Archetype : openEHR-EHR-EVALUATION.care_preference_uk

TEST Conditions

Name

Preferred priorities of care

Description

The subject's preferred priorities of care and 'What matters'.

Purpose

To record the patient's preferred locations of care, in the context of long-term condiitons or end of life care, and other special requests.

Use

Archetype Id

openEHR-EHR-EVALUATION.care_preference_uk.v0

Licencing

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/.

Original Author

Ian McNicoll
freshEHR

Date Originally Authored

2013-10-18

Name	Card	Type	Description
Care priority	0..*	DV_TEXT	A narrative statement by the patient on their preferred priorities of care. Comment In the UI, this should be represented as 'Considering the above priorities. what is most important to you? (optional)'.
Personal request or preference	0..*	DV_TEXT	Any other specifc personal request or preference, including cultural or religious preferences.
Preferred place of care	0..2	DV_CODED_TEXT	The patient's preferred place of care. Constraint for DV_CODED_TEXT Preferred place of care [The patient's preferred place of care (first choice).] Preferred place of care (second choice) [The patient's preferred place of care (second choice).]
Preferred place of care location	0..2	DV_CODED_TEXT	Details of the organisation/location of the preferred place of care. Constraint for DV_CODED_TEXT Preferred place of care location [Details of the organisation/location of the preferred place of care.] Preferred place of care (second choice) location details [Details of organisation/location of the second choice preference of place of care.]
Preferred place of death	0..2	DV_CODED_TEXT	The patient's preferred place of death. Constraint for DV_CODED_TEXT Preferred place of death [The patient's first choice preferred place of death.] Preferred place of death (second choice) [The patient's second choice preferred place of death.]
Preferred place of death location	0..2	DV_CODED_TEXT	Details of the organisation/location of the preferred place of death. Constraint for DV_CODED_TEXT Preferred place of death location [Details of the organisation/location of the preferred place of death.] Preferred place of death (second choice) location [Details of the organisation/location of the preferred place of death (second choice).]
Care priority scale	0..1	DV_COUNT	Indication on a scale of 1 - 100 of where priority for care should be. 1 indicates absolute priority on sustaining life (even at the expense of comfort) and 100 indicates absolute priority on comfort (even at the expense of sustaining life). Constraint for DV_COUNT min: >= 1; max: <= 100
Comment	0..1	DV_TEXT	Any additional comments about the subject's place of care preferences.
Other details	0..*	Slot (Cluster)	Other deails of personal preferences. Slot Slot

Name	Card	Type	Description
Date last updated	0..1	DV_DATE_TIME	The date that the preferences were first stated or last updated.

archetype (adl_version=1.4; uid=f275be39-6bc0-4899-82e2-2eb363bf37a3)
	openEHR-EHR-EVALUATION.care_preference_uk.v0

