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

ValueSet: Documentation Types

Official URL: http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIDocumentationTypeVS Version: 2.0.0-ballot
Standards status: Trial-use Maturity Level: 2 Computable Name: ADIDocumentationTypeVS

Copyright/Legal: 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 version Not Stated (use latest from terminology server)
    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 healthcare directives
  • Include these codes as defined in http://snomed.info/sct version Not Stated (use latest from terminology server)
    CodeDisplay
    304253006 Not for resuscitation
    714748000 Has advance care plan
  • Include codes fromhttp://snomed.info/sct version Not Stated (use latest from terminology server) where concept is-a 425392003 (Active advance directive (finding))
  • Include codes fromhttp://snomed.info/sct version Not Stated (use latest from terminology server) where concept is-a 423876004 (Clinical document (record artifact))

 

Expansion

Expansion from tx.fhir.org based on:

  • Loinc v2.81
  • SNOMED CT United States edition 01-Mar 2025

This value set expansion contains 151 concepts.

SystemCodeDisplay (en)JSONXML
http://loinc.org  81352-7Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place - Reported
http://loinc.org  81351-9Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place - Reported
http://loinc.org  42348-3Advance healthcare directives
http://snomed.info/sct  304253006Not for resuscitation
http://snomed.info/sct  714748000Has advance care plan (finding)
http://snomed.info/sct  425392003Active advance directive (finding)
http://snomed.info/sct  310305009Active advance directive (copy within chart) (finding)
http://snomed.info/sct  425393008Active Durable Power of Attorney for Healthcare (finding)
http://snomed.info/sct  425394002Active healthcare will (finding)
http://snomed.info/sct  425395001Active living will (finding)
http://snomed.info/sct  425396000Active advance directive with verification by family (finding)
http://snomed.info/sct  425397009Active advance directive with verification by healthcare professional (finding)
http://snomed.info/sct  3011000175104Active limitation of emergency treatment (finding)
http://snomed.info/sct  3021000175108Active healthcare surrogate (finding)
http://snomed.info/sct  3041000175100Active five wishes (finding)
http://snomed.info/sct  4921000175109Active mental health treatment preference declaration (finding)
http://snomed.info/sct  423876004Clinical document (record artifact)
http://snomed.info/sct  270107007Coroner's postmortem report
http://snomed.info/sct  270116006Postmortem report
http://snomed.info/sct  308376004Police surgeon postmortem report
http://snomed.info/sct  371525003Clinical procedure report
http://snomed.info/sct  371526002Operative report
http://snomed.info/sct  371527006Radiology report
http://snomed.info/sct  371528001Pathology report
http://snomed.info/sct  371529009History and physical report
http://snomed.info/sct  371530004Clinical consultation report
http://snomed.info/sct  371531000Encounter report
http://snomed.info/sct  371532007Progress report
http://snomed.info/sct  371535009Transfer summary report
http://snomed.info/sct  371537001Consent report
http://snomed.info/sct  371538006Advance directive report
http://snomed.info/sct  371539003Conference report
http://snomed.info/sct  371540001Supervising physician report
http://snomed.info/sct  371541002Provider comment report
http://snomed.info/sct  371542009Admission history and physical report
http://snomed.info/sct  371543004Comprehensive history and physical report
http://snomed.info/sct  371544005Targeted history and physical report
http://snomed.info/sct  371545006Confirmatory consultation report
http://snomed.info/sct  371546007Educational visit report
http://snomed.info/sct  373942005Discharge summary
http://snomed.info/sct  399345000Adult echocardiography procedure report
http://snomed.info/sct  416700005Written operative report
http://snomed.info/sct  417185000Dictated operative report
http://snomed.info/sct  422735006Summary clinical document (record artifact)
http://snomed.info/sct  444754002Hospital inpatient progress report (record artifact)
http://snomed.info/sct  444804000Multidisciplinary care conference report (record artifact)
http://snomed.info/sct  445042000Hospital outpatient progress report (record artifact)
http://snomed.info/sct  697978002Provider orders for life-sustaining treatment
http://snomed.info/sct  714335001Lower gastrointestinal tract endoscopy report (record artifact)
http://snomed.info/sct  714337009Upper gastrointestinal tract endoscopy report (record artifact)
http://snomed.info/sct  714340009Implanted device maintenance report
http://snomed.info/sct  720449003Pulmonary function report (record artifact)
http://snomed.info/sct  721599005Wound care management note (record artifact)
http://snomed.info/sct  721631001Bone marrow pathology biopsy report (record artifact)
