PACIO Advance Healthcare Directive Interoperability Implementation Guide
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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 - JSON Representation

Page standards status: Informative

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{
  "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)"
      }
    ]
  }
}