archetype (adl_version=1.4; uid=c4953c98-27d8-44c9-b8ab-3b9f737c9dc9) openEHR-EHR-EVALUATION.advance_decision_refuse_treatment_uk.v0 concept [at0000] -- Advance decision to refuse treatment language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"Ocean Informatics, UK"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"2013-10-11"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so."> use = <"To record an advance decision to refuse treatment (ADRT) , a decision to refuse a specific treatment, made in advance by a person who has capacity to do so."> keywords = <"DNACPR", "resuscitation", "EoL", "directive", "preference"> misuse = <"This archetype should not be used to convey the results of other advanced directives, patient preferences or resusciation activity *e.g. suction) which falls short of full cardio-pulminary resuscitation."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> 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"] = <"Information Standards Board ISB Data Dictionary Available at http://www.datadictionary.nhs.uk/ End of Life Care Co-ordination: Core Content Standard Specification Available at http://www.isb.nhs.uk/documents/isb-1580/amd-29-2012/index_html NHS Scotland Key Information Summary Leeds ePaccs team"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"4C0105F95195E251690601377EBD2F2D"> ["build_uid"] = <"dbd63b50-2fe6-442f-a685-34f4a61da5f4"> ["revision"] = <"0.0.1-alpha"> > definition EVALUATION[at0000] matches { -- Advance decision to refuse treatment data matches { ITEM_TREE[at0001] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0003] occurrences matches {0..1} matches { -- Decision status value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0004, -- Advanced decision to refuse treatment signed at0005, -- Has advance decision to refuse treatment (Mental Capacity Act 2005) at0022, -- Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005) at0028] -- Advanced directive not signed } } } } ELEMENT[at0002] occurrences matches {0..1} matches { -- Date of decision value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Informal carer awareness of decision value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0025, -- Informal carer not aware of advanced directive at0026] -- Informal carer aware of advanced directive } } } } ELEMENT[at0021] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } protocol matches { ITEM_TREE[at0010] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0013] occurrences matches {0..1} matches { -- Discussion with healthcare professional value matches { DV_CODED_TEXT matches { defining_code matches {[local::at0027]} -- Decision to refuse treatment discussed with healthcare professional } } } ELEMENT[at0011] occurrences matches {0..1} matches { -- Location of advance directive documentation value matches { DV_TEXT matches {*} DV_URI matches {*} } } } } } } ontology terminologies_available = <"READ2", "RCD99", "SNOMED-CT"> term_definitions = < ["en"] = < items = < ["at0000"] = < 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."> > ["at0001"] = < text = <"Tree"> description = <"@ internal @"> > ["at0002"] = < text = <"Date of decision"> description = <"The date at which the DNACPR decision was originally taken or last reviewed."> > ["at0003"] = < text = <"Decision status"> description = <"The state of the decision to refuse treatment."> > ["at0004"] = < text = <"Advanced decision to refuse treatment signed"> description = <"The subject has signed an advanced decision to refuse treatment."> > ["at0005"] = < text = <"Has advance decision to refuse treatment (Mental Capacity Act 2005)"> description = <"The subject has signed an advance decision to refuse treatment (Mental Capacity Act 2005)."> > ["at0010"] = < text = <"Tree"> description = <"@ internal @"> > ["at0011"] = < text = <"Location of advance directive documentation"> description = <"The location of the original advanced directive document, either a text description or an electronic link."> > ["at0012"] = < text = <"Informal carer awareness of decision"> description = <"Is the informal carer, or carers, aware of the advanced directive?"> > ["at0013"] = < text = <"Discussion with healthcare professional"> description = <"Has the advanced directive been discussed with a healthcare professional?"> > ["at0021"] = < text = <"Comment"> description = <"Other narrative comment pertinent to the advanced directive."> > ["at0022"] = < text = <"Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005)"> description = <"The subject has signed an advance decision to refuse life sustaining treatment (Mental Capacity Act 2005)."> > ["at0025"] = < text = <"Informal carer not aware of advanced directive"> description = <"The informal carer is not aware of the subject's advanced directive."> > ["at0026"] = < text = <"Informal carer aware of advanced directive"> description = <"The informal carer is aware of the subject's advanced directive."> > ["at0027"] = < text = <"Decision to refuse treatment discussed with healthcare professional"> description = <"The subject has discussed their decision to refuse treatment with a healthcare professional."> > ["at0028"] = < text = <"Advanced directive not signed"> description = <"The subject has not signed and advance directive or has rescinded an early directive."> > > > > term_bindings = < ["READ2"] = < items = < ["at0004"] = <[READ2::9x2..]> ["at0005"] = <[READ2::9NgG.]> ["at0022"] = <[READ2::9NgG0]> ["at0027"] = <[READ2::9NgK.]> > > ["RCD99"] = < items = < ["at0004"] = <[RCD99::XaVy8]> ["at0005"] = <[RCD99::XaYld]> ["at0022"] = <[RCD99::XaYle]> ["at0027"] = <[RCD99::XaYv4]> > > ["SNOMED-CT"] = < items = < ["at0005"] = <[SNOMED-CT::816301000000100]> ["at0022"] = <[SNOMED-CT::816321000000109]> ["at0027"] = <[SNOMED-CT::820621000000107]> > > >