Unattributed Code Systems

• http://nucc.org/provider-taxonomy
• urn:ietf:bcp:47

Copyright Fragment

This fragment is available on index.html

Copyright and Registered Trademark Uses

• IG © 2021+ HL7 International / Patient Empowerment. Package hl7.fhir.us.pacio-adi#2.0.0 based on FHIR 4.0.1. Generated 2026-10-02 Links: Table of Contents | QA Report | Version History | CC0 | Propose a change ( src )
• hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )
• "Material on this site is the copyrighted property of the United States Postal Service® (Postal Service™). All rights reserved. The information and images presented here may not under any circumstances be reproduced or used without prior written permission. Users may view and download material from this site only for the following purposes: (a) for personal, non-commercial home use; (b) where the materials clearly state that these materials may be copied and reproduced according to the terms stated in those particular pages; or (c) with the express written permission of the Postal Service. In all other cases, you will need written permission from the Postal Service to reproduce, republish, upload, post, transmit, distribute or publicly display material from this Web site. Users agree not to use the site for sale, trade or other commercial purposes. Users may not use language that is threatening, abusive, vulgar, discourteous or criminal. Users also may not post or transmit information or materials that would violate rights of any third party or which contains a virus or other harmful component. The Postal Service reserves the right to remove or edit any messages or material submitted by users."For more information, see https://about.usps.com/who/legal/terms-of-use.htm . Show Usage * USPS State Codes: ADIJurisdiction, Bundle/Example-Smith-Johnson-PACP-Bundle1... Show 4 more, Composition/Example-Smith-Johnson-PACPComposition1, Jurisdiction, NotaryInformationExtension and Observation/Example-Smith-Johnson-ADIJurisdiction1 ( src )
• Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc ( src )
• HL7 CDA® R2 Implementation Guide: Personal Advance Care Plan (Personal ACP) Document, Release 1 STU3 - US Realm ( src )
• Home: The home page provides the introduction and background information to set context for the use of the HL7 FHIR® ADI Implementation Guide. ( src )
• MyDirectives® offers people a list of optional questions that can be answered by typing text in a text box or by uploading a video or audio file for each question. Only those questions answered by Betsy Smith-Johnson appear here. For a complete list of questions in My Thoughts, please visit www.example.org. ( src )
• 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 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 ( src )
• Security, Privacy, and Consent: General security requirements and recommendations for HL7 FHIR® ADI Implementation Guide actors, including authentication, authorization, and logging requirements and guidance. ( src )
• Terminology - Value Sets: This section lists the value sets and code system defined for HL7 FHIR® ADI Implementation Guide profiles. ( src )
