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 - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "Example-Smith-Johnson-DocRef-ACP-Decline-Service",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>"
  },
  "status" : "current",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "100532-1",
        "display" : "Social worker Outpatient Progress note"
      }
    ],
    "text" : "Social worker Progress Note"
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "11506-3",
          "display" : "Progress note"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "date" : "2026-07-24T08:15:00.000+00:00",
  "custodian" : {
    "reference" : "Organization/org-ED-Metro-Hospital"
  },
  "content" : [
    {
      "attachment" : {
        "contentType" : "text/plain",
        "data" : "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",
        "title" : "Social worker Advance Care Planning Note for Betsy Smith-Johnson",
        "creation" : "2026-07-24T08:15:00.000+00:00"
      }
    }
  ]
}