ARCHETYPE Treatment preferences (openEHR-EHR-CLUSTER.treatment_preferences.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.treatment_preferences.v0
ConceptTreatment preferences
DescriptionPersonal preferences about the goal of care and acceptable future medical interventions, as asserted by the individual.
UseUse 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.
MisuseNot to be used to record an 'Emergency care and treatment' directive - use EVALUATION.emergency_care_treatment for this purpose.
PurposeTo 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.
ReferencesBreault 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
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-11-13
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-11-13
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=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., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=B6F1BE370EE11CB2CB7A432FADE04A9F, build_uid=451a1a98-6806-4488-80d2-3add72c4dacb, revision=0.0.1-alpha}
Keywordspatient, preferences, treatment, care, goal
Lifecyclein_development
UIDd917b9bf-ab18-423c-8cf5-16123873fad8
Language useden
Citeable Identifier1013.1.5054
Revision Number0.0.1-alpha
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  • Living as long as possible
  • Balance longevity with quality of life
  • Quality of life and comfort
  • Unknown
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  • Attempt CPR [All appropriate cardiopulmonary resuscitation treatments should be attempted to save or prolong life.]
  • Do not attempt CPR [No cardiopulmonary resuscitation treatments should be attempted to save or prolong life. All treatments to be focused on symptom relief and quality of life. Also known as 'Do not resuscitate (DNR)'; 'Do not attempt resuscitation (DNAR)'; 'Not for resuscitation (NFR)' or similar.]
  • Unknown [CPR guidance decision is not known.]
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  • Admission to intensive care
  • Admission to hospital; no intensive care
  • Admission to hospital; under specific circumstances
  • No admission to hospital
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015], code=at0015, itemType=ELEMENT, level=1, text=Hospital admission circumstances, description=Description of the circumstances which would make a hospital admission acceptable., comment=For example: bone fracture., 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=/items[at0016], code=at0016, itemType=CLUSTER, level=1, text=Per treatment, description=Preference details about an identified medical treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Treatment, description=Name of the treatment., comment=Coding of the treatment name with a terminology is recommended., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Preference, description=Decision about the identified treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Acceptable
  • Acceptable, under specified circumstances
  • Not acceptable
  • Unknown
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All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0026], code=at0026, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the all treatment preferences, 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]], protocol=[], relationships=[], events=[], identities=[], source=[], target=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Goal of care, description=Category describing the individual's preference for their own future treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Living as long as possible
  • Balance longevity with quality of life
  • Quality of life and comfort
  • Unknown
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  • Attempt CPR [All appropriate cardiopulmonary resuscitation treatments should be attempted to save or prolong life.]
  • Do not attempt CPR [No cardiopulmonary resuscitation treatments should be attempted to save or prolong life. All treatments to be focused on symptom relief and quality of life. Also known as 'Do not resuscitate (DNR)'; 'Do not attempt resuscitation (DNAR)'; 'Not for resuscitation (NFR)' or similar.]
  • Unknown [CPR guidance decision is not known.]
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  • Admission to intensive care
  • Admission to hospital; no intensive care
  • Admission to hospital; under specific circumstances
  • No admission to hospital
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  • Acceptable
  • Acceptable, under specified circumstances
  • Not acceptable
  • Unknown
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