PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

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

: Example-Smith-Johnson-DocumentationObservation3-DeclinedACP - XML Representation

Page standards status: Informative

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-DocumentationObservation3-DeclinedACP"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Patient declines Advance Care Planning (ACP) Services</b></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
    <valueReference>🔗 
      <reference
                 value="DocumentReference/Example-Smith-Johnson-DocRef-ACP-Decline-Service"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-documentation-absent-reason">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
        <code value="asked-declined"/>
        <display value="Asked But Declined"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="45473-6"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/Example-Smith-Johnson-Patient1"/>
  </subject>
  <effectiveDateTime value="2025-03-29T14:25:34.001-05:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="373067005"/>
      <display value="No (qualifier value)"/>
    </coding>
  </valueCodeableConcept>
</Observation>