PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions

## : Documentation Types - TTL Representation

Page standards status: Trial-use | Maturity Level: 2

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ValueSet ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ADIDocumentationTypeVS"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir: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>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "pe"     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 2 ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi>         ]       ] )     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "trial-use" ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi>         ]       ] )     ]
      ] ) ; #
      fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIDocumentationTypeVS"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "2.0.0-ballot"] ; #
      fhir:name [ fhir:v "ADIDocumentationTypeVS"] ; #
      fhir:title [ fhir:v "Documentation Types"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2025-08-04T20:07:18+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "HL7 International / Patient Empowerment"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "HL7 International / Patient Empowerment" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/patientempowerment" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "patients@lists.HL7.org" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Types of Documents"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] )
      ] ) ; #
      fhir:copyright [ fhir:v "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"] ; #
      fhir:compose [
        ( fhir:include [
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
          ( fhir:concept [
    fhir:code [ fhir:v "81352-7" ] ;
    fhir:display [ fhir:v "Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]" ]       ] [
    fhir:code [ fhir:v "81351-9" ] ;
    fhir:display [ fhir:v "Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]" ]       ] [
    fhir:code [ fhir:v "42348-3" ] ;
    fhir:display [ fhir:v "Advance healthcare directives" ]       ] )     ] [
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
          ( fhir:concept [
    fhir:code [ fhir:v "304253006" ] ;
    fhir:display [ fhir:v "Not for resuscitation" ]       ] [
    fhir:code [ fhir:v "714748000" ] ;
    fhir:display [ fhir:v "Has advance care plan" ]       ] )     ] [
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
          ( fhir:filter [
    fhir:property [ fhir:v "concept" ] ;
    fhir:op [ fhir:v "is-a" ] ;
    fhir:value [ fhir:v "425392003" ]       ] )     ] [
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
          ( fhir:filter [
    fhir:property [ fhir:v "concept" ] ;
    fhir:op [ fhir:v "is-a" ] ;
    fhir:value [ fhir:v "423876004" ]       ] )     ] )
      ] . #