| ARCHETYPE ID | openEHR-EHR-CLUSTER.treatment_preferences.v0 |
|---|---|
| Concept | Treatment preferences |
| Description | Personal preferences about the goal of care and acceptable future medical interventions, as asserted by the individual. |
| Use | Use to record personal preferences for future care and treatment, as asserted by the individual themselves. These preferences include the overall goal of care and guidance regarding cardiopulmonary resuscitation and other critical medical interventions that may prolong life or impact quality of life. This archetype is designed to be nested in the 'Directive details' SLOT within the EVALUATION.advance_care_directive archetype. It may also be nested within other archetypes, as clinically appropriate. |
| Misuse | Not to be used to record an 'Emergency care and treatment' directive - use EVALUATION.emergency_care_treatment for this purpose. |
| Purpose | To record personal preferences for future care and treatment by the individual, including the overall goal of care and guidance about possible treatments and medical interventions that may impact length of life or quality of life. |
| References | Breault JL. DNR, DNAR, or AND? Is Language Important? Ochsner J. 2011 Winter;11(4):302-6. PMID: 22190879; PMCID: PMC3241061. Salins N, Gursahani R, Mathur R, Iyer S, Macaden S, Simha N, Mani RK, Rajagopal MR. Definition of Terms Used in Limitation of Treatment and Providing Palliative Care at the End of Life: The Indian Council of Medical Research Commission Report. Indian J Crit Care Med. 2018 Apr;22(4):249-262. doi: 10.4103/ijccm.IJCCM_165_18. PMID: 29743764; PMCID: PMC5930529. Thomas RL, Zubair MY, Hayes B, Ashby MA. Goals of care: a clinical framework for limitation of medical treatment. Med J Aust. 2014 Oct 20;201(8):452-5. doi: 10.5694/mja14.00623. PMID: 25332031. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-11-13 |
| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-11-13 |
| Other Details (Language Independent) |
|
| Keywords | patient, preferences, treatment, care, goal |
| Lifecycle | in_development |
| UID | d917b9bf-ab18-423c-8cf5-16123873fad8 |
| Language used | en |
| Citeable Identifier | 1013.1.5054 |
| Revision Number | 0.0.1-alpha |
| items | |
| Goal of care | Goal of care: Category describing the individual's preference for their own future treatment.
|
| CPR preference | CPR preference: Preference for future cardiopulmonary resuscitation (CPR) intervention.
|
| Hospital treatment | Hospital treatment: Preference for the acceptable level of hospital treatment.
|
| Hospital admission circumstances | Hospital admission circumstances: Description of the circumstances which would make a hospital admission acceptable. For example: bone fracture. |
| Per treatment | Per treatment: Preference details about an identified medical treatment. |
| Treatment | Treatment: Name of the treatment. Coding of the treatment name with a terminology is recommended. |
| Preference | Preference: Decision about the identified treatment.
|
| Specific circumstances | Specific circumstances: Description of the circumstances which would make the treatment acceptable. |
| Comment | Comment: Additional narrative about the specified treatment preference, not captured in other fields. |
| Additional details | Additional details: Additional structured details about treatment preferences, not captured in other fields. Include: All not explicitly excluded archetypes |
| Comment | Comment: Additional narrative about the all treatment preferences, not captured in other fields. |
| Other contributors | |
| Translators |