PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## : Intervention Preferences - Narrative - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ValueSet;
      fhir:nodeRole fhir:treeRoot;
      fhir:Resource.id [ fhir:value "PADIInterventionPreferencesNarrativeVS"];
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75776-5.html\">75776-5</a></td><td>Preference on consulting a supportive and palliative care team to help treat physical, emotional, and spiritual discomfort and support family [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75777-3.html\">75777-3</a></td><td>Information to tell doctors if my health deteriorates due to a terminal illness and I am unable to interact meaningfully with family, friends, or surroundings [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75778-1.html\">75778-1</a></td><td>Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75780-7.html\">75780-7</a></td><td>Preferred location to spend final days if possible to choose [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75793-0.html\">75793-0</a></td><td>Other directives that have not otherwise been documented [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/77352-3.html\">77352-3</a></td><td>Thoughts on artificial nutrition and hydration [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81329-5.html\">81329-5</a></td><td>Thoughts on resuscitation [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81330-3.html\">81330-3</a></td><td>Thoughts on intubation [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81331-1.html\">81331-1</a></td><td>Thoughts on tube feeding [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81332-9.html\">81332-9</a></td><td>Thoughts on IV fluid and support [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81333-7.html\">81333-7</a></td><td>Thoughts on antibiotics [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81349-3.html\">81349-3</a></td><td>Thoughts on life-sustaining procedures if pregnant [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81350-1.html\">81350-1</a></td><td>Thoughts on pain management [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81376-6.html\">81376-6</a></td><td>Mental health treatment preferences [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/75779-9.html\">75779-9</a></td><td>Thoughts on cardiopulmonary resuscitation (CPR) [Reported]</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/81353-5.html\">81353-5</a></td><td>Thoughts on hastening death [Reported]</td></tr></table></li><li>Import all the codes that are contained in <a href=\"ValueSet-PADIUponDeathPreferencesVS.html\">http://hl7.org/fhir/us/pacio-adi/ValueSet/PADIUponDeathPreferencesVS</a></li></ul></div>"
      ];
      fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/ValueSet/PADIInterventionPreferencesNarrativeVS"];
      fhir:ValueSet.version [ fhir:value "0.1.0"];
      fhir:ValueSet.name [ fhir:value "PADIInterventionPreferencesNarrativeVS"];
      fhir:ValueSet.title [ fhir:value "Intervention Preferences - Narrative"];
      fhir:ValueSet.status [ fhir:value "active"];
      fhir:ValueSet.date [ fhir:value "2021-12-06T20:50:55+00:00"^^xsd:dateTime];
      fhir:ValueSet.publisher [ fhir:value "HL7 Patient Empowerment Working Group"];
      fhir:ValueSet.contact [
         fhir:index 0;
         fhir:ContactDetail.name [ fhir:value "HL7 Patient Empowerment Working Group" ];
         fhir:ContactDetail.telecom [
           fhir:index 0;
           fhir:ContactPoint.system [ fhir:value "url" ];
           fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/patientempowerment" ]     ], [
           fhir:index 1;
           fhir:ContactPoint.system [ fhir:value "email" ];
           fhir:ContactPoint.value [ fhir:value "patients@lists.HL7.org" ]     ]
      ];
      fhir:ValueSet.description [ fhir:value "Clinical Focus: This value set includes concepts representing an individual's intervention preferences which can be expressed by the individual in his or her advance care plan.),(Data Element Scope: The intent of this value set is to identify personal intervention preferences that may be relevant and could be considered by clinicians or any person or organization that is providing care, treatment, or performing any other type of act to or on behalf of the individual.)"];
      fhir:ValueSet.jurisdiction [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
           fhir:Coding.code [ fhir:value "US" ]     ]
      ];
      fhir:ValueSet.copyright [ fhir:value "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"];
      fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://loinc.org" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75776-5" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Preference on consulting a supportive and palliative care team to help treat physical, emotional, and spiritual discomfort and support family [Reported]" ]       ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75777-3" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Information to tell doctors if my health deteriorates due to a terminal illness and I am unable to interact meaningfully with family, friends, or surroundings [Reported]" ]       ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75778-1" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]" ]       ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75780-7" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Preferred location to spend final days if possible to choose [Reported]" ]       ], [
             fhir:index 4;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75793-0" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Other directives that have not otherwise been documented [Reported]" ]       ], [
             fhir:index 5;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "77352-3" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on artificial nutrition and hydration [Reported]" ]       ], [
             fhir:index 6;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81329-5" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on resuscitation [Reported]" ]       ], [
             fhir:index 7;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81330-3" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on intubation [Reported]" ]       ], [
             fhir:index 8;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81331-1" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on tube feeding [Reported]" ]       ], [
             fhir:index 9;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81332-9" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on IV fluid and support [Reported]" ]       ], [
             fhir:index 10;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81333-7" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on antibiotics [Reported]" ]       ], [
             fhir:index 11;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81349-3" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on life-sustaining procedures if pregnant [Reported]" ]       ], [
             fhir:index 12;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81350-1" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on pain management [Reported]" ]       ], [
             fhir:index 13;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81376-6" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Mental health treatment preferences [Reported]" ]       ], [
             fhir:index 14;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "75779-9" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on cardiopulmonary resuscitation (CPR) [Reported]" ]       ], [
             fhir:index 15;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "81353-5" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Thoughts on hastening death [Reported]" ]       ]     ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.valueSet [
             fhir:value "http://hl7.org/fhir/us/pacio-adi/ValueSet/PADIUponDeathPreferencesVS";
             fhir:index 0;
             fhir:link <http://hl7.org/fhir/us/pacio-adi/ValueSet/PADIUponDeathPreferencesVS>       ]     ]
      ].

    # - ontology header ------------------------------------------------------------

     a owl:Ontology;
      owl:imports fhir:fhir.ttl.