ARCHETYPE Advance decision to refuse treatment (openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v0
ConceptAdvance decision to refuse treatment
DescriptionAn advance decision to refuse treatment (ADRT) is a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
UseTo record an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
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 an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so.
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© openEHR Foundation
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
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
  • Custodian Organisation: Ocean Informatics
  • 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
  • Original Namespace: com.oceaninformatics
  • Original Publisher: Ocean Informatics
  • Custodian Namespace: com.oceaninformatics
  • MD5-CAM-1.0.1: 4C0105F95195E251690601377EBD2F2D
  • Build Uid: dbd63b50-2fe6-442f-a685-34f4a61da5f4
  • Revision: 0.0.1-alpha
KeywordsDNACPR, resuscitation, EoL, directive, preference
Lifecyclein_development
UIDc4953c98-27d8-44c9-b8ab-3b9f737c9dc9
Language useden
Citeable Identifier1013.1.1584
Revision Number0.0.1-alpha
protocol
Discussion with healthcare professionalDiscussion with healthcare professional: Has the advanced directive been discussed with a healthcare professional?
  • Decision to refuse treatment discussed with healthcare professional [The subject has discussed their decision to refuse treatment with a healthcare professional.]
    [READ2::9NgK.]
    [RCD99::XaYv4]
    [SNOMED-CT::820621000000107]
Location of advance directive documentationLocation of advance directive documentation: The location of the original advanced directive document, either a text description or an electronic link.
Choice of:
  •  Text
  •  URI
data
Decision statusDecision status: The state of the decision to refuse treatment.
  • Advanced decision to refuse treatment signed [The subject has signed an advanced decision to refuse treatment.]
    [READ2::9x2..]
    [RCD99::XaVy8]
  • Has advance decision to refuse treatment (Mental Capacity Act 2005) [The subject has signed an advance decision to refuse treatment (Mental Capacity Act 2005).]
    [READ2::9NgG.]
    [RCD99::XaYld]
    [SNOMED-CT::816301000000100]
  • Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005) [The subject has signed an advance decision to refuse life sustaining treatment (Mental Capacity Act 2005).]
    [READ2::9NgG0]
    [RCD99::XaYle]
    [SNOMED-CT::816321000000109]
  • Advanced directive not signed [The subject has not signed and advance directive or has rescinded an early directive.]
Date of decisionDate of decision: The date at which the DNACPR decision was originally taken or last reviewed.
Informal carer awareness of decisionInformal carer awareness of decision: Is the informal carer, or carers, aware of the advanced directive?
  • Informal carer not aware of advanced directive [The informal carer is not aware of the subject's advanced directive.]
  • Informal carer aware of advanced directive [The informal carer is aware of the subject's advanced directive.]
CommentComment: Other narrative comment pertinent to the advanced directive.
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