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

• Narrative Content
• XML
• JSON
• TTL

: CDA Signature Code - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "CDASignatureCodeVS",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet CDASignatureCodeVS</b></p><a name=\"CDASignatureCodeVS\"> </a><a name=\"hcCDASignatureCodeVS\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ParticipationSignature.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature</code></a><span title=\"Version is explicitly stated to be 4.0.0\"> version &#x1F4CD;4.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ParticipationSignature.html#v3-ParticipationSignature-S\">S</a></td><td style=\"color: #cccccc\">signed</td><td>Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ParticipationSignature.html#v3-ParticipationSignature-X\">X</a></td><td style=\"color: #cccccc\">required</td><td>A signature for the service is required of this actor.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pe"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/pacio-adi/ValueSet/CDASignatureCodeVS",
  "version" : "2.0.0-ballot",
  "name" : "CDASignatureCodeVS",
  "title" : "CDA Signature Code",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-23T17:34:28+00:00",
  "publisher" : "HL7 International / Patient Empowerment",
  "contact" : [
    {
      "name" : "HL7 International / Patient Empowerment",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientempowerment"
        },
        {
          "system" : "email",
          "value" : "patients@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "A set of codes specifying whether and how the participant has attested his participation through a signature - limited to values allowed in original CDA definition. Note: This is a copy of http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode and will be replaced with the recognized canonical uri once we resolve why the IG Publisher is not recognizing this uri.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature",
        "version" : "4.0.0",
        "concept" : [
          {
            "code" : "S"
          },
          {
            "code" : "X"
          }
        ]
      }
    ]
  }
}