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
OtherDetails 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
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An 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., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={events=[], context=[], capabilities=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Discussion with healthcare professional, description=Has the advanced directive been discussed with a healthcare professional?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of advance directive documentation, description=The location of the original advanced directive 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]], identities=[], source=[], credentials=[], state=[], items=[], contacts=[], target=[], relationships=[], description=[], ism_transition=[], content=[], details=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Decision status, description=The state of the decision to refuse 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=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Date of 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[at0012], code=at0012, itemType=ELEMENT, level=2, text=Informal carer awareness of decision, description=Is the informal carer, or carers, aware of the advanced directive?, 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 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Comment, description=Other narrative comment pertinent to the advanced directive., 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]], provider=[]}, 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=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, 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, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Discussion with healthcare professional, description=Has the advanced directive been discussed with a healthcare professional?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Location of advance directive documentation, description=The location of the original advanced directive 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]], minIndents={}, termBindingRetrievalErrorMessage=null]