TEMPLATE End of Life Care Coordination Document - Leeds EPCCS (Composition) (6453defe-3847-4142-a896-dba645a05a2f)

TEMPLATE ID6453defe-3847-4142-a896-dba645a05a2f
ConceptEnd of Life Care Coordination Document - Leeds EPCCS (Composition)
DescriptionTo record the details of an End of Life Care Coordination document based on the dataset developed by the Leeds EPaCCS team and aligned with the ISB.
PurposeTo record the details of an End of Life Care Coordination document based on the dataset developed by the Leeds EPaCCS team and aligned with the ISB.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
Language useden
Citeable Identifier1013.26.571
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  • On end of life care register  [The patient is currently on an end of life care register.]
  • Not suitable for end of life care register  [The patient is not suitable for an end of life care register.]
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  • Declined consent to share patient data with specified third party  [The patient has refused consent to share information with a specified third party.]
  • Consent withdrawn to share patient data with specified third party  [The patient has withdrawn consent to share information with a specified third party.]
  • Consent for electronic palliative care upload  [The patient has given consent for an electronic palliatve care upload.]
  • Dissent for electronic palliative care upload  [The patient has declined consent for an electronic palliatve care upload.]
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carer']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1], code=at0000, itemType=CLUSTER, level=3, text=Nominated main carer, description=Personal demographics including name(s) , addresse(s) and telecommunication contact details., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Nominated main carer']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.person_name.v1], code=at0000, itemType=CLUSTER, level=4, text=Person name, description=Details of personal name of an individual, provider or third party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, 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main carer']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=4, text=Address, description=To record details of one or more personal addresses., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Nominated main carer']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001], code=at0001, itemType=CLUSTER, level=5, text=Address, description=One or more adresses for an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, 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  • Residential  [Address of place of residence.]
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ENV 13606 - 4:2000 7.11.15., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Nominated main carer']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1 and name/value='Telephone number 1'], code=at0000, itemType=CLUSTER, level=4, text=Telephone number 1, description=Personal or organisational telecommunication details, including telephone, fax, and email or other telecommunications details e.g skype address., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, 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text=Unstuctured telcoms, description=An unstructured description of telecoms., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Nominated main carer']/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Is nominated main carer?, description=True if the individual , excluding paid carers or carers from voluntary agencies, is identified by the subject as being a primary source of care and support., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, 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occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Next of kin']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1 and name/value='Next of kin telephone number 2'], code=at0000, itemType=CLUSTER, level=4, text=Next of kin telephone number 2, description=Personal or organisational telecommunication details, including telephone, fax, and email or other telecommunications details e.g skype address., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Next of kin']/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1 and name/value='Next of kin telephone number 2']/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Unstuctured telcoms, description=An unstructured description of telecoms., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018 and name/value='Next of kin']/items[at0025], code=at0025, itemType=ELEMENT, level=3, text=Is next of kin?, description=True if this informal 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[path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1], code=at0000, itemType=CLUSTER, level=3, text=Individual professional demographics (UK), description=Professional demographics details including name(s) , addresse(s) and telecommunication contact details., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[openEHR-EHR-CLUSTER.person_name.v1], code=at0000, itemType=CLUSTER, level=4, text=Person name, description=Details of personal name of an individual, provider or third party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[openEHR-EHR-CLUSTER.person_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Unstructured name, description=Name in free text unstructured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1], code=at0000, itemType=CLUSTER, level=4, text=Telecom details (UK), description=Personal or organisational telecommunication details, including telephone, fax, and email or other telecommunications details e.g skype address., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Unstuctured telcoms, description=An unstructured description of telecoms., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Professional group, description=The speciality of the carer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=Is key worker?, description=True if the formal carer is the subject's key worker?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Note, description=Any additional comment or note about the carer or their role., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Date updated, description=The date at which the list of key contacts was created or updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1], code=at0000, itemType=SECTION, level=1, text=Problems and diagnoses, description=unknown, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001], code=at0001, itemType=SECTION, level=2, text=Main diagnosis, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Main diagnosis, description=Identification of the index problem, issue or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Description, description=A narrative description of the issue, problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Date of Onset, description=The date / time when the problem was first identified by the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Main carer insight, description=Is the main informal carer aware of the patient's prognosis?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Carer has insight of patients illness  [The main carer has insight of the patient's illness.]
