ARCHETYPE Advance care directive (openEHR-EHR-EVALUATION.advance_care_directive.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.advance_care_directive.v0
ConceptAdvance care directive
DescriptionA framework to communicate the preferences of an individual for future medical treatment or end-of-life care.
UseA framework to communicate the preferences of an individual for future medical treatment or end-of-life care. Advance care directive may also be known as living will, advance directive, advance decision, advance decision to refuse treatment, personal directive, advance healthcare directive, or medical directive. An individual with capacity may create an advance care directive to record their preferences for medical care and treatment in advance, which is intended to guide decision-making in future situations in which the individual is unable to make or communicate decisions. An advance care directive is commonly used to refuse life-sustaining treatment which may include, but is not limited to, cardiopulmonary resuscitation (CPR), clinically assisted nutrition and hydration, artificial or mechanical ventilation, and antibiotics for life-threatening infections. In addition, it could include preferences and instructions for future health care, living arrangements and personal matters. This archetype has been specifically designed to hold a nested advance care directive details CLUSTER archetype, which will contain specific details as per national or other local requirements. In some countries, an advance care directive is legally persuasive without having an official legal status. In others it is a legally-binding document, and it MUST be ensured that the Advance Care Directive archetype and any nested archetypes adhere to relevant legal requirements.
MisuseNot to be used to record organ donation preferences. Use specific archetypes for this purpose. Not to be used to record details of a Power of Attorney or other legal representative/proxy. Use specific archetypes for this purpose.
PurposeA framework to communicate the preferences of an individual for future medical treatment or end-of-life care.
ReferencesAdvanceDirective-v3.1(2019EN) - Zorginformatiebouwstenen [Internet]. Zibs.nl. 2020 [cited 2020 Feb 17]. Available from: https://zibs.nl/wiki/AdvanceDirective-v3.1(2019EN)

Advance Decision (Living Will) pack | Compassion in Dying [Internet]. Compassion in Dying. 2019 [cited 2019 Nov 28]. Available from: https://compassionindying.org.uk/library/advance-decision-pack/

Goals of Care Designation Order | Alberta Health Services [Internet]. Albertahealthservices.ca. 2020 [cited 2020 Feb 17]. Available from: https://www.albertahealthservices.ca/frm-103547.pdf

UpToDate [Internet]. Uptodate.com. 2020 [cited 2020 Feb 17]. Available from: https://www.uptodate.com/contents/discussing-goals-of-care
Copyright© openEHR Foundation, Apperta Foundation
AuthorsAuthor name: Heidi Koikkalainen
Organisation: NES Digital Service, Edinburgh Napier University
Email: hk.koikkalainen@gmail.com
Date originally authored: 2019-10-23
Other Details LanguageAuthor name: Heidi Koikkalainen
Organisation: NES Digital Service, Edinburgh Napier University
Email: hk.koikkalainen@gmail.com
Date originally authored: 2019-10-23
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=Apperta UK, references=AdvanceDirective-v3.1(2019EN) - Zorginformatiebouwstenen [Internet]. Zibs.nl. 2020 [cited 2020 Feb 17]. Available from: https://zibs.nl/wiki/AdvanceDirective-v3.1(2019EN) Advance Decision (Living Will) pack | Compassion in Dying [Internet]. Compassion in Dying. 2019 [cited 2019 Nov 28]. Available from: https://compassionindying.org.uk/library/advance-decision-pack/ Goals of Care Designation Order | Alberta Health Services [Internet]. Albertahealthservices.ca. 2020 [cited 2020 Feb 17]. Available from: https://www.albertahealthservices.ca/frm-103547.pdf UpToDate [Internet]. Uptodate.com. 2020 [cited 2020 Feb 17]. Available from: https://www.uptodate.com/contents/discussing-goals-of-care, current_contact=Heidi Koikkalainen, hk.koikkalainen@gmail.com, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=C6AD35AA18292324128BF8F2A93917F4, build_uid=cd048318-2392-43af-81b3-5aad0ec333c1, revision=0.0.1-alpha}
Keywordsliving, will, advance, advanced, directive, decision, legal, preference, EoL, DNR, DNACPR
Lifecyclein_development
UID0ce0b823-3570-4e2d-80e2-1fb3ca75ab4d
Language useden
Citeable Identifier1051.32.960
Revision Number0.0.1-alpha
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    • Present [The individual has an advance care directive.]
    • Absent [The individual does not have an advance care directive.]
    • Unknown [It is not known whether the individual has an advance care directive.]
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All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0058]/items[at0060], code=at0060, itemType=SLOT, level=3, text=Multimedia representation, description=Digital image, video or diagram representing the advance care directive., comment=For example, 'www.dropbox.com/myadvancecaredirective'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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