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

: S.3.3.2 Manage End-of-Life Documents and Other Advance Directives (Function) - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Requirements ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PHRSFMR2-S.3.3.2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"^^xsd:anyURI ;
fhir:link <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <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>Manage documents that provide direction for end-of-life care and manage other types of Advance Directives.</p>\n</div></span>\n\n    \n    <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 may want to capture and maintain documents that pertain to end-of-life care and to capture and maintain other types of Advance Directives. End-of-life documents include but are not limited to: Advance Directive for Healthcare; Power of Attorney for Healthcare and Physician Order for Life Sustaining Treatment. The system should allow for multiple occurrences of a document and the ability to archive documents. The documents maintained will depend on the jurisdictional law. The documents may or may not reside in the PHR-S. The document may be scanned images, structured documents or simply a notation on the location of the original (hardcopy or original).</p>\n</div></span>\n    \n\n    \n    \n    \n\n    \n    <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>\n    \n    <table id=\"statements\" class=\"grid dict\">\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#01</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD provide the ability to capture documents related to end-of-life care and other types of Advance Directives.</p>\n</div></span>\n                \n                \n                Satisfied by:<ol>\n                \n                    <li><a href=\"https://build.fhir.org/ig/HL7/fhir-pacio-adi/\">https://build.fhir.org/ig/HL7/fhir-pacio-adi/</a></li>\n                \n                </ol>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#02</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD provide the ability to render a list of end-of life documents sorted by one or more defined data elements.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#03</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system MAY provide the ability to tag a document as Active or Non-Active by category of document.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>S.3.3.2#04</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>SHOULD</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "ehr"     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-S.3.3.2"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2.0.1-ballot"] ; # 
  fhir:name [ fhir:v "S_3_3_2_Manage_End_of_Life_Documents_and_Other_Advance_Directives"] ; # 
  fhir:title [ fhir:v "S.3.3.2 Manage End-of-Life Documents and Other Advance Directives (Function)"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2025-08-29T14:03:44+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "EHR WG"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Manage documents that provide direction for end-of-life care and manage other types of Advance Directives."] ; # 
  fhir:purpose [ fhir:v "The PHR Account Holder may want to capture and maintain documents that pertain to end-of-life care and to capture and maintain other types of Advance Directives. End-of-life documents include but are not limited to: Advance Directive for Healthcare; Power of Attorney for Healthcare and Physician Order for Life Sustaining Treatment. The system should allow for multiple occurrences of a document and the ability to archive documents. The documents maintained will depend on the jurisdictional law. The documents may or may not reside in the PHR-S. The document may be scanned images, structured documents or simply a notation on the location of the original (hardcopy or original)."] ; # 
  fhir:statement ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-S.3.3.2-01" ] ;
fhir:label [ fhir:v "S.3.3.2#01" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability to capture documents related to end-of-life care and other types of Advance Directives." ] ;
    ( fhir:satisfiedBy [ fhir:v "https://build.fhir.org/ig/HL7/fhir-pacio-adi/"^^xsd:anyURI ] )
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-S.3.3.2-02" ] ;
fhir:label [ fhir:v "S.3.3.2#02" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability to render a list of end-of life documents sorted by one or more defined data elements." ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-S.3.3.2-03" ] ;
fhir:label [ fhir:v "S.3.3.2#03" ] ;
    ( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY provide the ability to tag a document as Active or Non-Active by category of document." ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-S.3.3.2-04" ] ;
fhir:label [ fhir:v "S.3.3.2#04" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location." ]
  ] ) . #