Data Dictionary for Care (DD4C)

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Subset Name
Advance decision to refuse treatment preference findings
Subset Original ID
Subset Type
Realm Concept
Refset FSN
Advance decision to refuse treatment preference findings simple reference set (foundation metadata concept)
Refset ID
Refset Type
Subset Description
Codes to record ADRT preferences for Advance care planning in accordance with the MCA 2005. An advance decision to refuse treatment (ADRT) is a decision to refuse a specific treatment made in advance by a person who has capacity to do so. This decision only applies at a future time when that person lacks capacity to consent to, or refuse, the specified treatment.
Subset Status
Subset Status Date 01 Oct 2014
Owner (Organisation Name)
NHS Digital;
Usage Type
Usage Description
To alert those caring for a person are aware that the person has made decisions regarding their future care in the event that they lose capacity.

The National End of Life Care Intelligence Network, hosted by Public Health England, has undertaken widespread consultation and is in the process of updating ISB1580 following formal withdrawal of support for the Liverpool Care Pathway. The related message specification and value sets have been updated and a number of subsets have been created to support this requirement. Many of them will be useful for other purposes and thus where wider utility is expected the names do not reference �end of life care�.
Geographic Usage
Usage Category
Assessment; Finding; Messaging Interoperability; Reference set by clinical information component; User interface;
Inclusion Criteria
Age group - any age; Gender - not specified; Sex - not specified;
Subject Category
Health Care;
Subset Release Category
UK Clinical Extension
Folder Name
File Name
Subset Licence Type
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
Metadata Version
Last Updated 31 May 2018