Version 2.78

75773-2 What are your goals, preferences, and priorities for your medical treatment?

Observation ID in Form

ADVault_1

Fully-Specified Name

Component
Goals, preferences, and priorities for medical treatment
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your goals, preferences, and priorities for your medical treatment?
Source
ADVault_1

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75774-0 If in the future your doctors determine you no longer have sound decision-making capacity or you are declared incompetent, do you want your doctors to follow the preferences you're expressing now, or do you want to be allowed to change these preferences in the future regardless of your future mental state?

Observation ID in Form

ADVault_2

Fully-Specified Name

Component
Allowance to change advance directive preferences in the future regardless of mental state
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If in the future your doctors determine you no longer have sound decision-making capacity or you are declared incompetent, do you want your doctors to follow the preferences you're expressing now, or do you want to be allowed to change these preferences in the future regardless of your future mental state?
Source
ADVault_2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75775-7 Do you want your doctors and nurses to know about the role religion, faith, or spirituality play in your life?

Observation ID in Form

ADVault_3

Fully-Specified Name

Component
Decision to inform doctors and nurses about the role religion, faith, culture, or spirituality play in my life
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.; COMPONENT: Updated for increased clarity of the term's intended meaning;
Order vs. Observation
Observation

Survey Question

Text
Do you want your doctors and nurses to know about the role religion, faith, or spirituality play in your life?
Source
ADVault_3

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75776-5 If you are having significant pain or suffering, would you like your doctors to consult a Supportive and Palliative Care Team to help treat your physical, emotional, and spiritual discomfort, and to support your family?

Observation ID in Form

ADVault_4

Fully-Specified Name

Component
Preference on consulting a supportive and palliative care team to help treat physical, emotional, and spiritual discomfort and support family
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If you are having significant pain or suffering, would you like your doctors to consult a Supportive and Palliative Care Team to help treat your physical, emotional, and spiritual discomfort, and to support your family?
Source
ADVault_4

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75777-3 If your health ever deteriorates due to a terminal illness, and your doctors believe you will not be able to interact meaningfully with your family, friends, or surroundings, what would you like to tell your doctors?

Observation ID in Form

ADVault_5

Fully-Specified Name

Component
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
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If your health ever deteriorates due to a terminal illness, and your doctors believe you will not be able to interact meaningfully with your family, friends, or surroundings, what would you like to tell your doctors?
Source
ADVault_5

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75778-1 If you have a severe, irreversible brain injury or illness and can't dress, feed, or bathe yourself, or communicate your medical wishes, but doctors can keep you alive in this condition for a long period of time, what would you like to tell your doctors?

Observation ID in Form

ADVault_6

Fully-Specified Name

Component
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
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If you have a severe, irreversible brain injury or illness and can't dress, feed, or bathe yourself, or communicate your medical wishes, but doctors can keep you alive in this condition for a long period of time, what would you like to tell your doctors?
Source
ADVault_6

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75779-9 What are your thoughts on CPR?

Observation ID in Form

ADVault_7

Fully-Specified Name

Component
Thoughts on cardiopulmonary resuscitation
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts on CPR?
Source
ADVault_7

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75780-7 If it were possible to choose, where would you like to spend your final days?

Observation ID in Form

ADVault_8

Fully-Specified Name

Component
Preferred location to spend final days if possible to choose
Property
Loc
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If it were possible to choose, where would you like to spend your final days?
Source
ADVault_8

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81377-4 What are your goals, preferences, and priorities regarding the appointment of healthcare agents?

Observation ID in Form

AD-11

Fully-Specified Name

Component
Goals, preferences, and priorities regarding the appointment of healthcare agents
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your goals, preferences, and priorities regarding the appointment of healthcare agents?
Source
AD-11

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75781-5 What are your thoughts on organ and tissue donations?

Observation ID in Form

ADVault_9

Fully-Specified Name

Component
Thoughts on organ and tissue donations
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts on organ and tissue donations?
Source
ADVault_9

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75782-3 What are your thoughts regarding autopsy?

