ARCHETYPE Living will (openEHR-EHR-EVALUATION.living_will.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.living_will.v0
ConceptLiving will
DescriptionA document to communicate the individual's wishes with regard to future medical action or end-of-life care, to be used in situations in which the individual has lost the capacity to make or express choices.
UseUse to record details of a living will document. Living will may also be known as advance directive, advance decision, advance decision to refuse treatment, personal directive, advance healthcare directive, or medical directive. An individual with capacity may create a living will document to record their wishes for medical care and treatment in advance, which is intended to guide decision-making in future situations in which the individual is unable to make or communicate decisions. In some countries, a living will is a legally-binding document, while, in others, it may be legally persuasive without having an official legal status. A living will is commonly used to refuse life-sustaining treatment which may include, but is not limited to, cardiopulmonary resuscitation (CPR), clinically assisted nutrition and hydration, artificial or mechanical ventilation, and antibiotics for life-threatening infections. This archetype has been specifically designed to hold a nested living will details CLUSTER archetype, which will contain specific details of the living will as per national or other local requirements. In countries where a living will has legal status, it MUST be ensured that the EVALUATION.living_will archetype and nested living will details CLUSTER archetype adhere to the specific legal requirements.
PurposeTo record details of a living will document.
ReferencesZibs.nl. (2019). HCIM Release 2017(EN) - Zorginformatiebouwstenen. [online] Available at: https://zibs.nl/wiki/HCIM_Release_2017(EN) [Accessed 28 Nov. 2019].
Advance Decision (Living Will) pack | Compassion in Dying [Internet]. Compassion in Dying. 2019 [cited 2019 Nov 28]. Available from: https://compassionindying.org.uk/library/advance-decision-pack/
AuthorsAuthor name: Heidi Koikkalainen
Organisation: NES Digital Service, Edinburgh Napier University
Email: hk.koikkalainen@gmail.com
Date originally authored: 2019-10-23
Other Details LanguageAuthor name: Heidi Koikkalainen
Organisation: NES Digital Service, Edinburgh Napier University
Email: hk.koikkalainen@gmail.com
Date originally authored: 2019-10-23
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Zibs.nl. (2019). HCIM Release 2017(EN) - Zorginformatiebouwstenen. [online] Available at: https://zibs.nl/wiki/HCIM_Release_2017(EN) [Accessed 28 Nov. 2019]. Advance Decision (Living Will) pack | Compassion in Dying [Internet]. Compassion in Dying. 2019 [cited 2019 Nov 28]. Available from: https://compassionindying.org.uk/library/advance-decision-pack/, current_contact=Heidi Koikkalainen, hk.koikkalainen@gmail.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=7873CFD0D6A376CBED70D0527EA224D2, build_uid=5d3565ee-a23d-4f5f-85c4-b92197e6d763, revision=0.0.1-alpha}
Keywordsliving, will, advance, directive, decision, legal, preference, EoL
Lifecyclein_development
UID1f0744a9-99aa-4687-9a6d-dbac915ab4d9
Language useden
Citeable Identifier1013.1.4274
Revision Number0.0.1-alpha
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Vebjørn Arntzen, Oslo University Hospital, Norway, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], credentials=[], description=[], relationships=[], ism_transition=[], activities=[], items=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Living will status, description=The state of the living will., comment=For example, 'Has a living will', 'Does not have a living will', 'Living will retracted'. Coding of the living will status with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Has a living will [The individual has a living will.]
    • Does not have a living will [The individual does not have a living will.]
    • Living will retracted [The individual has retracted their living will.]
    • Unknown [It is not known whether the individual has a living will.]
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Living will type, description=Description of the living will type., comment=Narrative text or a list of living will types specialised to local context., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Living will narrative statement, description=This field is intended to capture any information that the individual wishes to include with regard to their living will in a narrative format., comment=For example, stating the reasons why the living will has been made, who it has been discussed with, or what is important to the individual in relation to their health, care, and quality of life., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Condition, description=The conditions or situations in which the individual wishes the living will to apply., comment=The living will normally applies to the specified conditions if the individual can no longer make or communicate decisions about their medical treatment and is unlikely to regain the ability to make such decisions., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0052], code=at0052, itemType=SLOT, level=2, text=Living will details slot, description=Slot to include a CLUSTER archetype containing specific details about the living will decisions as per national or other local requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0038], code=at0038, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the living will not captured in other fields., 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], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0056], code=at0056, itemType=ELEMENT, level=2, text=Review due date, description=The date by which the living will is due to be 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]], capabilities=[], state=[], context=[], events=[], source=[], content=[], target=[], details=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0053], code=at0053, itemType=ELEMENT, level=2, text=Valid period start, description=The date/time that marks the beginning of the valid period of time for this living will., 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=/protocol[at0010]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Valid period end, description=The date/time that marks the conclusion of the valid period of time for this living will., 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=/protocol[at0010]/items[at0055], code=at0055, itemType=ELEMENT, level=2, text=Date last updated, description=The date when the living will was last updated., 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=/protocol[at0010]/items[at0025], code=at0025, itemType=SLOT, level=2, text=Witness, description=Personal details of a witness., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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