PACIO Advance Directive Interoperability Implementation Guide
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PACIO Advance Directive Interoperability Implementation Guide, published by HL7 Patient Empowerment Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

ValueSet: Documentation Types

Official URL: http://hl7.org/fhir/us/pacio-adi/ValueSet/PADIDocumentationTypeVS Version: 0.1.0
Active as of 2023-02-03 Computable Name: PADIDocumentationTypeVS

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]
    75320-2Advance directive
  • 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

This value set contains 187 concepts

Expansion based on:

  • Loinc v2.73
  • SNOMED CT United States edition 01-Sep 2022
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]
  75320-2http://loinc.orgAdvance directive
  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
  406018008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Adrenal gland: Resection
  406019000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Ampulla of Vater: Ampullectomy
  406020006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Ampulla of Vater: Pancreaticoduodenectomy
  406021005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Anus: Excisional Biopsy
  406022003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Anus: Local Excision (Transanal Disk Excision)
  406023008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Anus: Resection
  406024002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Urinary bladder, Ureter, Renal Pelvis: Biopsy
  406025001http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Urinary bladder: Cystectomy, Partial, Total, or Radical; Anterior Exenteration
  406026000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Renal pelvis: Resection/Nephroureterectomy, Partial or Complete
  406027009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Ureter: Resection
  406028004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Bone Marrow: Blood Film, Aspirate, Cell Block, Trephine Biopsy, Touch Imprint
  406029007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Brain/Spinal Cord: Biopsy/Resection
  406030002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Breast: Excision Less Than Total Mastectomy (Includes Wire-Guided Localization Excisions); Total Mastectomy, Modified Radical Mastectomy, Radical Mastectomy
  406031003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Colon and Rectum: Excisional Biopsy (Polypectomy)
  406032005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Rectum: Local Excision (Transanal Disk Excision)
  406033000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Colon and Rectum: Resection
  406034006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Endometrium: Biopsy
  406035007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Endometrium: Hysterectomy, With or Without Other Organs or Tissues
  406036008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Esophagus: Biopsy
  406037004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Esophagus: Resection
  406038009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Extrahepatic Bile Ducts: Resection
  406039001http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Uveal Melanoma: Resection
  406040004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Vulva: Excisional Biopsy/Resection
  406041000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Vagina: Biopsy
  406042007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Vagina: Excisional Biopsy, Resection
  406043002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Uterine Cervix: Cone Biopsy
  406044008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Uterine Cervix: Colpectomy, Hysterectomy, Pelvic Exenteration
  406045009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Upper Aerodigestive Tract and Minor Salivary Glands: Incisional and Excisional Biopsy/Resection
  406046005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Major Salivary Glands: Resection
  406047001http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Trophoblast: Dilation and Curettage/Resection
  406048006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Thyroid: Resection
  406049003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Thymoma and Thymic Carcinoma: Biopsy
  406050003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Thymoma and Thymic Carcinoma: Thymectomy, Other Procedure
  406051004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Pleura/Pericardium: Resection
  406052006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Pleura/Pericardium: Biopsy
  406053001http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Testis: Radical Orchiectomy
  406054007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Testis: Retroperitoneal Lymphadenectomy
  406055008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Stomach: Biopsy
  406056009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Stomach: Resection
  406057000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Small Intestine: Polypectomy, Segmental Resection, Pancreaticoduodenectomy, Partial or Complete, With or Without Partial Gastrectomy (Whipple Resection)
  406058005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Melanoma of the Skin: Excision; Re-Excision
  406059002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Fallopian Tube: Unilateral Salpingectomy, Salpingo-oophorectomy, or Hysterectomy with Salpingo-oophorectomy
  406060007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Gallbladder: Resection/Cholecystectomy
  406061006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Gastrointestinal Lymphoma: Resection
  406062004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Heart: Resection
  406063009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Hodgkin Lymphoma: Biopsy/Staging Procedure
  406064003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Kidney: Biopsy
  406065002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Kidney: Nephrectomy, Partial or Radical
  406066001http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Liver: Resection
  406067005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Lung: Biopsy
  406068000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Lung: Resection
  406069008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Non-Hodgkin Lymphoma: Biopsy, Resection
  406070009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Ovary: Oophorectomy, Salpingo-oophorectomy, Subtotal Oophorectomy or Removal of Tumor in Fragments, Hysterectomy with Salpingo-oophorectomy
  406073006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Pancreas (Endocrine): Excisional Biopsy (Enucleation), Resection
  406074000http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Pancreas (Exocrine): Resection
  406075004http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Peritoneum: Resection
  406076003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Prostate Gland: Needle Biopsy, Transurethral Prostatic Resection (TUR), Enucleation Specimen
  406077007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Prostate Gland: Radical Prostatectomy
  406078002http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Retinoblastoma: Enucleation, Partial or Complete Exenteration
  406079005http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Carcinoma of the Skin: Resection
  406080008http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Rhabdomyosarcoma and Related Neoplasms: Excision, Local or Wide; Compartmentectomy; Excision, Radical; Amputation; Other
  406081007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Kidney: Resection for Wilms Tumor
  409713006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Neuroblastoma: Resection
  409740006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Primitive Neuroectodermal Tumor / Ewing Sarcoma: Resection
  416700005http://snomed.info/sctWritten operative report
  417185000http://snomed.info/sctDictated operative report
  421411003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Prostate Gland: Needle Biopsy (record artifact)
  421714007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Prostate Gland:Transurethral Prostatic Resection (TUR), Enucleation Specimen
  421870003http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Appendix: Resection (record artifact)
  422735006http://snomed.info/sctSummary clinical document (record artifact)
  422817006http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Soft Tissue: Biopsy (record artifact)
  423000007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Soft Tissue: Resection (record artifact)
  423183009http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Bone: Biopsy (record artifact)
  423372007http://snomed.info/sctCollege of American Pathologists Cancer Checklist; Bone: Resection (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