Observation ID in Form

ADVault_10

Fully-Specified Name

Component
Thoughts regarding autopsy
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts regarding autopsy?
Source
ADVault_10

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81330-3 What do you want to tell your doctors about your thoughts on intubation?

Observation ID in Form

AD-13

Fully-Specified Name

Component
Thoughts on intubation
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want to tell your doctors about your thoughts on intubation?
Source
AD-13

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81331-1 What do you want to tell your doctors about your thoughts on tube feeding?

Observation ID in Form

AD-14

Fully-Specified Name

Component
Thoughts on tube feeding
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want to tell your doctors about your thoughts on tube feeding?
Source
AD-14

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81332-9 What do you want to tell your doctors about your thoughts on IV fluid and support?

Observation ID in Form

AD-16

Fully-Specified Name

Component
Thoughts on IV fluid and support
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want to tell your doctors about your thoughts on IV fluid and support?
Source
AD-16

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81333-7 What do you want to tell your doctors about your thoughts on antibiotics?

Observation ID in Form

AD-17

Fully-Specified Name

Component
Thoughts on antibiotics
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want to tell your doctors about your thoughts on antibiotics?
Source
AD-17

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81329-5 What do you want to tell your doctors about your thoughts on resuscitation?

Observation ID in Form

AD-18

Fully-Specified Name

Component
Thoughts on resuscitation
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Order vs. Observation
Observation

Survey Question

Text
What do you want to tell your doctors about your thoughts on resuscitation?
Source
AD-18

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81341-0 Under what circumstances would you want your healthcare agent's powers to be in effect?

Observation ID in Form

AD-25

Fully-Specified Name

Component
Circumstances that activate healthcare agent's powers
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
Under what circumstances would you want your healthcare agent's powers to be in effect?
Source
AD-25

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81342-8 Healthcare agent appointment intended to be valid in any jurisdiction [Reported]

Observation ID in Form

AD-26

Fully-Specified Name

Component
Healthcare agent appointment intended to be valid in any jurisdiction
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Example Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81343-6 Healthcare agent advisor [Reported]

Term Description

The patient's preference for whom his or her healthcare agent should contact for input and advice as part of the healthcare agent's decision-making process regarding the patient.
Source: Regenstrief LOINC

Observation ID in Form

AD-27

Fully-Specified Name

Component
Healthcare agent advisor
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81344-4 What power and authority does your healthcare agent have to inspect and disclose your mental and physical health information?

Observation ID in Form

AD-28

Fully-Specified Name

Component
Healthcare agent authority to inspect and disclose mental and physical health information
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What power and authority does your healthcare agent have to inspect and disclose your mental and physical health information?
Source
AD-28

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81345-1 What power and authority does your healthcare agent have to inspect and disclose specially protected mental and physical health information related to AIDS, sickle cell anemia, substance abuse or alcoholism?

Observation ID in Form

AD-29

Fully-Specified Name

Component
Healthcare agent authority to inspect and disclose specially protected health information
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What power and authority does your healthcare agent have to inspect and disclose specially protected mental and physical health information related to AIDS, sickle cell anemia, substance abuse or alcoholism?
Source
AD-29

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81346-9 What limitations do you specify for your healthcare agent?

Observation ID in Form

AD-30

Fully-Specified Name

Component
Limitations placed on healthcare agent
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What limitations do you specify for your healthcare agent?
Source
AD-30

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81347-7 How strictly do you want your healthcare agent to follow your preferences?

Observation ID in Form

AD-31

Fully-Specified Name

Component
Consent for healthcare agent to deviate from stated goals, preferences and priorities
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
How strictly do you want your healthcare agent to follow your preferences?
Source
AD-31

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81348-5 What compensation for services performed will your healthcare agent be entitled to under this appointment?

Observation ID in Form

AD-36

Fully-Specified Name

Component
Compensation for healthcare agent
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What compensation for services performed will your healthcare agent be entitled to under this appointment?
Source
AD-36

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81349-3 If in the future you are facing the end of life and have been diagnosed as pregnant, and that diagnosis is known to your attending physician, what would you like to tell your doctors about your preference for life-sustaining treatment?

