| name | advance-health-care-directive |
| title | Advance Health Care Directive |
| description | Drafts jurisdiction-specific Advance Health Care Directive packages with agent appointment, living will instructions, HIPAA authorization bridge, organ donation preferences, and execution compliance checklists. Trigger when the user mentions advance directive, healthcare proxy, living will, health care agent, HIPAA authorization, medical power of attorney, end-of-life planning, capacity trigger planning, state-specific directive forms, witness/notary requirements for healthcare documents, or cross-state directive portability. |
| author | CaseMark |
| author_url | https://github.com/CaseMark/skills/tree/main/skills/legal/advance-health-care-directive |
| license | Apache-2.0 |
| version | 0.1.0 |
| execution_mode | open |
| jurisdiction | us |
| practice | trusts-and-estates |
| language | en |
| tags | ["agreement","drafting","transactional"] |
Advance Health Care Directive
Produces a jurisdiction-aware, clinically actionable directive package — agent appointment, treatment instructions, HIPAA bridge, execution checklist — that an ER team can parse in under 60 seconds and that survives legal challenge. Grounded in state probate/health codes with HIPAA (45 C.F.R. § 164.508) overlay.
Directives fail when they lack state-specific execution formalities (legally void) or use vague language like "no heroic measures" (clinically useless). This skill eliminates both failure modes.
Quick Start
- Gather intake (Checkpoint A)
- Map state law and validate inputs
- Draft directive sections in fixed order
- Verify execution compliance
- Produce final package with front matter
- Confirm alignment (Checkpoint B)
Checkpoint A — Pre-Draft Intake
Gather every time unless user says "use defaults" or "just draft":
- Jurisdiction — primary residence state, expected care states, portability needs
- Draft scope — directive + agent + living wishes + revocation + execution; confirm attorney review required
- Capacity context — contested capacity concerns → flag for contemporaneous capacity memo
- Client identity — legal name, DOB, aliases, contact, diagnosis context
- Agent architecture — primary + alternates with contact, availability, conflicts, consent to serve
- Treatment preferences — CPR, ventilation, feeding/hydration, hospitalization goals, comfort care, palliative sedation, religious/cultural restrictions
- Existing documents — prior directives, POLST/MOLST, donor registry, POAs, guardianship orders
- Execution logistics — signing location, notary availability, witness constraints, facility rules, spouse/relative limitations
- Conflict screening — family tensions, beneficiary pressure, undue influence indicators → flag to attorney
Request: prior directives, POLST/MOLST, POAs, guardianship orders, organ donation registrations, relevant medical records. If missing, flag explicitly and proceed with labeled assumptions listing "Open Items / Needed Inputs."
Defaults (if no response): immediate-authority directive; primary agent + one alternate; comfort-focused treatment; forum-neutral template with state execution formalities marked [VERIFY JURISDICTION]; standard HIPAA authorization bridge.
Step 1 — Validate Intake and Map State Law
Build the jurisdictional scaffold before drafting.
