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 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)
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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:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">\n \n \n <div id=\"description\"><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></div>\n \n \n \n <div id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></div>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n S.3.3.2#01\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <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>\n Satisfied by:<ol>\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 </ol>\n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n S.3.3.2#02\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <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>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n S.3.3.2#03\n </td>\n <td style=\"padding-left: 4px;\">\n MAY\n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system MAY provide the ability to tag a document as Active or Non-Active by category of document.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n S.3.3.2#04\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system SHOULD maintain the end-of-life document and/or a note that specifies that document's location.</p>\n</div>\n \n </td>\n </tr>\n \n </table>\n</div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ;
fhir:value [
a fhir:Code ;
fhir:v "normative" ]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg> ] ;
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:l <http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-S.3.3.2>
] ; #
fhir:version [ fhir:v "2.0.1"] ; #
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 "2025-12-07T09:26:53+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:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent> ] ;
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:l <https://build.fhir.org/ig/HL7/fhir-pacio-adi/> ] )
] [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent> ] ;
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:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent> ] ;
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:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent> ] ;
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." ]
] ) . #
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