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage * LOINC: ADIAutopsyObservation, ADICompositionHeader... Show 82 more, ADIDecisionalCapacity, ADIDocumentReference, ADIDocumentationObservation, ADIHCADecisionsVS, ADIHealthcareAgentConsent, ADIHealthcareAgentConsentDeny, ADIHealthcareAgentConsentPermit, ADIHealthcareAgentParticipant, ADIInterventionPreferencesOrdinalVS, ADIJurisdiction, ADINotaryAndWitnessAttesterRoleTypeVS, ADIOrganDonationObservation, ADIPACPComposition, ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOComposition, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest, ADIPMOParticipantObservation, ADIPMOReviewObservation, ADIPersonAuthoredPreferenceCarePlan, ADIPersonalPrioritiesOrganizer, ADIUponDeathPreference, Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Bundle/PMO-Example-Smith-Johnson-Bundle2, CarePlan/Example-Smith-Johnson-PreferenceCarePlan1, CarePlan/Example-Smith-Johnson-PreferenceCarePlan2, CarePlan/Example-Smith-Johnson-PreferenceCarePlan3, ClauseExtension, Composition/Example-Smith-Johnson-PACPComposition1, Composition/MHAD-Example-Smith-Johnson-Composition, Composition/PMO-Example-Smith-Johnson-PMOComposition1, Consent/Example-Smith-Johnson-HealthcareAgentConsent, Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny, Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit, Consent/Example-Smith-Johnson-HealthcareAgentConsent2, DocumentReference/Example-Smith-Johnson-DocRef-ACP-Decline-Service, DocumentReference/Example-Smith-Johnson-DocRef-Bundle, DocumentReference/Example-Smith-Johnson-DocRef-DocumentReference, Goal/Example-Smith-Johnson-PersonalGoal1, Goal/Example-Smith-Johnson-PersonalGoal2, Goal/Example-Smith-Johnson-PersonalGoal3, LOINCPOLSTCPRAnswerList, LOINCPOLSTDiscussPartAnswerList, LOINCPOLSTInitialTxAnswerList, LOINCPOLSTMedAssistNutrAnswerList, LOINCPOLSTReviewAnswerList, List/Example-Smith-Johnson-PersonalPrioritiesOrganizer1, Observation/Example-Smith-Johnson-ADIJurisdiction1, Observation/Example-Smith-Johnson-ADIPMOParticipantObservation1, Observation/Example-Smith-Johnson-ADIPMOReviewObservation1, Observation/Example-Smith-Johnson-AutopsyObservation1, Observation/Example-Smith-Johnson-CareExperiencePreference1, Observation/Example-Smith-Johnson-CareExperiencePreference2, Observation/Example-Smith-Johnson-CareExperiencePreference3, Observation/Example-Smith-Johnson-CareExperiencePreference4, Observation/Example-Smith-Johnson-CareExperiencePreference5, Observation/Example-Smith-Johnson-CareExperiencePreference6, Observation/Example-Smith-Johnson-CareExperiencePreference7, Observation/Example-Smith-Johnson-CareExperiencePreference8, Observation/Example-Smith-Johnson-DecisionalCapacity1, Observation/Example-Smith-Johnson-DocumentationObservation1, Observation/Example-Smith-Johnson-DocumentationObservation2, Observation/Example-Smith-Johnson-DocumentationObservation3-DeclinedACP, Observation/Example-Smith-Johnson-OrganDonationObservation1, Observation/Example-Smith-Johnson-PersonalInterventionPreference1, Observation/Example-Smith-Johnson-PersonalInterventionPreference2, Observation/Example-Smith-Johnson-PersonalInterventionPreference3, Observation/Example-Smith-Johnson-PersonalInterventionPreference4, Observation/Example-Smith-Johnson-PersonalInterventionPreference5, Observation/Example-Smith-Johnson-PersonalInterventionPreference6, Observation/Example-Smith-Johnson-UponDeathPreference1, RelatedPerson/Example-Smith-Johnson-HealthcareAgent1, RelatedPerson/Example-Smith-Johnson-HealthcareAgent2, RelatedPerson/Example-Smith-Johnson-Notary1, RelatedPerson/Example-Smith-Johnson-Notary2, ServiceRequest/Example-Smith-Johnson-CPR-ServiceRequest1, ServiceRequest/Example-Smith-Johnson-PMOAdditionalOrdersServiceRequest1, ServiceRequest/Example-Smith-Johnson-PMOInitialTreatmentServiceRequest1, ServiceRequest/Example-Smith-Johnson-PMONutritionServiceRequest1 and WitnessInformationExtension ( src )