  • Relative aware of prognosis  [The main carer relative is aware of the prognosis.]
  • Relative unaware of prognosis  [The main carer relative is unaware of the prognosis.]
  • Carer aware of prognosis  [The main carer is aware of the patient's prognosis.]
  • Carer unaware of prognosis  [The main carer is unaware of the patient's prognosis.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Patient insight, description=Does the patient have insight into their illness and/or prognosis?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Patient has insight of their illness  [The patient has insight into their illness.]
  • Patiient aware of prognosis  [The patient is aware of the prognosis.]
  • Patient not aware of prognosis  [The patient is not aware of the prognosis of their illness.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.prognosis.v1]/protocol[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Date last updated, description=The date that the prognosis was made or last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0003], code=at0003, itemType=SECTION, level=2, text=Other issues, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0003]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=3, text=Problem/Diagnosis, description=An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0003]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Other relevant issue, description=Identification of the index problem, issue or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0003]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Description, description=A narrative description of the issue, problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0003]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Date of Onset, description=The date / time when the problem was first identified by the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1], code=at0000, itemType=SECTION, level=1, text=Allergies, description=RCP Allergies Heading., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002], code=at0002, itemType=SECTION, level=2, text=Allergies list, description=A list of individual structured allergy records., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.adverse_reaction_uk.v1], code=at0000, itemType=EVALUATION, level=3, text=Adverse reaction, description=Details of a harmful or undesirable effect, including allergy and intolerance, associated with known or suspected exposure to a drug or other medicinal substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.adverse_reaction_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Causative agent, description=Details of the agent or medicinal substance believed to be the cause of the adverse reaction or allergy., comment=For GP2GP V2 use, it is currently anticipated that there will be 4 permissible ways to express a Causative agent: Drug Group (SNOMED-CT), dm+d VMP/AMP (dm+d), Ingredient (SNOMED-CT), TradeFamily/TradeFamilyGroup (SNOMED-CT). It is MANDATORY that one and only one of these must always be selected. Optionally, in addition a SNOMED AllergyCode may be sent as a mapping, but can never be sent on its own. For legacy use other codes are permissible such as FDB Agent codes, EMIS Drug codes and READ codes but these should be carried as simple free text and the coded information carried in mappings/translation attributes. This kind of coding is not regarded as being safe to trigger decision support outwith the native GP system. The exact subset definitions have not yet been agreed and may change prior to full implementation., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Texttermset: external
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.adverse_reaction_uk.v1]/data[at0001]/items[at0025], code=at0025, itemType=CLUSTER, level=4, text=Reaction details, description=Details of a single reaction thought to be due to the causative agent., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.adverse_reaction_uk.v1]/data[at0001]/items[at0025]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Date recorded, description=The date that the reaction was clinically recorded/asserted. This will often equate to the date of onset of the reaction but this may not be wholly clear from source data., comment=From Welsh IHR / openHR model., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.adverse_reaction_uk.v1]/data[at0001]/items[at0025]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=Comment, description=Any additional comment or clarification about the adverse reaction., comment=From Welsh IHR model, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1], code=at0000.1, itemType=EVALUATION, level=3, text=Exclusion of an Adverse Reaction, description=Positive statement/s about adverse reactions that need to be recorded as clinically excluded from the health record at a specific point in time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=5, text=Exclusion Statement, description=A statement about exclusion of known adverse reactions in the health record., comment=For example: "No known adverse reactions"; "No known adverse reaction to" (penicillin)., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the Exclusion not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1]/protocol[at0006]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Date Last Updated, description=The date at which the exclusion was last clinically asserted, affirmed or confirmed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.contraindication.v1], code=at0000, itemType=EVALUATION, level=3, text=Contraindication, description=Identification of a treatment, medicine, vaccine or procedure which should not be administered or performed on this subject., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.contraindication.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Contraindication, description=Identified contraindication to a treatment, medicine, vaccine or procedure., comment=Coding of the identified Contraindication with a terminology is desirable, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.contraindication.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Evidence/Rationale, description=Evidence or rationale for the contraindication., comment=This should be explicitly stated, so that this rationale can be explicit if this data is shared in a message or with another clinical system, although an optional link to evidence within the same record is also permitted., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_allergies_heading.