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<Observation xmlns="http://hl7.org/fhir">
<id value="ADI-example"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="ADI Observation Presence ADI Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a Observation example for the USCDI5 ADI Observation Data Element to show whether and location of a patient has an advance directive using a new code = "45473-6" - (Advance directive/living will completed) and and value of "Yes"/"No"/"Unknown" (TODO: pick a convenient value set LOINC answer list ll50-6, Snomed, hl7 (https://terminology.hl7.org/ValueSet-yes-no-unknown-not-asked.html))"/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation2"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ADI-example</b></p><a name="ADI-example"> </a><a name="hcADI-example"> </a><a name="ADI-example-en-US"> </a><p><b>Supporting info</b>: <a href="DocumentReference-polst.html">POLST</a></p><p><b>Supporting info</b>: <a href="DocumentReference-adi-intubation.html">ADI DNI</a></p><p><b>Supporting info</b>: <a href="DocumentReference-living-will.html">Living Will</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 45473-6}">Advance directive/living will completed</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy V. Baxter Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>effective</b>: 2024-05-16 01:06:06+0000</p><p><b>issued</b>: 2024-05-16 01:06:06+0000</p><p><b>performer</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&canonical=http://hl7.org/fhir/us/core/Practitioner/practitioner-1">Dr Smith</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373066001}">Yes (qualifier value)</span></p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
<valueReference>🔗
<reference value="DocumentReference/polst"/>
<display value="POLST"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
<valueReference>🔗
<reference value="DocumentReference/adi-intubation"/>
<display value="ADI DNI"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
<valueReference>🔗
<reference value="DocumentReference/living-will"/>
<display value="Living Will"/>
</valueReference>
</extension>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="45473-6"/>
<display value="Advance directive/living will completed"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<effectiveDateTime value="2024-05-16T01:06:06.393Z"/>
<issued value="2024-05-16T01:06:06.393Z"/>
<performer>
<reference
value="http://hl7.org/fhir/us/core/Practitioner/practitioner-1"/>
<display value="Dr Smith"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/731000124108"/>
<code value="373066001"/>
<display value="Yes (qualifier value)"/>
</coding>
</valueCodeableConcept>
</Observation>