Resuscitation status


Parameter Case Report Form and Response Options

Do-not-resuscitate-order Yes No Unknown
For resuscitation

This profile constrains the FHIR Consent resource to cover the do-not-resuscitate order of a patient.

Consent.scope is the type of consent and shall have a fixed value of 'adr' for Advanced Care Directive.

Consent.category further specifies the scope of this consent. It has a fixed value of 'dnr' for 'Do Not Resuscitate'.

Consent.provision.code contains the content of this consent in coded form. This can be set to Yes - For resuscitation or No - Not for resuscitation. If the content is unknown, the dataAbsentReason Extension can be used and set to 'unknown'.


Profile - Do-Not-Resuscitate Order

Snapshot

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/do-not-resuscitate-order

identifierΣ0..*Identifier
statusΣ ?!1..1codeBinding
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
patientS Σ I1..1Reference(Patient)
dateTimeS Σ1..1dateTime
performerΣ I0..*Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)
organizationΣ I0..*Reference(Organization)
sourceAttachmentAttachment
sourceReferenceReference(Consent | DocumentReference | Contract | QuestionnaireResponse)
authorityI0..1uri
uriI0..1uri
policyRuleΣ I0..1CodeableConceptBinding
verifiedΣ1..1boolean
verifiedWithI0..1Reference(Patient | RelatedPerson)
verificationDate0..1dateTime
typeΣ0..1codeBinding
periodΣ I0..1Period
role1..1CodeableConceptBinding
referenceI1..1Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)
actionΣ0..*CodeableConcept
securityLabelΣ0..*CodingBinding
purposeΣ0..*CodingBinding
classΣ0..*CodingBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataPeriodΣ I0..1Period
meaningΣ1..1codeBinding
referenceΣ I1..1Reference(Resource)
provision0..*see (provision)


ValueSets

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/resuscitation-status

ValueSet 'DoNotResuscitateOrder'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Do-not-resuscitate (DNR) order in the context of Covid-19

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:


Examples

DNR-order For resuscitation
Example consent DNR-order

{
    "resourceType": "Consent",
    "id": "do-not-resuscitate-order-for-resuscitation",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/do-not-resuscitate-order"
        ]
    },
    "scope": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                "code": "adr",
                "display": "Advanced Care Directive"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
                    "code": "dnr",
                    "display": "Do Not Resuscitate"
                }
            ]
        }
    ],
    "status": "active",
    "patient": {
        "reference": "Patient/gecco-patient"
    },
    "dateTime": "2021-09-01",
    "policy":  [
        {
            "uri": "https://www.aerzteblatt.de/archiv/65440/DNR-Anordnungen-Das-fehlende-Bindeglied"
        }
    ],
    "provision": {
        "code":  [
            {
                "coding":  [
                    {
                        "code": "304252001",
                        "system": "http://snomed.info/sct",
                        "display": "For resuscitation"
                    }
                ]
            }
        ]
    }
}


DNR-order Not For resuscitation
Example consent DNR-order

{
    "resourceType": "Consent",
    "id": "do-not-resuscitate-order-not-for-resuscitation",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/do-not-resuscitate-order"
        ]
    },
    "scope": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                "code": "adr",
                "display": "Advanced Care Directive"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
                    "code": "dnr",
                    "display": "Do Not Resuscitate"
                }
            ]
        }
    ],
    "status": "active",
    "patient": {
        "reference": "Patient/gecco-patient"
    },
    "dateTime": "2021-09-01",
    "policy":  [
        {
            "uri": "https://www.aerzteblatt.de/archiv/65440/DNR-Anordnungen-Das-fehlende-Bindeglied"
        }
    ],
    "provision": {
        "code":  [
            {
                "coding":  [
                    {
                        "code": "304253006",
                        "system": "http://snomed.info/sct",
                        "display": "Not for resuscitation"
                    }
                ]
            }
        ]
    }
}


DNR-order Status Unknown
Example consent DNR-order

{
    "resourceType": "Consent",
    "id": "do-not-resuscitate-order-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/do-not-resuscitate-order"
        ]
    },
    "scope": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                "code": "adr",
                "display": "Advanced Care Directive"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
                    "code": "dnr",
                    "display": "Do Not Resuscitate"
                }
            ]
        }
    ],
    "status": "active",
    "patient": {
        "reference": "Patient/gecco-patient"
    },
    "dateTime": "2021-09-01",
    "policy":  [
        {
            "uri": "https://www.aerzteblatt.de/archiv/65440/DNR-Anordnungen-Das-fehlende-Bindeglied"
        }
    ],
    "provision": {
        "code":  [
            {
                "coding":  [
                    {
                        "code": "261665006",
                        "system": "http://snomed.info/sct",
                        "display": "Unknown"
                    }
                ]
            }
        ]
    }
}