Observation ID in Form

AD-37

Fully-Specified Name

Component
Thoughts on life-sustaining procedures if pregnant
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If in the future you are facing the end of life and have been diagnosed as pregnant, and that diagnosis is known to your attending physician, what would you like to tell your doctors about your preference for life-sustaining treatment?
Source
AD-37

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81350-1 What are your thoughts about using pain medications to be comfortable?

Observation ID in Form

AD-38

Fully-Specified Name

Component
Thoughts on pain management
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts about using pain medications to be comfortable?
Source
AD-38

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81351-9 Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]

Observation ID in Form

AD-39

Fully-Specified Name

Component
Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Example Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81353-5 What are your thoughts on hastening of death through commission or omission?

Observation ID in Form

AD-40

Fully-Specified Name

Component
Thoughts on hastening death
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts on hastening of death through commission or omission?
Source
AD-40

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81354-3 What type of anticipatory medications have you been prescribed?

Observation ID in Form

AD-41

Fully-Specified Name

Component
Prescribed anticipatory medication
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What type of anticipatory medications have you been prescribed?
Source
AD-41

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81355-0 When anticipatory medications have been prescribed, where are they kept?

Observation ID in Form

AD-42

Fully-Specified Name

Component
Location of prescribed anticipatory medication
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
When anticipatory medications have been prescribed, where are they kept?
Source
AD-42

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81359-2 What are your thoughts and feelings you want others to know when you are near death?

Observation ID in Form

AD-43

Fully-Specified Name

Component
Near death thoughts and feelings to be shared
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your thoughts and feelings you want others to know when you are near death?
Source
AD-43

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81360-0 What do you want caregivers to know about your likes and joys?

Observation ID in Form

AD-44

Fully-Specified Name

Component
My likes and joys
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about your likes and joys?
Source
AD-44

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81361-8 What do you want caregivers to know about what makes you laugh?

Observation ID in Form

AD-45

Fully-Specified Name

Component
Things that make me laugh
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about what makes you laugh?
Source
AD-45

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81362-6 What do you want caregivers to know about your dislikes and fears?

Observation ID in Form

AD-46

Fully-Specified Name

Component
My dislikes and fears
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about your dislikes and fears?
Source
AD-46

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81363-4 What do you want caregivers to know about what matters to you?

Observation ID in Form

AD-47

Fully-Specified Name

Component
Things that matter to me
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about what matters to you?
Source
AD-47

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81364-2 What do you want caregivers to know about your religious beliefs?

Observation ID in Form

AD-48

Fully-Specified Name

Component
Religious or cultural beliefs
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.; COMPONENT: Updated for increased clarity of the term's intended meaning;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about your religious beliefs?
Source
AD-48

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81365-9 Religious or cultural affiliation contact to notify [Reported]

Observation ID in Form

AD-49

Fully-Specified Name

Component
Religious or cultural affiliation contact to notify
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: COMPONENT: Updated for increased clarity of the term's intended meaning;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81366-7 What do you want caregivers to know about what you consider to be unfinished business?

Observation ID in Form

AD-50

Fully-Specified Name

Component
Unfinished business
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about what you consider to be unfinished business?
Source
AD-50

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81356-8 Death arrangements [Reported]

Observation ID in Form

AD-51

Fully-Specified Name

Component
Death arrangements
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81357-6 What messages do you want delivered posthumously?

Observation ID in Form

AD-52

Fully-Specified Name

Component
Messages to be delivered after death
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What messages do you want delivered posthumously?
Source
AD-52

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81358-4 Person(s) to notify upon death [Reported]

Observation ID in Form

AD-53

Fully-Specified Name

Component
Person(s) to notify upon death
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81367-5 Personal advance care plan signer for declarant [Reported]

Observation ID in Form

AD-55

Fully-Specified Name

Component
Personal advance care plan signer for declarant
Property
Pn
Time
Pt
System
^Guardian or legally authorized representative
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81382-4 What is your personal statement on your legal ability to sign your emergency, critical and advance care plan?

