HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot

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## : S.3.3.2 Manage End-of-Life Documents and Other Advance Directives (Function) - JSON Representation

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    {
      "resourceType" : "Requirements",
      "id" : "PHRSFMR2-S.3.3.2",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <span id=\"description\"><b>Statement <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b> <div><p>Manage documents that provide direction for end-of-life care and manage other types of Advance Directives.</p>\n</div></span>\n\n    \n    <span id=\"purpose\"><b>Description <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Informative Content\" class=\"informative-flag\">I</a>:</b> <div><p>The PHR Account Holder may want to capture and maintain documents that pertain to end-of-life care and to capture and maintain other types of Advance Directives. End-of-life documents include but are not limited to: Advance Directive for Healthcare; Power of Attorney for Healthcare and Physician Order for Life Sustaining Treatment. The system should allow for multiple occurrences of a document and the ability to archive documents. The documents maintained will depend on the jurisdictional law. The documents may or may not reside in the PHR-S. The document may be scanned images, structured documents or simply a notation on the location of the original (hardcopy or original).</p>\n</div></span>\n    \n\n    \n    <span id=\"actors\"><b>Actors:</b><br/> ehr</span>\n    \n\n    \n    <span id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></span>\n    \n    <table id=\"statements\" class=\"grid dict\">\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#01</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD provide the ability to capture documents related to end-of-life care and other types of Advance Directives.</p>\n</div></span>\n                \n                \n                Satisfied by:<ol>\n                \n                    <li><a href=\"https://build.fhir.org/ig/HL7/fhir-pacio-adi/\">https://build.fhir.org/ig/HL7/fhir-pacio-adi/</a></li>\n                \n                </ol>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#02</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD provide the ability to render a list of end-of life documents sorted by one or more defined data elements.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#03</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system MAY provide the ability to tag a document as Active or Non-Active by category of document.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#04</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "ehr"
        }
      ],
      "url" : "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-S.3.3.2",
      "version" : "2.0.1-ballot",
      "name" : "S_3_3_2_Manage_End_of_Life_Documents_and_Other_Advance_Directives",
      "title" : "S.3.3.2 Manage End-of-Life Documents and Other Advance Directives (Function)",
      "status" : "active",
      "date" : "2025-04-04T11:42:51+11:00",
      "publisher" : "EHR WG",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/ehr"
            }
          ]
        }
      ],
      "description" : "Manage documents that provide direction for end-of-life care and manage other types of Advance Directives.",
      "purpose" : "The PHR Account Holder may want to capture and maintain documents that pertain to end-of-life care and to capture and maintain other types of Advance Directives. End-of-life documents include but are not limited to: Advance Directive for Healthcare; Power of Attorney for Healthcare and Physician Order for Life Sustaining Treatment. The system should allow for multiple occurrences of a document and the ability to archive documents. The documents maintained will depend on the jurisdictional law. The documents may or may not reside in the PHR-S. The document may be scanned images, structured documents or simply a notation on the location of the original (hardcopy or original).",
      "statement" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-S.3.3.2-01",
          "label" : "S.3.3.2#01",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to capture documents related to end-of-life care and other types of Advance Directives.",
          "satisfiedBy" : [
            "https://build.fhir.org/ig/HL7/fhir-pacio-adi/"
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-S.3.3.2-02",
          "label" : "S.3.3.2#02",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to render a list of end-of life documents sorted by one or more defined data elements."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-S.3.3.2-03",
          "label" : "S.3.3.2#03",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "The system MAY provide the ability to tag a document as Active or Non-Active by category of document."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-S.3.3.2-04",
          "label" : "S.3.3.2#04",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location."
        }
      ]
    }