info/sctUltrasound imaging report (record artifact)
  4231000179109http://snomed.info/sctMammography report (record artifact)
  4241000179101http://snomed.info/sctLaboratory report (record artifact)
  4251000179103http://snomed.info/sctMagnetic resonance imaging report (record artifact)
  4261000179100http://snomed.info/sctComputed tomography imaging report (record artifact)
  4271000179106http://snomed.info/sctNuclear medicine report (record artifact)
  4311000179106http://snomed.info/sctChemical pathology report (record artifact)
  4321000179101http://snomed.info/sctHematology report (record artifact)
  4331000179104http://snomed.info/sctClinical immunology report (record artifact)
  4341000179107http://snomed.info/sctMicrobiology report (record artifact)
  4351000179105http://snomed.info/sctRadioisotope laboratory report (record artifact)
  5481000179108http://snomed.info/sctHome visit medical report (record artifact)
  21151000175105http://snomed.info/sctCervical papanicolaou smear and human papillomavirus deoxyribonucleic acid detection cotesting report (record artifact)
  432551000124102http://snomed.info/sctMedication summary (record artifact)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code