PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions

## : Example-Smith-Johnson-HealthcareAgentConsent - XML Representation

Page standards status: Informative

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    <Consent xmlns="http://hl7.org/fhir">
      <id value="Example-Smith-Johnson-HealthcareAgentConsent"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIConsentPermit"/>
      </meta>
      <text>
        <status value="additional"/>
        <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>
      </text>
      <status value="active"/>
      <scope>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81377-4"/>
          <display
                   value="Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported"/>
        </coding>
      </scope>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
          <version value="1.0.0"/>
          <code value="acd"/>
          <display value="Advance Directive"/>
        </coding>
      </category>
      <patient>🔗
        <reference value="Patient/Example-Smith-Johnson-Patient1"/>
      </patient>
      <dateTime value="2020-08-03"/>
      <policy>
        <uri value="http://example.org/healthcare-agent-policy"/>
      </policy>
      <provision>
        <type value="permit"/>
        <actor>
          <role>
            <coding>
              <system value="http://loinc.org"/>
              <code value="75783-1"/>
              <display value="Primary healthcare agent [Reported]"/>
            </coding>
          </role>
          <reference>🔗
            <reference
                       value="RelatedPerson/Example-Smith-Johnson-HealthcareAgent1"/>
          </reference>
        </actor>
        <actor>
          <role>
            <coding>
              <system value="http://loinc.org"/>
              <code value="75784-9"/>
              <display value="First alternate healthcare agent [Reported]"/>
            </coding>
          </role>
          <reference>🔗
            <reference
                       value="RelatedPerson/Example-Smith-Johnson-HealthcareAgent3"/>
          </reference>
        </actor>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="intubation"/>
            <display value="Intubation"/>
          </coding>
        </action>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="tube-feeding"/>
            <display value="Tube feeding"/>
          </coding>
        </action>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="life-support"/>
            <display value="Life support"/>
          </coding>
        </action>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="iv-fluid-and-support"/>
            <display value="IV fluid and support"/>
          </coding>
        </action>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="antibiotics"/>
            <display value="Antibiotics"/>
          </coding>
        </action>
        <action>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-adi/CodeSystem/ADIHCADecisionsCS"/>
            <code value="resuscitation-non-cpr"/>
            <display value="Non-CPR Resuscitation"/>
          </coding>
        </action>
        <purpose>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
          <code value="PWATRNY"/>
        </purpose>
      </provision>
    </Consent>