1. EHR System Function and Information Model (EHR-S FIM is based on EHR-S FM R2.0) CPS Manage Patient Advance Directives aka DC in EHR-S FM R1.1
, facilitator
January 25, 2012, original
February 11, 2012, last updated
Call for Participation
This work is being done by the HL7 EHR Interoperability Work-group,
meeting every Tuesday at 4PM ET, dial-in: , Passcode: #
 The most current artifacts are at:
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2. CPS.1.7.2 Manage Patient Advance Directives
Statement: The purpose of this function is to capture and maintain patient advance directives.
Description: Patient advance directives and provider Do Not Resuscitate (DNR ) orders are captured, as well as the date and circumstances under which the directives were received, and the location of any paper or electronic advance directive documentation.
Example: (Notional Scenario) During an encounter, a health care professional might manage a patient’s advanced directives, according to scope of practice, organizational policy and/or jurisdictional law.
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3. CPS.1.7.2 Manage Patient Advance Directives Activity Model
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4. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Conceptual Information Model (CIM)
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5. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Conceptual Data Model (CDM)
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6. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Requirements-Traceability to Data
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7. CPS.1.7.2 Manage Patient Advance Directives “See Also” Dependencies
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8. Action Verb Hierarches
Manage (Data)
Capture
Maintain
Render
Exchange
Determine
Manage- Data- Visibility
Auto-Populate
Enter
Import
Receive
Store
Update
Remove
Extract
Present
Transmit
Export
Analyze
Decide
De-Identify
Hide
Mask
Re-Identify
Unhide
Unmask
Archive
Backup
Decrypt
Encrypt
Recover
Restore
Save
Annotate
Attest
Edit
Harmonize
Integrate
Link
Tag
Delete
Purge
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9. DRAFT WORKING DOCUMENT
Archive
Old slides
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10. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Conceptual Object Model (COM)
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11. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Conceptual Object Model (COM)
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12. CPS.1.7.2 Manage Patient Advance Directives Requirements
The system SHALL provide the ability to manage advance directive information including the type of directive, relevant dates (e.g., received, reviewed, rescinded, updated), circumstances under which the directives were received, and the location of any paper or electronic advance directive documentation.
1. The system SHALL render an indication that advance directive(s) have been captured.
2. The system SHALL provide the ability to render the type of advance directives captured for the patient (e.g., living will, durable power of attorney, preferred interventions for known conditions, or the existence of a "Do Not Resuscitate" order).
3. The system SHALL provide the ability to manage “Do Not Resuscitate” orders.
4. The system SHOULD conform to function CPS.2.4 (Support Externally Sourced Clinical Images) in order to capture scanned patient advance directive documents and/or “Do Not Resuscitate” orders.
5. The system SHALL provide the ability to manage the date and circumstances of the most recent review of the advanced directives.
6. The system SHALL provide the ability to manage the name and relationship of the principal completing the advance directive for the patient.
The system SHALL provide the ability to manage the date and/or time an advance directives paper document was signed/completed.
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13. CPS.1.7.2 Manage Patient Advance Directives Dependencies
CP.1.8 Capture and maintain patient and family preferences. (DC.1.3.1)
CPS Provide information on relationships by genealogy. (S.3.5.1)
CPS Provide information on relationships by living situation. Examples of living situations include college dormitory, military deployment, in same household. (S.3.5.3)
CPS Provide information on patient relationships that are represented other than by genealogy, insurance or living situation. (S.3.5.4)
CPS Create, maintain, and verify patient decisions (such as informed consent for treatment and authorization/consent for disclosure). (DC.1.3.3)
OVERARCHING:
Trust Infrastructure
Record Infrastructure
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14. DRAFT WORKING DOCUMENT
CPS Manage Patient Advance Directives Requirements-Traceability to Activities
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