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage * Claim Care Team Role Codes: ADIPractitionerRoleVS * Consent Category Codes: ADIHealthcareAgentConsent, ADIHealthcareAgentConsentDeny... Show 9 more, ADIHealthcareAgentConsentPermit, ADIPMOConsentCategoriesVS, Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Bundle/PMO-Example-Smith-Johnson-Bundle2, Consent/Example-Smith-Johnson-HealthcareAgentConsent, Consent/Example-Smith-Johnson-HealthcareAgentConsent-Deny, Consent/Example-Smith-Johnson-HealthcareAgentConsent-Permit and Consent/Example-Smith-Johnson-HealthcareAgentConsent2 * DataAbsentReason: ADIDocumentationAbsentReason, ADINoHealthcareAgentIncludedReasonVS, ADIPACPComposition and Observation/Example-Smith-Johnson-DocumentationObservation3-DeclinedACP * Endpoint Connection Type: Bundle/PMO-Example-Smith-Johnson-Bundle2 and Good Health Clinic Endpoint * List Order Codes: ADIPersonalPrioritiesOrganizer and List/Example-Smith-Johnson-PersonalPrioritiesOrganizer1 * Observation Category Codes: ADIPMOHospiceObservation and Observation/Example-Smith-Johnson-PMOHospiceObservation1 * Provenance participant type: ADIProvenance, Bundle/PMO-Example-Smith-Johnson-Bundle2 and Provenance/Example-Smith-Johnson-PMOProvenance1 * contactRole2: ADINotary and ADIWitness * identifierType: Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Bundle/PMO-Example-Smith-Johnson-Bundle2 and Patient/Example-Smith-Johnson-Patient1 * degreeLicenseCertificate: ADIProvenance, Bundle/PMO-Example-Smith-Johnson-Bundle2 and Practitioner/Example-Kyle-Anydoc-Practitioner * expandedYes-NoIndicator: Bundle/Example-Smith-Johnson-PACP-Bundle1, CarePlan/Example-Smith-Johnson-PreferenceCarePlan1 and GoalOrderByDescendingPriority * ActReason: ADIHealthcareAgentConsent, Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Consent/Example-Smith-Johnson-HealthcareAgentConsent and Consent/Example-Smith-Johnson-HealthcareAgentConsent2 * Confidentiality: DocumentReference/Example-Smith-Johnson-DocRef-Bundle and DocumentReference/Example-Smith-Johnson-DocRef-DocumentReference * HL7 Document Format Codes: Bundle/PMO-Example-Smith-Johnson-Bundle2 and Good Health Clinic Endpoint * NullFlavor: Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Bundle/PMO-Example-Smith-Johnson-Bundle2 and Patient/Example-Smith-Johnson-Patient1 * ParticipationSignature: CDASignatureCodeVS and NotaryInformationExtension * ParticipationType: ADIFacilitator, ADINotary... Show 5 more, ADIWitness, Bundle/PMO-Example-Smith-Johnson-Bundle2, PractitionerRole/ADI-Facilitator-MSW-MargaretReynolds, RelatedPerson/Example-Smith-Johnson-ADINotary2 and RelatedPerson/Example-Smith-Johnson-ADIWitness1 * RoleCode: ADIHealthcareAgentParticipant, ADINotary... Show 10 more, ADIPersonalAndLegalRelationshipRoleTypeVS, ADIWitness, Bundle/Example-Smith-Johnson-PACP-Bundle1, Bundle/MHAD-Example-Smith-Johnson-Bundle3, Bundle/PMO-Example-Smith-Johnson-Bundle2, Patient/Example-Smith-Johnson-Patient1, RelatedPerson/Example-Smith-Johnson-HealthcareAgent1, RelatedPerson/Example-Smith-Johnson-HealthcareAgent2, RelatedPerson/Example-Smith-Johnson-Notary1 and RelatedPerson/Example-Smith-Johnson-Notary2 ( src )

