From: Evaluation of an initiative to improve advance care planning for a home-based primary care service
Documentation of key element on EMR | Description |
Frailty stage documenteda | Documentation on EMR of assigned frailty stage using the Clinical Frailty Scale (8) informed by Collaborative Comprehensive Geriatric Assessment. |
Substitute decision-maker documenteda | Documentation on EMR of the patient’s substitute decision-makerb or formal representative, if available. |
Resuscitation decision documenteda | Documentation on EMR of patient decision with regards to resuscitation in the event of a cardiopulmonary arrest. |
Hospitalization decision documenteda | Documentation on EMR of patient decision with regards to hospitalization in the event of a health crisis. |
Expressed preferences | Description |
Expressed preference for do-not-resuscitate | The resuscitation decision expresses a preference for do-not-resuscitate (versus resuscitate). |
Expressed preference for do-not-hospitalize | The hospitalization decision expresses a preference for do-not-hospitalize (versus hospitalize) in the event of an acute care crisis. |