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