External References

Type	Reference	Content
web	example.org	address : https://example.org/address
web	www.example.com	Order Exists: available here
web	tel:+1(202)776-7700	telecom : +1(202)776-7700
web	github.com	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 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
web	tel:+1(202)776-7700	+1(202)776-7700
web	snomed.info	SNOMED CT Concept Domain Binding
web	en.wikipedia.org	Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS ).
web	wiki.ihe.net	This is a metadata field from XDS/MHD .
web	ihe.net	XDS metadata equivalent
web	www.omg.org	ServD
web	siframework.org	Quality Improvement and Clinical Knowledge (QUICK)
web	snomed.info	108241001
web	snomed.info	11140008
web	snomed.info	112798008
web	snomed.info	116859006
web	snomed.info	1258985005
web	snomed.info	281789004
web	snomed.info	306237005
web	snomed.info	40617009
web	snomed.info	424282004
web	snomed.info	428311008
web	snomed.info	429202003
web	snomed.info	430191008
web	snomed.info	52765003
web	snomed.info	713400007
web	about.usps.com	"Material on this site is the copyrighted property of the United States Postal Service® (Postal Service™). All rights reserved. The information and images presented here may not under any circumstances be reproduced or used without prior written permission. Users may view and download material from this site only for the following purposes: (a) for personal, non-commercial home use; (b) where the materials clearly state that these materials may be copied and reproduced according to the terms stated in those particular pages; or (c) with the express written permission of the Postal Service. In all other cases, you will need written permission from the Postal Service to reproduce, republish, upload, post, transmit, distribute or publicly display material from this Web site. Users agree not to use the site for sale, trade or other commercial purposes. Users may not use language that is threatening, abusive, vulgar, discourteous or criminal. Users also may not post or transmit information or materials that would violate rights of any third party or which contains a virus or other harmful component. The Postal Service reserves the right to remove or edit any messages or material submitted by users."For more information, see https://about.usps.com/who/legal/terms-of-use.htm . Show Usage USPS State Codes : ADIJurisdiction , Bundle/Example-Smith-Johnson-PACP-Bundle1 ... Show 4 more , Composition/Example-Smith-Johnson-PACPComposition1, Jurisdiction, NotaryInformationExtension and Observation/Example-Smith-Johnson-ADIJurisdiction1
web	about.usps.com	https://about.usps.com/who/legal/terms-of-use.htm
web	www.iso.org	ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html Show Usage ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code : ADIAttester , ADIAutopsyObservation ... Show 108 more , ADIBundle, ADIBundleComposition, ADIBundleIdentifier, ADIBundleTimestamp, ADIBundleType, ADICompositionHeader, ADICompositionStatusVS, ADIConditionCodeExtension, ADIConsentId, ADIDMedicallyAssistedHydrationNutritionOrderGroupingVS, ADIDMedicallyAssistedHydrationNutritionOrderVS, ADIDecisionalCapacity, ADIDocumentReference, ADIDocumentReferenceAuthenticator, ADIDocumentReferenceAuthor, ADIDocumentReferenceCategory, ADIDocumentReferenceContentType, ADIDocumentReferenceCustodian, ADIDocumentReferenceDates, ADIDocumentReferenceDescription, ADIDocumentReferenceEncounter, ADIDocumentReferenceEvent, ADIDocumentReferenceFacility, ADIDocumentReferenceFormat, ADIDocumentReferenceId, ADIDocumentReferenceIdentifier, ADIDocumentReferenceLanguage, ADIDocumentReferenceLocation, ADIDocumentReferencePatient, ADIDocumentReferencePeriod, ADIDocumentReferenceRelated, ADIDocumentReferenceRelatesTo, ADIDocumentReferenceRelation, ADIDocumentReferenceSecurityLabel, ADIDocumentReferenceSetting, ADIDocumentReferenceStatus, ADIDocumentReferenceStatusVS, ADIDocumentReferenceSubject, ADIDocumentReferenceType, ADIDocumentRevokeStatusVS, ADIDocumentationAbsentReason, ADIDocumentationObservation, ADIFacilitator, ADIHCADecisionsCS, ADIHCADecisionsVS, ADIHealthcareAgentConsent, ADIHealthcareAgentConsentDeny, ADIHealthcareAgentConsentPermit, ADIHealthcareAgentParticipant, ADIInitialTreatmentPMOOptionsVS, ADIInterventionPreferencesOrdinalVS, ADIJurisdiction, ADINoHealthcareAgentIncludedReasonVS, ADINotary, ADINotaryAndWitnessAttesterRoleTypeVS, ADIOrganDonationObservation, ADIPACPComposition, ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOComposition, ADIPMOConsentCategoriesVS, ADIPMOHospiceObservation, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest, ADIPMOParticipantObservation, ADIPMOProcedure, ADIPMOReviewObservation, ADIPMOServiceRequest, ADIPersonAuthoredCareExperiencePreference, ADIPersonAuthoredPreferenceCarePlan, ADIPersonalAndLegalRelationshipRoleTypeVS, ADIPersonalGoal, ADIPersonalInterventionPreference, ADIPersonalPrioritiesOrganizer, ADIPractitionerRole, ADIPractitionerRoleVS, ADIPreferenceCategoryCS, ADIProvenance, ADIRationaleForTreatment, ADIRevokeStatusCS, ADISeriousAdvancedCondition, ADISourceFormInformation, ADITempCS, ADITrialPeriodExtension, ADIUponDeathPreference, ADIWitness, CDASignatureCodeVS, ClauseExtension, DataEntererExtension, DocumentReferenceVersionNumber, DocumentRevokeStatus, EnclosedPreconditionExtension, ExpirationDateExtension, GoalOrderByDescendingPriority, InformantExtension, Jurisdiction, LOINCPOLSTCPRAnswerList, LOINCPOLSTDiscussPartAnswerList, LOINCPOLSTInitialTxAnswerList, LOINCPOLSTMedAssistNutrAnswerList, LOINCPOLSTReviewAnswerList, NotaryInformationExtension, PACIOAdvanceDirectiveInteroperability, PacioAdiCapabilityStatement, ParticipantExtension, PerformerExtension and WitnessInformationExtension ISO 3166-2 Codes for the representation of names of countries and their subdivisions — Part 2: Country subdivision code : Bundle/MHAD-Example-Smith-Johnson-Bundle3 , DocumentReference/Example-Smith-Johnson-DocRef-Bundle and RelatedPerson/Example-Smith-Johnson-Notary2
web	www.rfc-editor.org	The exchange of information SHALL support Transport Layer Security (TLS) Protocol Version 1.2 (RFC5246) or a more recent version of TLS for transport layer security.
web	enable-cors.org	Server implementations that expect to support browser-based javascript applications SHOULD enable Cross-Origin Resource Sharing (CORS) for REST operations. Many client web-based apps use javascript for API calls which requires CORS. However, CORS could present security concerns if not implemented correctly or is not continually updated as new security issues are found and addressed. Implementers of CORS SHOULD consider advice about CORS from sources such as Enable-CORS and Moesif blog on Guide to CORS Pitfalls .
web	www.moesif.com	Server implementations that expect to support browser-based javascript applications SHOULD enable Cross-Origin Resource Sharing (CORS) for REST operations. Many client web-based apps use javascript for API calls which requires CORS. However, CORS could present security concerns if not implemented correctly or is not continually updated as new security issues are found and addressed. Implementers of CORS SHOULD consider advice about CORS from sources such as Enable-CORS and Moesif blog on Guide to CORS Pitfalls .
web	openid.net	Implementation MAY support Health Relationship Trust Profile for User-Managed Access (HEART) .
web	www.law.cornell.edu	"15 U.S. Code § 7006 - Definitions", LII / Legal Information Institute". Law.cornell.edu. Retrieved 2021-10-06. https://www.law.cornell.edu/uscode/text/15/7006#5   ↩

Internal Images

ADI_types_overview.svg

ADI_use_case_overview.svg

adi_example_1_source_form_seq.svg

digital_signature_reference_example.png

document_structure_adi_pacp.jpg

document_structure_adi_pacp_mhad.jpg

document_structure_adi_pmo.jpg

jh-signature.jpg

minimally_structured_documents.svg

tree-filter.png

type1_patient_story_1a.svg

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use_case_1_3.svg

use_case_3_1.png

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use_case_4_1.svg

use_case_6_1.png

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