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.contraindication.v1]/protocol[at0006]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Date Last Updated, description=The date at which the contraindication was most recently deemed to apply, normally as a result of clinical assertion or affirmation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1], code=at0000, itemType=SECTION, level=1, text=Medications, description=RCP Medication Heading structure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001], code=at0001, itemType=SECTION, level=2, text=Current medication, description=Medication being currently taken by the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1], code=at0000, itemType=INSTRUCTION, level=3, text=Medication summary entry, description=Record of a single medication item, either to record the current medication order, or for summary purposes in clinical communications, including information on past issues, authorisations, dispensing and administration., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/guideline_id, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=guideline_id, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBJECT_REF, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/other_participations, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=other_participations, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=PARTICIPATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/workflow_id, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=workflow_id, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBJECT_REF, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/expiry_time, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=expiry_time, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/narrative, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=narrative, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/wf_definition, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=wf_definition, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication_item.v1], code=at0000, itemType=CLUSTER, level=4, text=Medication item, description=Records details of a medication product, dosage and administration directions, for use within medication recommendation, order, administration and dispensation records., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication_item.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Medication name, description=Mandatory medication name coded using a SNOMEDCT/dm+d term where possible, allowing plain text for historical/patient reported items , extemporaneous preparations or those not registered in dm+d., comment=e.g.“Citalopram tab 20mg”, "Trimethoprim", uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Coded Texttermset: external
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication_item.v1]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=Form, description=Form of the medicinal substance e.g capsules, tablets, liquid. Not normally required unless a specific form has been requested by the prescriber., comment=e.g. "Modified Release Capsules", uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-INSTRUCTION.medication_order_uk.v1]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication_item.v1]/items[at0019]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Dose directions description, description=A single plain text phrase describing the entire medication dosage and administration directions, including dose quantity and medication frequency., comment=e.g. “I tablet at night” or “20mg at 10pm”, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=3, text=Anticipatory medication, description=A clinical activity that has been carried out for therapeutic or diagnostic purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Anticipatory medication, description=The name of the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Issue of palliative care anticipatory medication box
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.rcp_medication_heading.v1]/items[at0001]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Anticipatory medication location, description=Comments about the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan'], code=at0000, itemType=SECTION, level=1, text=Advance Care Plan, description=A generic section header., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.healthcare_funding_status_uk.v1], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Healthcare funding status (UK), description=The patient's current status with respect to healthcare funding arrangements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.healthcare_funding_status_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Healthcare funding status, description=The status of the patient's ongoing continuing healthcare funding., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Continuing healthcare funding in place  [The patient's continuing healthcare funding arrangements are in place.]
  • Continuing healthcare funding refused  [The patient's continuing healthcare funding has been refused.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.healthcare_funding_status_uk.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Fast-track healthcare funding status, description=The status of the patient's fast-track healthcare funding arrangements., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Continuing healthcare fast track funding granted  [NHS continuing healthcare fast track funding granted.]
  • Continuing healthcare fast track funding refused  [NHS continuing healthcare fast track funding refused.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.healthcare_funding_status_uk.v1]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Date last updated, description=The date at which the healthcare funding status was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ACTION.referral_uk.v1], code=at0000, itemType=ACTION, level=2, text=Carer Needs Assessment, description=Activity regarding a referral from a clinician, or self-referral by a patient, for the patient to receive a specific service, advice or care from an expert healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ACTION.referral_uk.v1]/description[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Referred service, description=Identification of the clinical service to be/being carried out. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Carer Needs Assessment
Default value: Carer Needs Assessment, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ACTION.referral_uk.v1]/description[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Description, description=Description of the service provided., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.advanced_care_planning_uk.v1], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Advanced care planning, description=Care planning and pathway aspects of an End of Life Care Coordination record., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.advanced_care_planning_uk.v1]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Care pathway status, description=The status of advanced care planning., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Has end of life advanced care plan  [The patient has an advanced care plan.]
  • Discussion about advance care plan  [An advance care plan is under discussion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.advanced_care_planning_uk.v1]/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=End of life tool, description=The use, or otherwise of a specific end of life pathway tool., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • On Liverpool care pathway for the dying  [The patient is on the Liverpool care pathway for the dying.]
  • Liverpool Care Pathway declined  [The patient has declined the Liverpool care pathway.]