Observation ID in Form

AD-56

Fully-Specified Name

Component
Statement of document creator
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What is your personal statement on your legal ability to sign your emergency, critical and advance care plan?
Source
AD-56

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81368-3 What is your statement as a witness to the signature of the emergency, critical and advance care plan?

Observation ID in Form

AD-57

Fully-Specified Name

Component
Statement of witness
Property
Find
Time
Pt
System
^Witness
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What is your statement as a witness to the signature of the emergency, critical and advance care plan?
Source
AD-57

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81369-1 First witness

Observation ID in Form

AD-58

Fully-Specified Name

Component
First witness
Property
Pn
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
First witness

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Primer testigo:Pn:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Primo testimone:Pn:Pt:^Testimone:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
zh-CN Chinese (China) 第一见证人:人员姓名:时间点:^见证人:名义型:
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 第一证人;第一目击证人;第一目击者;第一见证人姓名;第一见证人签署;第一见证人署名;第一见证人签名;第一见证人签字 行政;管理;施行;执行;经营 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明）

81370-9 Second witness

Observation ID in Form

AD-59

Fully-Specified Name

Component
Second witness
Property
Pn
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
Second witness

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Segundo testigo:Pn:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Secondo testimone:Pn:Pt:^Testimone:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
zh-CN Chinese (China) 第二见证人:人员姓名:时间点:^见证人:名义型:
Synonyms: 2nd 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 第 2 个 第二 第二（Second，2nd） 第二个 第二证人;第二目击证人;第二目击者;第二见证人姓名;第二见证人签署;第二见证人署名;第二见证人签名;第二见证人签字 行政;管理;施行;执行;经营 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明）

81371-7 Third witness

Observation ID in Form

AD-60

Fully-Specified Name

Component
Third witness
Property
Pn
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
Third witness

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tercer testigo:Pn:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Terzo testimone:Pn:Pt:^Testimone:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
zh-CN Chinese (China) 第三见证人:人员姓名:时间点:^见证人:名义型:
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 第3 第三证人;第三目击证人;第三目击者;第三见证人姓名;第三见证人签署;第三见证人署名;第三见证人签名;第三见证人签字 行政;管理;施行;执行;经营 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明）

81372-5 Notary

Observation ID in Form

AD-62

Fully-Specified Name

Component
Notary
Property
Pn
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
Notary

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Notario:Pn:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Notaio:Pn:Pt:^Testimone:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
zh-CN Chinese (China) 公证人:人员姓名:时间点:^见证人:名义型:
Synonyms: 人名 公证员;文书;公证 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明）

81373-3 Notary commission expiration date

Observation ID in Form

AD-63

Fully-Specified Name

Component
Notary commission expiration date
Property
Date
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
Notary commission expiration date

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha de vencimiento de la comisión notarial:Fecha:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Scadenza della commissione notarile:Data:Pt:^Testimone:Nom:
Synonyms: Amministrativo Punto nel tempo (episodio)
zh-CN Chinese (China) 公证人委托失效日期:日期:时间点:^见证人:名义型:
Synonyms: 公证人（公证员、文书、公证）委托（委托书、正式委托、正式委托书、委任状）失效（过期）日期;公证人委托失效日期（到期日、截止日期、有效期、有效期限、到期时间） 公证员;文书;公证 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 吐气 呼 呼出 呼出;呼出气体 日子;几号 时刻;随机;随意;瞬间 有效期;截止日期;产品有效期;失效日期;失效期;过期日 行政;管理;施行;执行;经营 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明）

81374-1 Notary seal ID

Observation ID in Form

AD-64

Fully-Specified Name

Component
Notary seal ID
Property
ID
Time
Pt
System
^Witness
Scale
Nom
Method

Additional Names

Short Name
Notary seal ID

Basic Attributes

Class
ADMIN.ID
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.66
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Identificación del sello del notario:ID:Punto temporal:^ Testigo:Nominal:
it-IT Italian (Italy) Sigillo identificativo del notaio:ID:Pt:^Testimone:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione Punto nel tempo (episodio)
zh-CN Chinese (China) 公证人印鉴标识符:标识符:时间点:^见证人:名义型:
Synonyms: 公证人（公证员、文书、公证）印鉴（印章、手印、图章、手章）标识符（标识、ID、标识号） 公证员;文书;公证 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.标识号（识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码） 证人;目击者;目击证人;见证;连署;证明;见证人（证人、目击者、目击证人、见证、连署、证明） 识别 识别符

81375-8 What best describes the status of your health?

