ARCHETYPE Advance decision to refuse treatment (openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v0
ConceptAdvance decision to refuse treatment
DescriptionAn advance decision to refuse treatment (ADRT) is a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
UseTo record an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
MisuseThis archetype should not be used to convey the results of other advanced directives, patient preferences or resusciation activity *e.g. suction) which falls short of full cardio-pulminary resuscitation.
PurposeTo record an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
ReferencesInformation Standards Board ISB Data Dictionary Available at http://www.datadictionary.nhs.uk/

End of Life Care Co-ordination: Core Content Standard Specification Available at http://www.isb.nhs.uk/documents/isb-1580/amd-29-2012/index_html

NHS Scotland Key Information Summary

Leeds ePaccs team
Copyright© Clinical Models UK, openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2013-10-11
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2013-10-11
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Information Standards Board ISB Data Dictionary Available at http://www.datadictionary.nhs.uk/ End of Life Care Co-ordination: Core Content Standard Specification Available at http://www.isb.nhs.uk/documents/isb-1580/amd-29-2012/index_html NHS Scotland Key Information Summary Leeds ePaccs team, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=29C818F376313D8F671592D855FD0451, build_uid=a689139b-449c-4504-8a82-b76a90ee7cc5, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=0.0.1-alpha}
KeywordsDNACPR, resuscitation, EoL, directive, preference
Lifecyclein_development
UID6e3e8693-9c05-485e-8637-1bf93e345ad7
Language useden
Citeable Identifier1013.1.1752
Revision Number0.0.1-alpha
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  • Advanced decision to refuse treatment signed [The subject has signed an advanced decision to refuse treatment.]
    [READ2::9x2..]
    [RCD99::XaVy8]
  • Has advance decision to refuse treatment (Mental Capacity Act 2005) [The subject has signed an advance decision to refuse treatment (Mental Capacity Act 2005).]
    [READ2::9NgG.]
    [RCD99::XaYld]
    [SNOMED-CT::816301000000100]
  • Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005) [The subject has signed an advance decision to refuse life sustaining treatment (Mental Capacity Act 2005).]
    [READ2::9NgG0]
    [RCD99::XaYle]
    [SNOMED-CT::816321000000109]
  • Advanced directive not signed [The subject has not signed and advance directive or has rescinded an early directive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Date of decision, description=The date at which the DNACPR decision was originally taken or last reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Informal carer awareness of decision, description=Is the informal carer, or carers, aware of the advanced directive?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Informal carer not aware of advanced directive [The informal carer is not aware of the subject's advanced directive.]
  • Informal carer aware of advanced directive [The informal carer is aware of the subject's advanced directive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Comment, description=Other narrative comment pertinent to the advanced directive., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], relationships=[], state=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Discussion with healthcare professional, description=Has the advanced directive been discussed with a healthcare professional?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Decision to refuse treatment discussed with healthcare professional [The subject has discussed their decision to refuse treatment with a healthcare professional.]
    [READ2::9NgK.]
    [RCD99::XaYv4]
    [SNOMED-CT::820621000000107]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of advance directive documentation, description=The location of the original advanced directive document, either a text description or an electronic link., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
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  • Decision to refuse treatment discussed with healthcare professional [The subject has discussed their decision to refuse treatment with a healthcare professional.]
    [READ2::9NgK.]
    [RCD99::XaYv4]
    [SNOMED-CT::820621000000107]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of advance directive documentation, description=The location of the original advanced directive document, either a text description or an electronic link., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
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, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]