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/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

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: Example-Smith-Johnson-DocRef-ACP-Decline-Service - XML Representation

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-DocRef-ACP-Decline-Service"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference Example-Smith-Johnson-DocRef-ACP-Decline-Service</b></p><a name="Example-Smith-Johnson-DocRef-ACP-Decline-Service"> </a><a name="hcExample-Smith-Johnson-DocRef-ACP-Decline-Service"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a></p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 100532-1}">Social worker Progress Note</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 11506-3}">Progress note</span></p><p><b>subject</b>: <a href="Patient-Example-Smith-Johnson-Patient1.html">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</a></p><p><b>date</b>: 2026-07-24 08:15:00+0000</p><p><b>custodian</b>: <a href="Organization/org-ED-Metro-Hospital">Organization/org-ED-Metro-Hospital</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>text/plain</td><td>(base64 data - 1,440 base64 chars)</td><td>Social worker Advance Care Planning Note for Betsy Smith-Johnson</td><td>2026-07-24 08:15:00+0000</td></tr></table></blockquote></div>
  </text>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="100532-1"/>
      <display value="Social worker Outpatient Progress note"/>
    </coding>
    <text value="Social worker Progress Note"/>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11506-3"/>
      <display value="Progress note"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/Example-Smith-Johnson-Patient1"/>
  </subject>
  <date value="2026-07-24T08:15:00.000+00:00"/>
  <custodian>
    <reference value="Organization/org-ED-Metro-Hospital"/>
  </custodian>
  <content>
    <attachment>
      <contentType value="text/plain"/>
      <data
            value="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"/>
      <title
             value="Social worker Advance Care Planning Note for Betsy Smith-Johnson"/>
      <creation value="2026-07-24T08:15:00.000+00:00"/>
    </attachment>
  </content>
</DocumentReference>