Observation ID in Form

AD-65

Fully-Specified Name

Component
Self assessment of health status
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What best describes the status of your health?
Source
AD-65

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81376-6 If you have a serious mental health condition what medical treatment preferences do you have?

Observation ID in Form

AD-66

Fully-Specified Name

Component
Mental health treatment preferences
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If you have a serious mental health condition what medical treatment preferences do you have?
Source
AD-66

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81378-2 What are your goals, preferences, and priorities regarding specific medical treatments under certain health conditions?

Observation ID in Form

AD-67

Fully-Specified Name

Component
Goals, preferences, and priorities under certain health conditions
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your goals, preferences, and priorities regarding specific medical treatments under certain health conditions?
Source
AD-67

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81352-7 Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]

Observation ID in Form

AD-68

Fully-Specified Name

Component
Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Example Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81380-8 What do you want caregivers to know about you to improve your care experience?

Observation ID in Form

AD-69

Fully-Specified Name

Component
Goals, preferences, and priorities for care experience
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What do you want caregivers to know about you to improve your care experience?
Source
AD-69

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81379-0 What are your goals, preferences, and priorities upon death?

Observation ID in Form

AD-70

Fully-Specified Name

Component
Goals, preferences, and priorities upon death
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What are your goals, preferences, and priorities upon death?
Source
AD-70

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81381-6 Administrative information associated with this personal advance care plan

Fully-Specified Name

Component
Administrative information associated with this personal advance care plan
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method since this concept is likely not reported by the patient or care provider.; EXTERNAL_COPYRIGHT_LINK: Removed Copyright since this is a general concept.;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

81340-2 Goals AndOr preferences in order of priority [Reported]

Term Description

The grouping and order of priorities for a patient's set of advance care planning goals and preferences. The list of priorities may include personal goals, treatment preferences, and/or experience of care observations. Components assigned a lower sequence number have a higher priority for the person authoring the priorities list, for example, a component assigned a sequence of 1 has the highest priority.
Source: Regenstrief LOINC

Observation ID in Form

AD-72

Fully-Specified Name

Component
Goals &or preferences in order of priority
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

77352-3 If your health ever deteriorates due to a terminal illness, and your doctors believe you will not be able to interact meaningfully with your family, friends, or surroundings, what are your preferences regarding artificial nutrition and hydration?

Observation ID in Form

ADVault_21

Fully-Specified Name

Component
Thoughts on artificial nutrition and hydration
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
If your health ever deteriorates due to a terminal illness, and your doctors believe you will not be able to interact meaningfully with your family, friends, or surroundings, what are your preferences regarding artificial nutrition and hydration?
Source
ADVault_21

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75793-0 What other directives do you have that have not otherwise been documented?

Observation ID in Form

ADVault_19

Fully-Specified Name

Component
Other directives that have not otherwise been documented
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What other directives do you have that have not otherwise been documented?
Source
ADVault_19

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75783-1 Primary healthcare agent [Reported]

Observation ID in Form

AD-11-1

Fully-Specified Name

Component
Primary healthcare agent
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Primary HC agent

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.71
Change Reason
Removed copyright because this is not an ADVault-specific concept.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Agente de atención primaria:Pn:Punto temporal:^ Paciente:Nominal:Reported
it-IT Italian (Italy) Agente primario di assistenza sanitaria:Pn:Pt:^Paziente:Nom:Riportato
Synonyms: Amministrativo Nome di persona paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 首位医疗保健代理人:人员姓名:时间点:^患者:名义型:报告法
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗保健服务（医疗服务、医疗、健康、保健服务、保健）代理（代理人、代理方、经纪人、专员） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 首位（首席、第一、主要）医疗保健（医疗保健服务、医疗服务、保健、保健服务、医疗照护、健康照护、医疗护理服务、医疗护理、医疗服务、医疗）代理人（经纪人）

