HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot
HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot
HL7 Personal Health Record System Functional Model, Release 2, published by EHR WG. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phrsfm-ig/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
<Requirements xmlns="http://hl7.org/fhir">
<id value="PHRSFMR2-PH.1.4"/>
<meta>
<profile
value="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<span id="description"><b>Statement <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b> <div><p>Enable the PHR Account Holder to create or input Advance Directives for care under various circumstances.</p>
</div></span>
<span id="purpose"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>The PHR Account Holder along with their immediate family should periodically assess their health status and formally state in writing how they wish to be cared for in different circumstances. This is particularly useful when the end of life is predictably near to avoid inappropriate or undesired care.</p>
</div></span>
<span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>
<table id="statements" class="grid dict">
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#01</span>
</td>
<td style="padding-left: 4px;">
<span>SHALL</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHALL provide the ability to render an indication that Advance Directives or organ donation preferences exist for the PHR Account Holder. For example, a PHR Account Holder may desire to inform a new care provider of the existence of an organ donation preference. Also, in an emergency care situation, the emergency care provider might desire to know whether the PHR-S contains an Advance Directive for the PHR Account Holder.</p>
</div></span>
Satisfied by:<ol>
<li><a href="https://www.hl7.org/fhir/consent.html">https://www.hl7.org/fhir/consent.html</a></li>
</ol>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#02</span>
</td>
<td style="padding-left: 4px;">
<i>dependent</i>
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD provide the ability to render an indication of the type of Advance Directives completed for the PHR Account Holder (such as living will, durable power of attorney, preferred interventions for known conditions, organ donation, or the existence of a "Do Not Resuscitate order”, or organ donation preferences) according to organizational policy and/or jurisdictional law, or according to the recipient's scope of practice.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#03</span>
</td>
<td style="padding-left: 4px;">
<i>dependent</i>
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD provide the ability to capture, maintain, and render the PHR Account Holder’s Advance Directives documents and “Do Not Resuscitate” orders or organ donation preferences according to organizational policy and/or jurisdictional law, or according to the recipient's scope of practice to support clinical decision making activities.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#04</span>
</td>
<td style="padding-left: 4px;">
<i>dependent</i>
<span>SHALL</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHALL provide the ability to maintain metadata (e.g., the type of the document, the time and date document was created, and the document currently in effect) for the PHR Account Holder's Advance Directives documents, “Do Not Resuscitate” orders, and/or organ donation preferences according to organizational policy and/or jurisdictional law.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#05</span>
</td>
<td style="padding-left: 4px;">
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD provide the ability to render an indication regarding the date that Advance Directives or organ donation preferences were last reviewed by the PHR Account Holder or by their legal guardian or power of attorney.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#06</span>
</td>
<td style="padding-left: 4px;">
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD provide the ability to render the name and the relationship of the party completing the Advance Directive or organ donation preferences for the PHR Account Holder.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#07</span>
</td>
<td style="padding-left: 4px;">
<span>SHALL</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHALL manage the date and time that Advance Directives or organ donation preferences were stored and/or changed in the PHR-S.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.1.4#08</span>
</td>
<td style="padding-left: 4px;">
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD provide the ability to manage information regarding the location and the source of legal documentation regarding Advance Directives or organ donation preferences.</p>
</div></span>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="ehr"/>
</extension>
<url value="http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.1.4"/>
<version value="2.0.1-ballot"/>
<name value="PH_1_4_Manage_PHR_Account_Holder_Advance_Directives"/>
<title
value="PH.1.4 Manage PHR Account Holder Advance Directives (Function)"/>
<status value="active"/>
<date value="2025-08-29T14:03:44+00:00"/>
<publisher value="EHR WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/ehr"/>
</telecom>
</contact>
<description
value="Enable the PHR Account Holder to create or input Advance Directives for care under various circumstances."/>
<purpose
value="The PHR Account Holder along with their immediate family should periodically assess their health status and formally state in writing how they wish to be cared for in different circumstances. This is particularly useful when the end of life is predictably near to avoid inappropriate or undesired care."/>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.1.4-01"/>
<label value="PH.1.4#01"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL provide the ability to render an indication that Advance Directives or organ donation preferences exist for the PHR Account Holder. For example, a PHR Account Holder may desire to inform a new care provider of the existence of an organ donation preference. Also, in an emergency care situation, the emergency care provider might desire to know whether the PHR-S contains an Advance Directive for the PHR Account Holder."/>
<satisfiedBy value="https://www.hl7.org/fhir/consent.html"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="true"/>
</extension>
<key value="PHRSFMR2-PH.1.4-02"/>
<label value="PH.1.4#02"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render an indication of the type of Advance Directives completed for the PHR Account Holder (such as living will, durable power of attorney, preferred interventions for known conditions, organ donation, or the existence of a "Do Not Resuscitate order”, or organ donation preferences) according to organizational policy and/or jurisdictional law, or according to the recipient's scope of practice."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="true"/>
</extension>
<key value="PHRSFMR2-PH.1.4-03"/>
<label value="PH.1.4#03"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture, maintain, and render the PHR Account Holder’s Advance Directives documents and “Do Not Resuscitate” orders or organ donation preferences according to organizational policy and/or jurisdictional law, or according to the recipient's scope of practice to support clinical decision making activities."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="true"/>
</extension>
<key value="PHRSFMR2-PH.1.4-04"/>
<label value="PH.1.4#04"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL provide the ability to maintain metadata (e.g., the type of the document, the time and date document was created, and the document currently in effect) for the PHR Account Holder's Advance Directives documents, “Do Not Resuscitate” orders, and/or organ donation preferences according to organizational policy and/or jurisdictional law."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.1.4-05"/>
<label value="PH.1.4#05"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render an indication regarding the date that Advance Directives or organ donation preferences were last reviewed by the PHR Account Holder or by their legal guardian or power of attorney."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.1.4-06"/>
<label value="PH.1.4#06"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render the name and the relationship of the party completing the Advance Directive or organ donation preferences for the PHR Account Holder."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.1.4-07"/>
<label value="PH.1.4#07"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL manage the date and time that Advance Directives or organ donation preferences were stored and/or changed in the PHR-S."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.1.4-08"/>
<label value="PH.1.4#08"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to manage information regarding the location and the source of legal documentation regarding Advance Directives or organ donation preferences."/>
</statement>
</Requirements>
IG © 2023 EHR WG. Package hl7.ehrs.uv.phrsfmr2#2.0.1-ballot based on FHIR 5.0.0. Generated 2025-08-29
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