concept
	[at0000]	-- Preferred priorities of care
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Ian McNicoll">
		["organisation"] = <"freshEHR">
		["email"] = <"ian@freshehr.com">
		["date"] = <"2013-10-18">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the patient's preferred locations of care, in the context of long-term condiitons or end of life care, and other special requests.">
			use = <"">
			misuse = <"">
			copyright = <"© Apperta Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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 Foundaiton">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"UK Clinical Models">
		["custodian_namespace"] = <"uk.org.apperta">
		["MD5-CAM-1.0.1"] = <"40152D512B48468201F8792F0F35E147">
		["build_uid"] = <"a496e1f2-d585-4e2f-9a91-91ac399e8429">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {    -- Preferred priorities of care
		data matches {
			ITEM_TREE[at0001] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0038] occurrences matches {0..*} matches {    -- Care priority
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0030] occurrences matches {0..*} matches {    -- Personal request or preference
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0003] occurrences matches {0..2} matches {    -- Preferred place of care
						name matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0004,    -- Preferred place of care
									at0005]    -- Preferred place of care (second choice)
								}
							}
						}
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0006,    -- Preferred place of care - home
									at0007,    -- Preferred place of care - hospice
									at0008,    -- Preferred place of care - community hospital
									at0009,    -- Preferred place of care - hospital
									at0010,    -- Preferred place of care - nursing home
									at0011,    -- Preferred place of care - residential home
									at0012,    -- Preferred place of care - patient declined to participate
									at0013,    -- Preferred place of care - discussion not appropriate
									at0014]    -- Preferred place of care - patient unable to express preference
								}
							}
						}
					}
					ELEMENT[at0034] occurrences matches {0..2} matches {    -- Preferred place of care location
						name matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0034,    -- Preferred place of care location
									at0035]    -- Preferred place of care (second choice) location details
								}
							}
						}
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0015] occurrences matches {0..2} matches {    -- Preferred place of death
						name matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0027,    -- Preferred place of death
									at0028]    -- Preferred place of death (second choice)
								}
							}
						}
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0016,    -- Preferred place of death: home
									at0017,    -- Preferred place of death: hospice
									at0018,    -- Preferred place of death: community hospital
									at0019,    -- Preferred place of death: hospital
									at0020,    -- Preferred place of death: nursing home
									at0021,    -- Preferred place of death: residential home
									at0022,    -- Preferred place of death: patient unable to express preference
									at0023,    -- Preferred place of death discussed with patient
									at0024,    -- Preferred place of death: discussion not appropriate
									at0025,    -- Preferred place of death: patient undecided
									at0032,    -- Preferred place of death: patient declined discussion
									at0033]    -- Preferred place of death: usual place of residence
								}
							}
						}
					}
					ELEMENT[at0036] occurrences matches {0..2} matches {    -- Preferred place of death location
						name matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0036,    -- Preferred place of death location
									at0037]    -- Preferred place of death (second choice) location
								}
							}
						}
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0039] occurrences matches {0..1} matches {    -- Care priority scale
						value matches {
							DV_COUNT matches {
								magnitude matches {|1..100|}
							}
						}
					}
					ELEMENT[at0029] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0040] occurrences matches {0..*} matches {    -- Other details
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0031] matches {    -- Tree
				items cardinality matches {0..*; ordered} matches {
					ELEMENT[at0026] occurrences matches {0..1} matches {    -- Date last updated
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", "RCD99", "READ2">
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Preferred priorities of care">
					description = <"The subject's preferred priorities of care and 'What matters'.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Preferred place of care">
					description = <"The patient's preferred place of care.">
				>
				["at0004"] = <
					text = <"Preferred place of care">
					description = <"The patient's preferred place of care (first choice).">
				>
				["at0005"] = <
					text = <"Preferred place of care (second choice)">
					description = <"The patient's preferred place of care (second choice).">
				>
				["at0006"] = <
					text = <"Preferred place of care - home">
					description = <"The patient's preferred place of care is at home.">
				>
				["at0007"] = <
					text = <"Preferred place of care - hospice">
					description = <"The patient's preferred place of care is a hospice.">
				>
				["at0008"] = <
					text = <"Preferred place of care - community hospital">
					description = <"The patient's preferred place of care is a community hospital.">
				>
				["at0009"] = <
					text = <"Preferred place of care - hospital">
					description = <"The patient's preferred place of care is a  hospital.">
				>
				["at0010"] = <
					text = <"Preferred place of care - nursing home">
					description = <"The patient's preferred place of care is a nursing home.">
				>
				["at0011"] = <
					text = <"Preferred place of care - residential home">
					description = <"The patient's preferred place of care is a residential home.">
				>
				["at0012"] = <
					text = <"Preferred place of care - patient declined to participate">
					description = <"The patient has declined to offer a preferred place of care.">
				>
				["at0013"] = <
