PACIO Advance Directive Interoperability Implementation Guide, published by HL7 Patient Empowerment Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions

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: Example-Smith-Johnson-HealthcareAgentConsent - JSON Representation

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{
  "resourceType" : "Consent",
  "id" : "Example-Smith-Johnson-HealthcareAgentConsent",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-ParticipantConsent"
    ]
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: active</p><p><b>scope</b>: <span title=\"Codes: {http://loinc.org 75786-4}\">Powers granted to healthcare agent [Reported]</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/consentcategorycodes acd}\">Advance Directive</span></p><p><b>patient</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Betsy Smith-Johnson</a> ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15</p><p><b>dateTime</b>: 2020-08-03</p><h3>Policies</h3><table class=\"grid\"><tr><td>-</td><td><b>Authority</b></td><td><b>Uri</b></td></tr><tr><td>*</td><td><a href=\"https://www.michigan.gov/\">https://www.michigan.gov/</a></td><td><a href=\"http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&amp;objectname=mcl-386-1998-V-5\">http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&amp;objectname=mcl-386-1998-V-5</a></td></tr></table><blockquote><p><b>provision</b></p><p><b>type</b>: permit</p><blockquote><p><b>actor</b></p><p><b>role</b>: <span title=\"Codes: {http://loinc.org 75783-1}\">Primary healthcare agent [Reported]</span></p><p><b>reference</b>: <a href=\"RelatedPerson-Example-Smith-Johnson-HealthcareAgent1.html\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode SON}\">natural son</span>; Charles Johnson ; CharlesSJ@example.com</a></p></blockquote><blockquote><p><b>actor</b></p><p><b>role</b>: <span title=\"Codes: {http://loinc.org 75784-9}\">First alternate healthcare agent [Reported]</span></p><p><b>reference</b>: <a href=\"RelatedPerson-Example-Smith-Johnson-HealthcareAgent2.html\"><span title=\"Codes: {http://loinc.org 75784-9}\">First alternate healthcare agent [Reported]</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode DAU}\">natural daughter</span>; Debra Johnson ; DebraSJ@example.com</a></p></blockquote><p><b>action</b>: <span title=\"Codes: {http://loinc.org 75787-2}\">Advance directive - request for intubation</span>, <span title=\"Codes: {http://loinc.org 75788-0}\">Advance directive - request for tube feeding</span>, <span title=\"Codes: {http://loinc.org 75789-8}\">Advance directive - request for life support</span>, <span title=\"Codes: {http://loinc.org 75790-6}\">Advance directive - request for IV fluid and support</span>, <span title=\"Codes: {http://loinc.org 75791-4}\">Advance directive - request for antibiotics</span>, <span title=\"Codes: {http://loinc.org 75792-2}\">Advance directive - request for resuscitation that differs from cardiopulmonary resuscitation</span></p><p><b>purpose</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason PWATRNY}\">power of attorney</span></p></blockquote></div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "75786-4",
        "display" : "Powers granted to healthcare agent [Reported]"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code" : "acd"
        }
      ]
    }
  ],
  "patient" : {
    "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "dateTime" : "2020-08-03",
  "policy" : [
    {
      "authority" : "https://www.michigan.gov/",
      "uri" : "http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&objectname=mcl-386-1998-V-5"
    }
  ],
  "provision" : {
    "type" : "permit",
    "actor" : [
      {
        "role" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "75783-1",
              "display" : "Primary healthcare agent [Reported]"
            }
          ]
        },
        "reference" : {
          "reference" : "RelatedPerson/Example-Smith-Johnson-HealthcareAgent1"
        }
      },
      {
        "role" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "75784-9",
              "display" : "First alternate healthcare agent [Reported]"
            }
          ]
        },
        "reference" : {
          "reference" : "RelatedPerson/Example-Smith-Johnson-HealthcareAgent2"
        }
      }
    ],
    "action" : [
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "intubation",
            "display" : "Intubation"
          }
        ]
      },
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "tube-feeding",
            "display" : "Tube feeding"
          }
        ]
      },
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "life-support",
            "display" : "Life support"
          }
        ]
      },
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "iv-fluid-and-support",
            "display" : "IV fluid and support"
          }
        ]
      },
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "antibiotics",
            "display" : "Antibiotics"
          }
        ]
      },
      {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/PADIHCADecisionsCS",
            "code" : "resuscitation-non-cpr",
            "display" : "Non-CPR Resuscitation"
          }
        ]
      }
    ],
    "purpose" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "PWATRNY"
      }
    ]
  }
}