http://snomed.info/sct  721913004Privacy policy acknowledgment of electronic data usage (record artifact)
http://snomed.info/sct  721914005Patient consent document (record artifact)
http://snomed.info/sct  721915006Admission request document (record artifact)
http://snomed.info/sct  721916007Physician consulting initial evaluation note (record artifact)
http://snomed.info/sct  721917003Physician discharge concise summary (record artifact)
http://snomed.info/sct  721919000Nurse discharge summary (record artifact)
http://snomed.info/sct  721921005Nurse discharge concise summary (record artifact)
http://snomed.info/sct  721923008Obstetrics and gynecology discharge summary (record artifact)
http://snomed.info/sct  721924002Overall plan of care (record artifact)
http://snomed.info/sct  721967005Tissue pathology biopsy report (record artifact)
http://snomed.info/sct  721968000Cardiac catheterization report (record artifact)
http://snomed.info/sct  721981007Diagnostic studies report (record artifact)
http://snomed.info/sct  722014005Cardiology hospital progress note (record artifact)
http://snomed.info/sct  722015006Intensive care unit progress note (record artifact)
http://snomed.info/sct  722052006Physical therapy consult note (record artifact)
http://snomed.info/sct  722091001Conclusion interpretation document (record artifact)
http://snomed.info/sct  722124004Radiology studies report (record artifact)
http://snomed.info/sct  722143004Infectious disease diagnostic study note (record artifact)
http://snomed.info/sct  723394009Photographic image record (record artifact)
http://snomed.info/sct  725869001Record of implantation of cardiac electronic device (record artifact)
http://snomed.info/sct  725870000Diagnostic coronary angiography report (record artifact)
http://snomed.info/sct  725956001Ambulatory blood pressure monitoring report (record artifact)
http://snomed.info/sct  726566009Pathology biopsy report (record artifact)
http://snomed.info/sct  770572002Endoscopic ultrasound report (record artifact)
http://snomed.info/sct  770573007Airway endoscopy report (record artifact)
http://snomed.info/sct  770574001Endoscopic retrograde cholangiopancreatography report
http://snomed.info/sct  770575000Endobronchial ultrasound report (record artifact)
http://snomed.info/sct  782659005Cystoscopy report (record artifact)
http://snomed.info/sct  782660000Combined upper and lower gastrointestinal tract endoscopy report
http://snomed.info/sct  787607005Photographic image with lips closed (record artifact)
http://snomed.info/sct  787610003Mirrored visible image corrected
http://snomed.info/sct  787611004Photographic image extraoral with mandible postured forward (record artifact)
http://snomed.info/sct  787612006Photographic image extraoral with 45 degree view
http://snomed.info/sct  789130005Photographic image with mouth partially opened position and teeth apart (record artifact)
http://snomed.info/sct  789131009Close up photographic view of teeth with no set magnification or distance
http://snomed.info/sct  789132002Mirrored visible image uncorrected flipped horizontally and vertically
http://snomed.info/sct  789133007Mirrored visible image uncorrected flipped vertically
http://snomed.info/sct  789134001Mirrored visible image uncorrected flipped horizontally (record artifact)
http://snomed.info/sct  789135000Mirrored visible image uncorrected (record artifact)
http://snomed.info/sct  789310004Mirrored photographic image of teeth corrected flipped horizontally (record artifact)
http://snomed.info/sct  789311000Mirrored photographic image of teeth corrected flipped vertically
http://snomed.info/sct  789312007Mirrored photographic image of teeth corrected flipped vertically and horizontally
http://snomed.info/sct  789313002Photographic image of anterior teeth
http://snomed.info/sct  789314008Photographic image of face with lips in relaxed position (record artifact)
http://snomed.info/sct  1306620002Photographic extraoral image of right half of face with lips closed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306621003Photographic extraoral image of right half of face with lips closed and teeth in centric occlusion
http://snomed.info/sct  1306622005Photographic extraoral image of right half of face with lips relaxed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306623000Photographic extraoral image of right half of face with lips relaxed and teeth in centric occlusion
http://snomed.info/sct  1306624006Photographic extraoral image of full face with lips closed and teeth in centric occlusion
http://snomed.info/sct  1306625007Photographic extraoral image of 45 degree view of right half of face with lips relaxed and jaws in centric relation
http://snomed.info/sct  1306626008Photographic extraoral image of right half of face with full smile and jaws in centric relation (record artifact)
