This page is part of the PACIO Advance Directive Information Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<RelatedPerson xmlns="http://hl7.org/fhir">
<id value="Example-McBee-HealthcareAgent2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Participant"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>First Alternate Healthcare Agent</b></p><p>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:</p><p><i>S. Leonard Susskind (Friend)</i></p><p><i>ssuskind@example.com</i></p><p><i>[SELECTED to act as a healthcare agent on 3/23/2018, at 9:13 AM CST]</i></p><p><i>[ACCEPTED to act as a healthcare agent on 3/23/2018, at 9:14 AM CST]</i></p></div>
</text>
<patient>🔗
<reference value="Patient/Example-McBee-Patient1"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FRND"/>
<display value="unrelated friend"/>
</coding>
</relationship>
<name>
<text value="Susskind, S. Leonard"/>
<family value="S. Leonard"/>
<given value="Susskind"/>
</name>
<telecom>
<system value="email"/>
<value value="ssuskind@example.com"/>
<use value="home"/>
</telecom>
</RelatedPerson>