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-S.3.3.2"/>
<meta>
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<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>Manage documents that provide direction for end-of-life care and manage other types of Advance Directives.</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 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>
</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>S.3.3.2#01</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 capture documents related to end-of-life care and other types of Advance Directives.</p>
</div></span>
Satisfied by:<ol>
<li><a href="https://build.fhir.org/ig/HL7/fhir-pacio-adi/">https://build.fhir.org/ig/HL7/fhir-pacio-adi/</a></li>
</ol>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>S.3.3.2#02</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 a list of end-of life documents sorted by one or more defined data elements.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>S.3.3.2#03</span>
</td>
<td style="padding-left: 4px;">
<span>MAY</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system MAY provide the ability to tag a document as Active or Non-Active by category of document.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>S.3.3.2#04</span>
</td>
<td style="padding-left: 4px;">
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location.</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-S.3.3.2"/>
<version value="2.0.1-ballot"/>
<name
value="S_3_3_2_Manage_End_of_Life_Documents_and_Other_Advance_Directives"/>
<title
value="S.3.3.2 Manage End-of-Life Documents and Other 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="Manage documents that provide direction for end-of-life care and manage other types of Advance Directives."/>
<purpose
value="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)."/>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-S.3.3.2-01"/>
<label value="S.3.3.2#01"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture documents related to end-of-life care and other types of Advance Directives."/>
<satisfiedBy value="https://build.fhir.org/ig/HL7/fhir-pacio-adi/"/>
</statement>
<statement>
<extension
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<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-S.3.3.2-02"/>
<label value="S.3.3.2#02"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render a list of end-of life documents sorted by one or more defined data elements."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-S.3.3.2-03"/>
<label value="S.3.3.2#03"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
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</statement>
<statement>
<extension
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<valueBoolean value="false"/>
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<key value="PHRSFMR2-S.3.3.2-04"/>
<label value="S.3.3.2#04"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location."/>
</statement>
</Requirements>