ARCHETYPE DNACPR decision (openEHR-EHR-EVALUATION.dnacpr_decision_uk.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.dnacpr_decision_uk.v1
ConceptDNACPR decision
DescriptionThe outcome of a clinical decision as to whether cardio-pulmonary resuscitation should be undertaken or not. This is generally referred to in UK clinical guidance as the DNACPR (Do not attempt cardio-pulmonary resuscitation) decision.
UseIf cardiac or respiratory arrest is an expected part of the dying process and it is the opinion of the senior responsible clinician that attempted cardiopulmonary resuscitation would be unsuccessful or the outcome would be unacceptably burdensome for the person, the making and recording of this clinician’s opinion and recommendation for future management should a cardiopulmonary arrest occur, may be made. These are ‘Do not attempt cardiopulmonary resuscitation’ (DNACPR) orders. Some patients with capacity to make their own decision may refuse attempted cardio pulmonary resuscitation in advance. These decisions have to be registered as part of an advance decision to refuse treatment (ADRT)
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 the outcome of a clinical decision as to whether cardio-pulmonary resuscitation should be undertaken or not. This is generally referred to in UK clinical guidance as the DNACPR (Do not attempt cardio-pulmonary resuscitation) decision. This archetype is closely aligned with with the UK Information Standards Board (ISB) standard covering Core Content
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
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{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, MD5-CAM-1.0.1=E9407E7DCD0E1401F538C9E2F7146A3E}
KeywordsDNACPR, resuscitation, EoL, directive, preference
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.4890
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  • For attempted cardio-pulmonary resuscitation [Cardio-pulmonary resuscitation should be attempted.]
    [SNOMED-CT::450475007]
    [RCDSY_1999::1R00.]
  • Not for attempted cardiopulmonary resuscitation [Cardiopulmonary resuscitation should not be attempted.]
    [SNOMED-CT::450476008]
    [RCDSY_1999::1R10.]
  • DNACPR decision status unknown [There is no clear information on the outcome of the DNACPR decision.]
    [SNOMED-CT::845151000000104]
    [RCDSY_1999::9NgV.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Date of DNACPR 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[at0006], code=at0006, itemType=ELEMENT, level=2, text=Patient awareness of decision, description=Is the patient aware of the DNACPR decision?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Patient not aware of DNACPR decision [The patient is not aware of the do not attempt cardiopulmonary resuscitation clinical decision]
  • Patient aware of DNACPR decision [The patient is aware of the do not attempt cardiopulmonary resucitation decision.]
, 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 DNACPR decision?, 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 DNACPR decision [The informal carer is not aware of the do not attempt cardiopulmonary resuscitation clinical decision]
  • Informal carer aware of DNACPR decision [The informal carer is aware of the do not attempt cardiopulmonary resucitation decision.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Comment, description=Other narrative comment pertinent to the DNACPR decision., 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]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=DNACPR form completed, description=Has the physical DNACPR form been completed?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • DNACPR form completed [The physical DNACPR form has been completed.]
  • DNACPR form not completed [The physical DNACPR form has not been completed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Discussion with patient, description=Has resuscitation been discussed with the patient?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with patient [Resuscitation has been discussed with the patient.]
  • Resucitation not discussed with patient [Resuscitation has not been discussed with the patient]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=Discussion with informal carer, description=Has resuscitation been discussed with the patient's informaral carer or carers?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with informal carer [Resuscitation has been discussed with the patient's informal carer.]
  • Resuscitation not discussed with informal carer [Resuscitation has not been discussed with the patient's informal carer or carers.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of DNACPR documentation, description=The location of the original DNACPR 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
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Date for review of DNACPR decision, description=The date at which the DNACPR decision should 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=Full Date and Time, extendedValues=null]], contacts=[], relationships=[], content=[], description=[], context=[], other_participations=[], capabilities=[], items=[], credentials=[], activities=[], ism_transition=[], details=[], target=[], provider=[], events=[], source=[], state=[], identities=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0010], code=at0010, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=DNACPR form completed, description=Has the physical DNACPR form been completed?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • DNACPR form completed [The physical DNACPR form has been completed.]
  • DNACPR form not completed [The physical DNACPR form has not been completed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Discussion with patient, description=Has resuscitation been discussed with the patient?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with patient [Resuscitation has been discussed with the patient.]
  • Resucitation not discussed with patient [Resuscitation has not been discussed with the patient]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=Discussion with informal carer, description=Has resuscitation been discussed with the patient's informaral carer or carers?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with informal carer [Resuscitation has been discussed with the patient's informal carer.]
  • Resuscitation not discussed with informal carer [Resuscitation has not been discussed with the patient's informal carer or carers.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of DNACPR documentation, description=The location of the original DNACPR 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:
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Date for review of DNACPR decision, description=The date at which the DNACPR decision should 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=Full Date and Time, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]