0.2.2 - ci-build

FastAccessControl, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.2.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/awatson1978/fhir-access-control-ig/ and changes regularly. See the Directory of published versions

Questionnaire: leap-dnr (Experimental)

Official URL: http://34.94.253.50:8080/hapi-fhir-jpaserver/fhir/Questionnaire/leap-dnr Version: 0.2.2
Active as of 1970-01-01 Computable Name:

Generated Narrative: Questionnaire leap-dnr

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttp://34.94.253.50:8080/hapi-fhir-jpaserver/fhir/Questionnaire/leap-dnr#0.2.2
... 1GENERAL INFORMATION AND INSTRUCTIONS: A Prehospital Medical Care Directive is a document signed by you and your doctor that informs emergency medical technicians (EMTs) or hospital emergency personnel not to resuscitate you. Sometimes this is called a DNR – Do Not Resuscitate. If you have this form, EMTs and other emergency personnel will not use equipment, drugs, or devices to restart your heart or breathing, but they will not withhold medical interventions that are necessary to provide comfort care or to alleviate pain.0..1group
... 1.1In the event of cardiac or respiratory arrest, I refuse any resuscitation measures including cardiac compression, endotracheal intubation and other advanced airway management, artificial ventilation, defibrillation, administration of advanced cardiac life support drugs and related emergency medical procedures. 0..1boolean
... 2If I am unable to communicate my wishes, and I have designated a Health Care Power of Attorney, my elected Health Care agent shall sign0..1group
... 2.1Name of Healthcare Power of Attorney or Agent0..1string
... 2.2Healthcare Power of Attorney or Agent Signature Acquired0..1boolean
... 3Information about my Doctor and Hospice0..1group
... 3.1Physician Name0..1string
... 3.2Phone Number0..1string
... 3.3Hospic program, if applicable(name)0..1string
... 4SIGNATURE OF DOCTOR OR OTHER HEALTH CARE PROVIDER0..1group
... 4.1I have explained this form and its consequences to the signer and obtained assurance that the signer understands that death may result from any refused care listed above.0..1boolean
... 4.2Signature of Physician or Healthcare provider acquired0..1boolean
... 5SIGNATURE OF WITNESS OR NOTARY (NOT BOTH)0..1group
... 5.1I was present when this form was signed (or marked). The patient then appeared to be of sound mind and free from duress.0..1boolean

doco Documentation for this format