archetype (adl_version=1.4; uid=2b452f2a-3b40-400d-a00a-32a0b7ab3981) openEHR-EHR-ACTION.informed_consent.v1 concept [at0000] -- Informed Consent language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"09-10-2012"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record the status of a request for, or record of, informed consent prior to performing a procedure, clinical trial or healthcare-related activity."> use = <"Use to record the status of an order to obtain informed consent, including what is planned, scheduled, requested, provided, or withdrawn. This archetype has been designed to be a framework that will be adequate for requesting and recording a simple consent, but allow for additional details to be optionally added within the 'Details' SLOT to meet the specific requirements of a more complex clinical scenario. For example, additional consent details can be included using the CLUSTER.consent_details archetype. Other archetypes can be developed and optionally included in the same SLOT for the purpose of recording specific details about the procedure, trial or activity. The status of the informed consent is reflected by the pathway steps - requested, refused, provided, withdrawn etc."> keywords = <"consent", "informed", "caveat"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"published"> other_contributors = <> other_details = < ["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"] = <"ASTM Standard E2369 - 05, \"Standard Specification for Continuity of Care Record (CCR)\", ASTM International, West Conshohocken, PA, 2003, DOI: 10.1520/E2369-05E02, www.astm.org."> ["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"891C98343B723EC63601C525D7E4CA53"> ["build_uid"] = <"cf78b78d-52c7-4034-9e2b-59e1af044728"> ["revision"] = <"1.0.0"> > definition ACTION[at0000] matches { -- Informed Consent ism_transition matches { ISM_TRANSITION[at0013] matches { -- Planned current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::526]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0013]} -- Planned } } } ISM_TRANSITION[at0019] matches { -- Postponed current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::527]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0019]} -- Postponed } } } ISM_TRANSITION[at0018] matches { -- Cancelled current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::528]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0018]} -- Cancelled } } } ISM_TRANSITION[at0027] matches { -- Appointment Scheduled current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::529]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0027]} -- Appointment Scheduled } } } ISM_TRANSITION[at0014] matches { -- Informed Consent Requested current_state matches { DV_CODED_TEXT matches { defining_code matches { [openehr:: 245, 526] } } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0014]} -- Informed Consent Requested } } } ISM_TRANSITION[at0015] matches { -- Informed Consent Provided current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::245]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0015]} -- Informed Consent Provided } } } ISM_TRANSITION[at0021] matches { -- Informed Consent Not Obtained current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::245]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0021]} -- Informed Consent Not Obtained } } } ISM_TRANSITION[at0016] matches { -- Informed Consent Refused current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::531]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0016]} -- Informed Consent Refused } } } ISM_TRANSITION[at0017] matches { -- Informed Consent Withdrawn current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::531]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0017]} -- Informed Consent Withdrawn } } } ISM_TRANSITION[at0022] matches { -- Completed current_state matches { DV_CODED_TEXT matches { defining_code matches {[openehr::532]} } } careflow_step matches { DV_CODED_TEXT matches { defining_code matches {[local::at0022]} -- Completed } } } } description matches { ITEM_TREE[at0001] matches { -- Tree items cardinality matches {1..*; unordered} matches { ELEMENT[at0002] occurrences matches {1..*} matches { -- Procedure/Trial/Activity value matches { DV_TEXT matches {*} } } ELEMENT[at0030] occurrences matches {0..1} matches { -- Procedure/Trial/Activity Description value matches { DV_TEXT matches {*} } } ELEMENT[at0031] occurrences matches {0..1} matches { -- Intent value matches { DV_TEXT matches {*} } } ELEMENT[at0011] occurrences matches {0..1} matches { -- Consent Description value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0003] occurrences matches {0..*} matches { -- Details include archetype_id/value matches {/openEHR-EHR-CLUSTER\.consent_details(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.procedure_details(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0004] occurrences matches {0..1} matches { -- Form of Consent value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0005, -- Written at0006] -- Verbal } } } } ELEMENT[at0007] occurrences matches {0..1} matches { -- Reason value matches { DV_TEXT matches {*} } } ELEMENT[at0008] occurrences matches {0..1} matches { -- Start Date value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0009] occurrences matches {0..1} matches { -- End Date value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0010] occurrences matches {0..*} matches { -- Caveat value matches { DV_TEXT matches {*} } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Evidence of Consent value matches { DV_MULTIMEDIA matches { media_type matches { [openEHR:: 387, 388, 389, 390, 391, 392, 393, 394, 395, 396, 397, 398, 399, 400, 409, 410, 411, 412, 413, 425, 426, 427, 428, 429, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 401, 402, 404, 405, 406, 407, 414] } } } } } } } protocol matches { ITEM_TREE[at0024] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0025] occurrences matches {0..1} matches { -- Consent Document Used value matches { DV_TEXT matches {*} } } ELEMENT[at0026] occurrences matches {0..1} matches { -- Review Date value matches { DV_DATE_TIME matches {*} } } allow_archetype CLUSTER[at0028] occurrences matches {0..*} matches { -- Consent Requester include archetype_id/value matches {/.*/} } allow_archetype CLUSTER[at0029] occurrences matches {0..