ARCHETYPE DNACPR decision (openEHR-EHR-EVALUATION.dnacpr_decision_uk.v0)

ARCHETYPE ID	openEHR-EHR-EVALUATION.dnacpr_decision_uk.v0
Concept	DNACPR decision
Description	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.
Use	If 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)
Misuse	This 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.
Purpose	To 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
References	Derived from: https://ckm.apperta.org/ckm/archetypes/1051.32.205 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
Copyright	© Clinical Models UK, openEHR Foundation
Authors	Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2013-10-11
Other Details Language	Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2013-10-11
OtherDetails Language Independent	{custodian_organisation=openEHR Foundation, references=Derived from: https://ckm.apperta.org/ckm/archetypes/1051.32.205 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=CE6CA6832444074D26A8C714E437856E, build_uid=d7c0837c-3738-42d6-8dd1-05049dc207f3, revision=0.0.1}
Keywords	DNACPR, resuscitation, EoL, directive, preference
Lifecycle	rejected
UID	36478a12-0818-4901-9875-82c05901ef1e
Language used	en
Citeable Identifier	1013.1.4890
Revision Number	0.0.1
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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]], relationships=[], credentials=[]}, topLevelItems={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 (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, 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