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 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CDASignatureCodeVS"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pe"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-adi/ImplementationGuide/hl7.fhir.us.pacio-adi"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/pacio-adi/ValueSet/CDASignatureCodeVS"/>
  <version value="2.0.0-ballot"/>
  <name value="CDASignatureCodeVS"/>
  <title value="CDA Signature Code"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-23T17:34:28+00:00"/>
  <publisher value="HL7 International / Patient Empowerment"/>
  <contact>
    <name value="HL7 International / Patient Empowerment"/>
    <telecom>
      <system value="url"/>
      <value
             value="http://www.hl7.org/Special/committees/patientempowerment"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="patients@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature"/>
      <version value="4.0.0"/>
      <concept>
        <code value="S"/>
      </concept>
      <concept>
        <code value="X"/>
      </concept>
    </include>
  </compose>
</ValueSet>