The record page

What a clinician sees when they scan your code

No login, no app, nothing to install. A phone camera reads the code and a web page opens. The person reading it might have thirty seconds, so we put the most important things first.

A directive record page as a clinician sees it after scanning the code.
Scroll the record ↓
A specimen record, top to bottom 01 / 06
01

First screen

Who this is, and whether it’s still current

  • Advance directive
  • Born 1954
  • Record K7PF-2QX9

The name, the birth year, and the state the directive was signed in. Next to that is the date the holder last confirmed that nothing had changed.

02

What they refuse

The clause, in the words that were signed

  • Clause 1 of 2
  • No organ, eye or tissue donation
  • N.Y. Pub. Health Law §4301, §4305

Not a summary or a checkbox. It is the sentence from the signed document, word for word, with the part of the anatomical gift act it rests on. Under that act, a signed refusal stops everyone else from donating on the holder’s behalf.

All fifty states and the District of Columbia have adopted that act, so the page cites the version in force where the holder signed, by its real section numbers. On this record that is New York’s.

03

Each instrument on its own

More than one refusal, kept separate

  • Clause 2 of 2
  • No routine vaccines or immunizations

Someone can refuse more than one thing. Each refusal gets its own numbered clause instead of being merged into one paragraph. A reader can see how many there are, and read the one in front of them without guessing about the rest.

04

The document itself

The signed document, one tap away

  • Executed 14 MAR 2026
  • State of execution
  • Open the signed refusal of anatomical gift
  • Open the signed advance directive

Below the clauses is the date the document was signed, the state it was signed in, and a link to each signed PDF. A clinician can open it without leaving the record. This is where enforcement of your intent happens.

05

Who to call

A named person, and a number that dials

  • Healthcare agent
  • Call (212) 555-0142

Below the clauses is the person the holder chose to speak for them, and a number the reader can tap straight from the page. The record number at the foot of the page lets a call be matched to the document behind it.

06

If the holder chooses

Health information, if the holder adds it

  • Allergies
  • Conditions
  • Medications
  • Implanted devices
  • Care instructions

The record closes with what the holder chose to add: allergies, conditions, medications, implanted devices and care instructions. It is optional, it sits below the directive, and the page says plainly that the holder entered it.

Other services carry information. This one carries a signed refusal.

A medical ID says what you are allergic to. A refusal signed under the anatomical gift act stops anyone else from donating on your behalf. No one else puts one on a page a clinician can reach in seconds.

By default

What is deliberately not on it

The page carries the name, the birth year, what is refused, the law it rests on, and who to call. Nothing else, unless the holder adds it.

No login for the reader. A clinician can read the record upon scanning the QR code or typing in the record address from any device.

No shared registry. The record is not pooled into a central database that other parties can search. It stands on its own, and the proof that it was read is anchored outside our system, so it does not rest on us staying honest.

No ads, no analytics, no third-party scripts. The page a clinician opens loads nothing from anyone but us.

What happens after they read it → See a whole record page