  • On gold standards palliative care framework  [The patient is on the gold standards palliative care framework.]
  • End of Life tool not used  [An end of life tool is not used.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.advanced_care_planning_uk.v1]/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Care staging, description=The estimated stage of clinical care, slected from the GSF categories or via free text., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.advanced_care_planning_uk.v1]/data[at0001]/items[at0025], code=at0025, itemType=ELEMENT, level=3, text=Date last updated, description=The date at which the advanced care plan status was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1], code=at0000, itemType=EVALUATION, level=2, text=Preferred priorities of care, description=The subject's preferred priorities of care and special requests., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Preferred place of care, description=The patient's preferred place of care (first choice)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Preferred place of care - home  [The patient's preferred place of care is at home.]
  • Preferred place of care - hospice  [The patient's preferred place of care is a hospice.]
  • Preferred place of care - community hospital  [The patient's preferred place of care is a community hospital.]
  • Preferred place of care - hospital  [The patient's preferred place of care is a hospital.]
  • Preferred place of care - nursing home  [The patient's preferred place of care is a nursing home.]
  • Preferred place of care - residential home  [The patient's preferred place of care is a residential home.]
  • Preferred place of care - patient declined to participate  [The patient has declined to offer a preferred place of care.]
  • Preferred place of care - discussion not appropriate  [Discussion of preferred place of care is inappropriate.]
  • Preferred place of care - patient unable to express preference  [The patient has been unable to express preference about place of care.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=(Preferred place of care location), description=Details of the organisation/location of the preferred place of care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Preferred place of death, description=The patient's first choice preferred place of death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Preferred place of death: home  [The patient's preferred place of death is at home.]
  • Preferred place of death: hospice  [The patient's preferred place of death is in a hospice.]
  • Preferred place of death: community hospital  [The patient's preferred place of death is in a community hospital.]
  • Preferred place of death: hospital  [The patient's preferred place of death is in a hospital.]
  • Preferred place of death: nursing home  [The patient's preferred place of death is in a nursing home.]
  • Preferred place of death: residential home  [The patient's preferred place of death is in a residential home.]
  • Preferred place of death: patient unable to express preference  [The patient is unable to express a preferred pace of death.]
  • Preferred place of death discussed with patient  [Preferred place of death has been discussed with the patient.]
  • Preferred place of death: discussion not appropriate  [Discussion of the patient's preferred place of death is inappropriate.]
  • Preferred place of death: patient undecided  [The patient is undecided about their preferred place of death.]
  • Preferred place of death: patient declined discussion  [The patient declined discussion about their preferred place of death.]
  • Preferred place of death: usual place of residence  [The patient's preferred place of death is their usual residence.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=(Preferred place of death location), description=Details of the organisation/location of the preferred place of death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Personal request or preference, description=Any other specifc personal request or preference, including cultural or religious preferences., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.care_preference_uk.v1]/data[at0001]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Comment, description=Any additional comments about the subject's place of care preferences., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Power of attorney (UK), description=Details of power of attorney arrangements specific to the UK., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Date last updated, description=The date that the record of power of attorney was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Mental capacity status, description=Patient's ability to make informed choices in terms of the Mental Capacity Act 2005., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0008], code=at0008, itemType=CLUSTER, level=3, text=Lasting power of attorney for personal welfare, description=Details of lasting power of attorney for Personal Welfare., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0008]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Power of attorney status, description=The status of any lasting power of attorney., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Lasting power of attorney personal welfare.  [Paient has a lasting power of attorney for personal welfare.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0008]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Person holding power of attorney, description=Details of the person holding power of attorney for personal welfare., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0009], code=at0009, itemType=CLUSTER, level=3, text=Lasting power of attorney for property and affairs, description=Details of lasting power of attorney for property and affairs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Power of attorney status, description=Status of lasting pwer of attorney for property and affairs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Lasting power of attorney property and affairs  [The patient has appointed a lasting power of attorney for property and affairs.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0009]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Person holding power of attorney, description=Details of the person holding power of attorney for property and affairs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-ADMIN_ENTRY.power_of_attorney_uk.v1]/data[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Other person to be involved in decision-making, description=Details of any other person who the patient wishes to be involved in decision-making., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v1], code=at0000, itemType=EVALUATION, level=2, text=Advance decision to refuse treatment, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Decision status, description=The state of the decision to refuse treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, 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.]
