ARCHETYPE Informed consent request (openEHR-EHR-INSTRUCTION.informed_consent_request.v0)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.informed_consent_request.v0
ConceptInformed consent request
DescriptionRequest or instruction to gain and record informed consent from a subject (or the subject's agent) for a proposed procedure, trial or other healthcare-related activity (including treatments and investigations), based upon a clear appreciation and understanding of the facts, implications, and possible future consequences by the subject (or the subject's agent).
UseUse to record a formal request or instruction to gain and record informed consent from a subject (or the subject's agent) for a proposed procedure, trial or other healthcare-related activity. This may need to be recorded as a formal instruction when part of a care plan or ahead of time when there is a distributed care team preparing a patient for a procedure, trial or activity to be performed in a different physical environment. This archetype has been designed to be a framework that will be adequate for ordering or requesting a simple informed consent, but allow for additional details to be optionally added within the 'Details' SLOT to meet the specific requirements of a more complex clinical scenario. For example, additional consent details can be included using the CLUSTER.consent_details archetype. Other archetypes can be developed and optionally included in the same SLOT for the purpose of including specific details about the procedure, trial or activity.
PurposeTo record a formal request or instruction to gain and record informed consent from a subject (or the subject's agent) for a proposed procedure, trial or other healthcare-related activity.
ReferencesASTM Standard E2369 - 05, "Standard Specification for Continuity of Care Record (CCR)", ASTM International, West Conshohocken, PA, 2003, DOI: 10.1520/E2369-05E02, www.astm.org.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2012-10-09
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2012-10-09
Other Details (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: openEHR Foundation
  • References: ASTM Standard E2369 - 05, "Standard Specification for Continuity of Care Record (CCR)", ASTM International, West Conshohocken, PA, 2003, DOI: 10.1520/E2369-05E02, www.astm.org.
  • Current Contact: Heather Leslie, Atomica Informatics
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 4405B4E8EB3A5E4A99CA68AFA23F7992
  • Build Uid: 48c7eeee-d848-4f55-bc78-a5c3b7ff3165
  • Revision: 0.0.1-alpha
Keywordsconsent, informed, trial, procedure, operation
Lifecyclein_development
UID1131bc6c-830c-4e5b-98aa-c63f23bfa3d6
Language useden
Citeable Identifier1246.145.2628
Revision Number0.0.1-alpha
activities
Current ActivityCurrent Activity: Current Activity.
Action Archetype ID:
openEHR-EHR-ACTION.informed_consent.v1
Proposed procedure/trial/activityProposed procedure/trial/activity: Identification of the index proposed procedure/trial/activity (including correct side/correct site, where appropriate).
DescriptionDescription: Narrative description of the proposed procedure, clinical trial or healthcare-related activity.
IntentIntent: Description of the intent of the proposed procedure, clinical trial or healthcare-related activity.
Consent descriptionConsent description: Narrative description of the informed consent required before performing the proposed procedure, clinical trial or healthcare-related activity.
DetailsDetails: Detailed information on the proposed procedure, clinical trial or healthcare-related activity, or indiviual component activities of the index procedure/trial/activity.
For example: intent/purpose; anaesthetic details; disclosure of material risks; and proposed benefits discussed.
Include:
openEHR-EHR-CLUSTER.consent_details.v1 and specialisations or
openEHR-EHR-CLUSTER.procedure_details.v1 and specialisations
Start dateStart date: Proposed start date, and optional time, for the proposed index procedure, clinical trial or healthcare-related activity.
Date consent requiredDate consent required: Date, and optional time, by which the consent is required.
protocol
Proposed consent documentProposed consent document: Identification of the consent form or document proposed for use.
Responsible providerResponsible provider: Healthcare provider who has oversight and responsibility for the procedure, clinical trial or healthcare-related activity.
Include:
openEHR-EHR-CLUSTER.organisation.v0 and specialisations or
openEHR-EHR-CLUSTER.individual_professional.v1 and specialisations
Proposed requesterProposed requester: Healthcare provider who is proposed to request consent from the subject.
Include:
openEHR-EHR-CLUSTER.individual_personal.v1 and specialisations or
openEHR-EHR-CLUSTER.individual_professional.v1 and specialisations or
openEHR-EHR-CLUSTER.organisation.v0 and specialisations
Patient informationPatient information: Details about Patient Information proposed to be made available to the subject or subject's agent.
NameName: Identification of the information to be made available.
DescriptionDescription: Narrative description of the patient information to be made available.
Multimedia representationMultimedia representation: Digital representation of the Patient Information to be made available.
Include:
openEHR-EHR-CLUSTER.multimedia.v0 and specialisations
ExtensionExtension: Additional information required to capture local content or to align with other reference models/formalisms.
For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Include:
All not explicitly excluded archetypes
Other contributors
Translators
  • Swedish: Emma Malm, Karolinska Universitetssjukhuset, emma.malm@cambio.se