http://snomed.info/sct  1306627004Photographic extraoral image of 45 degree view of right half of face with lips relaxed and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306628009Photographic extraoral image of right half of face with full smile and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306629001Photographic extraoral image of 45 degree view of right half of face with lips closed and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306630006Photographic extraoral image of full face with lips relaxed and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306631005Photographic extraoral image of 45 degree view of right half of face with lips closed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306632003Photographic extraoral image of 45 degree view of right half of face with full smile and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306633008Photographic extraoral image of 45 degree view of right half of face with full smile and jaws in centric relation
http://snomed.info/sct  1306634002Photographic extraoral image of 45 degree view of right half of face with mandible postured forward (record artifact)
http://snomed.info/sct  1306643006Photographic extraoral image of 45 degree view of left half of face with full smile and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306644000Photographic extraoral image of 45 degree view of left half of face with lips relaxed and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306645004Photographic extraoral image of 45 degree view of left half of face with lips relaxed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306646003Photographic extraoral image of 45 degree view of left half of face with lips closed and teeth in centric occlusion
http://snomed.info/sct  1306647007Photographic extraoral image of 45 degree view of left half of face with lips closed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306648002Photographic extraoral image of left half of face with lips relaxed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306649005Photographic extraoral image of left half of face with lips closed and teeth in centric occlusion
http://snomed.info/sct  1306650005Photographic extraoral image of left half of face with lips closed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306651009Photographic extraoral image of left half of face with full smile and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306652002Photographic extraoral image of left half of face with full smile and jaws in centric relation
http://snomed.info/sct  1306653007Photographic extraoral image of inferior view of face (record artifact)
http://snomed.info/sct  1306654001Photographic extraoral image of 45 degree view of left half of face with full smile and jaws in centric relation
http://snomed.info/sct  1306655000Photographic extraoral image of 45 degree view of left half of face with mandible postured forward
http://snomed.info/sct  1306656004Photographic extraoral image of left half of face with lips relaxed and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306662009Photographic extraoral image of full face with lips closed and jaws in centric relation
http://snomed.info/sct  1306663004Photographic extraoral image of full face with lips relaxed and jaws in centric relation (record artifact)
http://snomed.info/sct  1306664005Photographic extraoral image of full face with full smile and teeth in centric occlusion (record artifact)
http://snomed.info/sct  1306665006Photographic extraoral image of full face with full smile and jaws in centric relation (record artifact)
http://snomed.info/sct  1331904007Informed clinical opinion document (record artifact)
http://snomed.info/sct  551000220107Gynecology discharge summary (record artifact)
http://snomed.info/sct  601000220109Newborn discharge summary (record artifact)
http://snomed.info/sct  4201000179104Imaging report (record artifact)
http://snomed.info/sct  4211000179102Bone density scan report (record artifact)
http://snomed.info/sct  4221000179107Ultrasound imaging report (record artifact)
http://snomed.info/sct  4231000179109Mammography report (record artifact)
http://snomed.info/sct  4241000179101Laboratory report (record artifact)
http://snomed.info/sct  4251000179103Magnetic resonance imaging report (record artifact)
http://snomed.info/sct  4261000179100Computed tomography imaging report (record artifact)
http://snomed.info/sct  4271000179106Nuclear medicine report (record artifact)
http://snomed.info/sct  4311000179106Chemical pathology report (record artifact)
http://snomed.info/sct  4321000179101Hematology report (record artifact)
http://snomed.info/sct  4331000179104Clinical immunology report (record artifact)
http://snomed.info/sct  4341000179107Microbiology report (record artifact)
http://snomed.info/sct  4351000179105Radioisotope laboratory report (record artifact)
http://snomed.info/sct  5481000179108Home visit medical report (record artifact)
http://snomed.info/sct  21151000175105Cervical papanicolaou smear and human papillomavirus deoxyribonucleic acid detection cotesting report (record artifact)
http://snomed.info/sct  432551000124102Medication summary (record artifact)
http://snomed.info/sct  741061000124108Mammography transcription report

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