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October 29, 2021

Would a patient that has a refusal for blood products due to religious reasons prior to arrival and then noted on their chart stating the same be considered Advanced Directive Limited Care “written request limiting life-sustaining therapy”?

The current definition for Advanced Directive Limited Care states “the patient had a written request limiting life-sustaining therapy, or similar advanced directive, present prior to arrival at your center.” If the refusal for blood products due to religious reasons was documented in the patient’s chart prior to arrival at your center, I recommend capturing this pre-existing. If there was no documentation prior to patient arrival at your center, I recommend not capturing.  “Prior to patient arrival” is defined as present on their person on arrival or already on file at your center.

Note that this definition will be changing significantly for 2022 admissions. Happy to explore this same scenario further if it arises again in the future.

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