					text = <"Preferred place of care - discussion not appropriate">
					description = <"Discussion of preferred place of care is inappropriate.">
				>
				["at0014"] = <
					text = <"Preferred place of care - patient unable to express preference">
					description = <"The patient has been unable to express preference about place of care.">
				>
				["at0015"] = <
					text = <"Preferred place of death">
					description = <"The patient's preferred place of death.">
				>
				["at0016"] = <
					text = <"Preferred place of death: home">
					description = <"The patient's preferred place of death is at home.">
				>
				["at0017"] = <
					text = <"Preferred place of death: hospice">
					description = <"The patient's preferred place of death is in a hospice.">
				>
				["at0018"] = <
					text = <"Preferred place of death: community hospital">
					description = <"The patient's preferred place of death is in a community hospital.">
				>
				["at0019"] = <
					text = <"Preferred place of death: hospital">
					description = <"The patient's preferred place of death is in a hospital.">
				>
				["at0020"] = <
					text = <"Preferred place of death: nursing home">
					description = <"The patient's preferred place of death is in a nursing home.">
				>
				["at0021"] = <
					text = <"Preferred place of death: residential home">
					description = <"The patient's preferred place of death is in a residential home.">
				>
				["at0022"] = <
					text = <"Preferred place of death: patient unable to express preference">
					description = <"The patient is unable to express a preferred pace of death.">
				>
				["at0023"] = <
					text = <"Preferred place of death discussed with patient">
					description = <"Preferred place of death has been discussed with the patient.">
				>
				["at0024"] = <
					text = <"Preferred place of death: discussion not appropriate">
					description = <"Discussion of the patient's preferred place of death is inappropriate.">
				>
				["at0025"] = <
					text = <"Preferred place of death: patient undecided">
					description = <"The patient is undecided about their preferred place of death.">
				>
				["at0026"] = <
					text = <"Date last updated">
					description = <"The date that the preferences were first stated or last updated.">
				>
				["at0027"] = <
					text = <"Preferred place of death">
					description = <"The patient's first choice preferred place of death.">
				>
				["at0028"] = <
					text = <"Preferred place of death (second choice)">
					description = <"The patient's second choice preferred place of death.">
				>
				["at0029"] = <
					text = <"Comment">
					description = <"Any additional comments about the subject's place of care preferences.">
				>
				["at0030"] = <
					text = <"Personal request or preference">
					description = <"Any other specifc personal request or preference, including cultural or religious preferences.">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0032"] = <
					text = <"Preferred place of death: patient declined discussion">
					description = <"The patient declined discussion about their preferred place of death.">
				>
				["at0033"] = <
					text = <"Preferred place of death: usual place of residence">
					description = <"The patient's preferred place of death is their usual residence.">
				>
				["at0034"] = <
					text = <"Preferred place of care location">
					description = <"Details of the organisation/location of the preferred place of care.">
				>
				["at0035"] = <
					text = <"Preferred place of care (second choice) location details">
					description = <"Details of organisation/location of the second choice preference of place of care.">
				>
				["at0036"] = <
					text = <"Preferred place of death location">
					description = <"Details of the organisation/location of the preferred place of death.">
				>
				["at0037"] = <
					text = <"Preferred place of death (second choice) location">
					description = <"Details of the organisation/location of the preferred place of death (second choice).">
				>
				["at0038"] = <
					text = <"Care priority">
					description = <"A narrative statement by the patient on their preferred priorities of care.">
					comment = <"In the UI, this should be represented as 'Considering the above priorities. what is most important to you? (optional)'.">
				>
				["at0039"] = <
					text = <"Care priority scale">
					description = <"Indication on a scale of 1 - 100 of where priority for care should be. 1 indicates absolute priority on sustaining life (even at the expense of comfort) and 100 indicates absolute priority on comfort (even at the expense of sustaining life).">
				>
				["at0040"] = <
					text = <"Other details">
					description = <"Other deails of personal preferences.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0012"] = <[SNOMED-CT::766391000000108]>
				["at0015"] = <[SNOMED-CT::395091006]>
				["at0016"] = <[SNOMED-CT::819211000000102]>
				["at0022"] = <[SNOMED-CT::517111000000103]>
				["at0024"] = <[SNOMED-CT::517131000000106]>
				["at0025"] = <[SNOMED-CT::517161000000101]>
				["at0028"] = <[SNOMED-CT::395091006]>
				["at0032"] = <[SNOMED-CT::766391000000108]>
				["at0033"] = <[SNOMED-CT::819211000000102]>
			>
		>
		["RCD99"] = <
			items = <
				["at0006"] = <[RCD99::XaQTk]>
				["at0007"] = <[RCD99::XaJ3h]>
				["at0008"] = <[RCD99::XaQU4]>
				["at0009"] = <[RCD99::XaQU5]>
				["at0010"] = <[RCD99::XaJ3k]>
				["at0011"] = <[RCD99::XaQiX]>
				["at0012"] = <[RCD99::XaR7D]>
				["at0013"] = <[RCD99::XaQzr]>
				["at0016"] = <[RCD99::XaJ3g]>
				["at0017"] = <[RCD99::XaJ3h]>
				["at0018"] = <[RCD99::XaJ3i]>
				["at0019"] = <[RCD99::XaJ3j]>
				["at0022"] = <[RCD99::XaQzq]>
				["at0023"] = <[RCD99::XaIsy]>
				["at0024"] = <[RCD99::XaX2M]>
				["at0025"] = <[RCD99::XaQzt]>
				["at0033"] = <[RCD99::XaYsj]>
			>
		>
		["READ2"] = <
			items = <
				["at0006"] = <[READ2::8Ce0.]>
				["at0007"] = <[READ2::8Ce1.]>
				["at0008"] = <[READ2::8Ce2.]>
				["at0009"] = <[READ2::8Ce3.]>
				["at0010"] = <[READ2::94Z5.]>
				["at0011"] = <[READ2::8Ce5.]>
				["at0012"] = <[READ2::8CeB.]>
				["at0014"] = <[READ2::8CeA.]>
				["at0016"] = <[READ2::94Z1.]>
				["at0017"] = <[READ2::94Z2.]>
				["at0018"] = <[READ2::94Z3.]>
				["at0019"] = <[READ2::94Z4.]>
				["at0021"] = <[READ2::94ZC.]>
				["at0022"] = <[READ2::94Z6.]>
				["at0024"] = <[READ2::94Z7.]>
				["at0025"] = <[READ2::94Z8.]>
			>
		>
	>