  • Has advance decision to refuse treatment (Mental Capacity Act 2005)  [The subject has signed an advance decision to refuse treatment (Mental Capacity Act 2005).]
  • 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).]
  • Advanced directive not signed  [The subject has not signed and advance directive or has rescinded an early directive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Date of decision, description=The date at which the DNACPR decision was originally taken or last reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v1]/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Comment, description=Other narrative comment pertinent to the advanced directive., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v1]/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=3, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1], code=at0000, itemType=EVALUATION, level=2, text=CPR 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 CPR (Cardio-pulmonary resuscitation) decision., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=CPR decision, description=The clinical decision on whether cardiopulmonary resuscitation (CPR) should be attempted. In some cases a clear answer may not be available to the recording clinician., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • For attempted cardio-pulmonary resuscitation  [Cardio-pulmonary resuscitation should be attempted.]
  • Not for attempted cardiopulmonary resuscitation  [Cardiopulmonary resuscitation should not be attempted.]
  • CPR decision status unknown  [There is no clear information on the outcome of the CPR decision.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Date of CPR decision, description=The date at which the CPR decision was originally taken or last reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Comment, description=Other narrative comment pertinent to the CPR decision., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/protocol[at0010]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=CPR form completed, description=Has the physical CPR form been completed?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • CPR form completed  [The physical CPR form has been completed.]
  • CPR form not completed  [The physical CPR form has not been completed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/protocol[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Discussion with patient, description=Has resuscitation been discussed with the patient?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with patient  [Resuscitation has been discussed with the patient.]
  • Resucitation not discussed with patient  [Resuscitation has not been discussed with the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/protocol[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Discussion with family, description=Has resuscitation been discussed with the patient's informal carer or carers?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resuscitation discussed with informal carer  [Resuscitation has been discussed with the patient's informal carer.]
  • Resuscitation not discussed with informal carer  [Resuscitation has not been discussed with the patient's informal carer or carers.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/protocol[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Location of CPR documentation, description=The location of the original CPR document, either a text description or an electronic link., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Advance Care Plan']/items[openEHR-EHR-EVALUATION.cpr_decision_uk.v1]/protocol[at0010]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Date for review of CPR decision, description=The date at which the CPR decision should be reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other'], code=at0000, itemType=SECTION, level=1, text=Other, description=A generic section header., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ACTION.referral_uk.v1], code=at0000, itemType=ACTION, level=2, text=Referral activity (UK), description=Activity regarding a referral from a clinician, or self-referral by a patient, for the patient to receive a specific service, advice or care from an expert healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ACTION.referral_uk.v1]/description[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=MDT Meeting, description=Identification of the clinical service to be/being carried out. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • multidisciplinary care conference  []
Terminology: SNOMED-CT, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ACTION.referral_uk.v1]/description[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Service type, description=Type of service to be carried out or being carried out., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Multidisciplinary case conference
  • Individual programme planning meeting
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ACTION.referral_uk.v1]/description[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Description, description=Description of the service provided., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Place of death (UK), description=The location at which the subject died and any variance from their preferred place of death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Place of death, description=The place at which the patient died., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Patient died at home  [The patient died at home.]
  • Patient died in hospice  [The patient died in a hospice.]
  • Patient died in community hospital  [The patient died in a community hospital.]
  • Patient died in hospital  [The patient died in a hospital.]
  • Patient died in nursing home  [The patient died in a nursing home.]
  • Patient died in care home  [The patient died in a care home.]
  • Patient died in residential institution NOS  [The patient died in a residential institution not otherwise specified.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Location details, description=Details of the organisation or location at which the patient died., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1]/data[at0001]/items[at0013], code=at0013, itemType=CLUSTER, level=3, text=Variance from preference, description=Details of the extent to which the patient's place of death varied from their expressed preference., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1]/data[at0001]/items[at0013]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Achievement of preference, description=Did the person achieve their preferred place of death?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • First choice place of death achieved  [The patient achieved their first choice of place of death.]
  • Choice of place of death not achieved  [The patient did not achieve their choice of place of death.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.care_plan.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Other']/items[openEHR-EHR-ADMIN_ENTRY.place_of_death_uk.v1]/data[at0001]/items[at0013]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Reason for variance, description=The reason why the patient's choice of death was not achieved., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]