*} matches { -- Consent Provider include archetype_id/value matches {/.*/} } CLUSTER[at0033] occurrences matches {0..*} matches { -- Patient Information items cardinality matches {1..*; unordered} matches { ELEMENT[at0032] occurrences matches {0..1} matches { -- Name value matches { DV_TEXT matches {*} } } ELEMENT[at0035] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0034] occurrences matches {0..*} matches { -- Multimedia Representation value matches { DV_MULTIMEDIA matches { media_type matches { [openEHR:: 387, 388, 389, 390, 391, 392, 393, 394, 395, 396, 397, 398, 399, 400, 409, 410, 411, 412, 413, 425, 426, 427, 428, 429, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 401, 402, 404, 405, 406, 407, 414] } } } } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Informed Consent"> description = <"Record of status and details of informed consent from a patient (or patient's agent) for a proposed procedure, trial or other healthcare-related activity (including treatments and investigations), based upon a clear appreciation and understanding of the facts, implications, and possible future consequences by the patient or patient's agent."> > ["at0001"] = < text = <"Tree"> description = <"@ internal @"> > ["at0002"] = < text = <"Procedure/Trial/Activity"> description = <"Identification of the procedure, clinical trial or healthcare-related activity (including correct side/correct site, where appropriate) against which the consent status and details are recorded."> > ["at0003"] = < text = <"Details"> description = <"Additional structured details about the procedure/trial/activity itself or additional structured consent details."> comment = <"For example: intent/purpose; anaesthetic details; disclosure of material risks; and proposed benefits discussed."> > ["at0004"] = < text = <"Form of Consent"> description = <"Form of the consent sought or provided."> > ["at0005"] = < text = <"Written"> description = <"Format of the consent is written."> > ["at0006"] = < text = <"Verbal"> description = <"Format of the consent is verbal."> > ["at0007"] = < text = <"Reason"> description = <"Reason that the care pathway step for the identified procedure, clinical trial or healthcare-related activity was carried out."> comment = <"For example, the reason for 'consent refused' or 'consent withdrawn'."> > ["at0008"] = < text = <"Start Date"> description = <"Date, and optional time, when validity of the informed consent becomes active."> > ["at0009"] = < text = <"End Date"> description = <"Date, and optional time, when validity of the informed consent ceased."> > ["at0010"] = < text = <"Caveat"> description = <"Details of any qualifications or exemptions to the informed consent."> > ["at0011"] = < text = <"Consent Description"> description = <"Narrative description of the informed consent required or recorded prior to performing the proposed procedure, clinical trial or healthcare-related activity."> > ["at0012"] = < text = <"Evidence of Consent"> description = <"Evidence of consent status."> comment = <"For example, audio of consent being requested or image of written consent obtained."> > ["at0013"] = < text = <"Planned"> description = <"Need for informed consent is identified."> > ["at0014"] = < text = <"Informed Consent Requested"> description = <"Informed consent has been requested from the patient or patient's agent, but no response has been received."> > ["at0015"] = < text = <"Informed Consent Provided"> description = <"Informed consent has been provided by the patient or patient's agent."> > ["at0016"] = < text = <"Informed Consent Refused"> description = <"In response to a request for informed consent, it has been refused by patient or patient's agent."> > ["at0017"] = < text = <"Informed Consent Withdrawn"> description = <"Following initial provision of informed consent, it has been withrawn by the patient or patient's agent."> > ["at0018"] = < text = <"Cancelled"> description = <"Intent to request informed consent has been cancelled, prior to requesting consent from patient or patient's agent.."> > ["at0019"] = < text = <"Postponed"> description = <"Intent to request informed consent has been postponed."> > ["at0021"] = < text = <"Informed Consent Not Obtained"> description = <"Informed consent was not obtainable from either the patient or patient's advocate."> > ["at0022"] = < text = <"Completed"> description = <"Informed consent has been provided by the patient or patient's agent and the activity is now complete."> > ["at0024"] = < text = <"Tree"> description = <"@ internal @"> > ["at0025"] = < text = <"Consent Document Used"> description = <"Identification of the consent form or document used."> > ["at0026"] = < text = <"Review Date"> description = <"Date when consent status is due for review."> > ["at0027"] = < text = <"Appointment Scheduled"> description = <"An appointment has been scheduled to request consent."> > ["at0028"] = < text = <"Consent Requester"> description = <"Details about the healthcare provider who is requesting or recording the consent."> comment = <"Insert archetyped demographic details in this SLOT if it is not possible to use other_participations."> > ["at0029"] = < text = <"Consent Provider"> description = <"Details about the subject (or subject's agent) who is being requested for, or providing, the consent for the procedure, clinical trial or healthcare-related activity."> comment = <"Insert archetyped demographic details in this SLOT if it is not possible to use other_participations."> > ["at0030"] = < text = <"Procedure/Trial/Activity Description"> description = <"Narrative description of the procedure, clinical trial or healthcare-related activity."> > ["at0031"] = < text = <"Intent"> description = <"Description of the intent of the procedure, clinical trial or healthcare-related activity."> > ["at0032"] = < text = <"Name"> description = <"Identification of the information made available."> comment = <"For example, the name of the form."> > ["at0033"] = < text = <"Patient Information"> description = <"Details about Patient Information made available to the subject or subject's agent."> > ["at0034"] = < text = <"Multimedia Representation"> description = <"Digital representation of the Patient Information made available."> > ["at0035"] = < text = <"Description"> description = <"Narrative description of the patient information made available."> > > > >