This page is part of the PACIO Advance Directive Information Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
First Alternate Healthcare Agent
If this healthcare agent is unable or unwilling to make medical treatment decisions for me, or if my spouse is designated as my primary healthcare agent and our marriage is annulled, or we are divorced or legally separated, then my next choice for a healthcare agent is:
S. Leonard Susskind (Friend)
ssuskind@example.com
[SELECTED to act as a healthcare agent on 3/23/2018, at 9:13 AM CST]
[ACCEPTED to act as a healthcare agent on 3/23/2018, at 9:14 AM CST]