75784-9 First alternate healthcare agent [Reported]

Observation ID in Form

AD-11-2

Fully-Specified Name

Component
First alternate healthcare agent
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
First Alt HC agent

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.71
Change Reason
Removed copyright because this is not an ADVault-specific concept.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Primer agente sanitario suplente:Pn:Punto temporal:^ Paciente:Nominal:Reported
it-IT Italian (Italy) Primo Agente sostituto di assistenza sanitaria:Pn:Pt:^Paziente:Nom:Riportato
Synonyms: Amministrativo Nome di persona paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 第一候补医疗保健代理人:人员姓名:时间点:^患者:名义型:报告法
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗保健服务（医疗服务、医疗、健康、保健服务、保健）代理（代理人、代理方、经纪人、专员） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 第一（首位、首席）候补（替补）医疗保健（医疗保健服务、医疗服务、保健、保健服务、医疗照护、健康照护、医疗护理服务、医疗护理、医疗服务、医疗）代理人（经纪人） 行政;管理;施行;执行;经营

75785-6 Second alternate healthcare agent [Reported]

Observation ID in Form

AD-11-3

Fully-Specified Name

Component
Second alternate healthcare agent
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Second Alt HC agent

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.71
Change Reason
Removed copyright because this is not an ADVault-specific concept.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Segundo agente sanitario suplente:Pn:Punto temporal:^ Paciente:Nominal:Reported
it-IT Italian (Italy) Secondo Agente sostituto di assistenza sanitaria:Pn:Pt:^Paziente:Nom:Riportato
Synonyms: Amministrativo Nome di persona paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 第二候补医疗保健代理人:人员姓名:时间点:^患者:名义型:报告法
Synonyms: 2nd 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗保健服务（医疗服务、医疗、健康、保健服务、保健）代理（代理人、代理方、经纪人、专员） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 第 2 个 第二 第二（Second，2nd） 第二个 第二候补（替补）医疗保健（医疗保健服务、医疗服务、保健、保健服务、医疗照护、健康照护、医疗护理服务、医疗护理、医疗服务、医疗）代理人（经纪人） 行政;管理;施行;执行;经营

75786-4 What powers do you grant to your healthcare agent?

Observation ID in Form

ADVault_12

Fully-Specified Name

Component
Powers granted to healthcare agent
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Change Reason
Release 2.73: EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to ADVault.;
Order vs. Observation
Observation

Survey Question

Text
What powers do you grant to your healthcare agent?
Source
ADVault_12

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75792-2 Advance directive or instruction - request for resuscitation that differs from cardiopulmonary resuscitation

Observation ID in Form

AD-18

Fully-Specified Name

Component
Advance directive - request for resuscitation that differs from cardiopulmonary resuscitation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75787-2 Advance directive or instruction - request for intubation

Observation ID in Form

AD-13

Fully-Specified Name

Component
Advance directive - request for intubation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75788-0 Advance directive or instruction - request for tube feeding

Observation ID in Form

AD-14

Fully-Specified Name

Component
Advance directive - request for tube feeding
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75790-6 Advance directive or instruction - request for IV fluid and support

Observation ID in Form

AD-16

Fully-Specified Name

Component
Advance directive - request for IV fluid and support
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75789-8 Advance directive or instruction - request for life support

Observation ID in Form

AD-15

Fully-Specified Name

Component
Advance directive - request for life support
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]

75791-4 Advance directive or instruction - request for antibiotics

Observation ID in Form

AD-17

Fully-Specified Name

Component
Advance directive - request for antibiotics
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.ADVAULT
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.71
Order vs. Observation
Both

Normative Answer List LL3139-4

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unable to determine UTD LA11137-9
No information NI LA21413-2

Member of these Panels

LOINC Long Common Name
75772-4 Advance directives panel [ADVault]