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 Consent: Example-Smith-Johnson-HealthcareAgentConsent2

Page standards status: Informative

status: active

scope: Powers granted to healthcare agent - Reported

category: Advance Directive

patient: Betsy Smith-Johnson ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15

dateTime: 2020-08-03

### Policies

- | Authority | Uri
* | https://www.michigan.gov/ | http://www.legislature.mi.gov/(S(tpnclc1ofteerx2x2dppcmdz))/mileg.aspx?page=GetObject&objectname=mcl-386-1998-V-5

> provision

> type: permit

> > actor

> > role: Primary healthcare agent - Reported

> > reference: natural son; Charles Johnson ; CharlesSJ@example.com

> > actor

> > role: First alternate healthcare agent - Reported

> > reference: First alternate healthcare agent - Reported, natural daughter; Debra Johnson ; DebraSJ@example.com

> action: Advance directive - request for intubation, Advance directive - request for tube feeding, Advance directive - request for life support, Advance directive - request for IV fluid and support, Advance directive - request for antibiotics, Advance directive - request for resuscitation that differs from cardiopulmonary resuscitation

> purpose: power of attorney