Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 01 - PROCEDURES › Chapter 10.01.21 - Medical Orders for Life-Sustaining Treatment (MOLST) Form - Procedures and Requirements › Section 10.01.21.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Advance directive" has the meaning
				  stated in Health-General Article, §5-601(b), Annotated Code of
				  Maryland.
(2) "Assisted living
				  program" has the meaning stated in COMAR 10.07.14.02.
(3) "Authorized decision maker" means the
				  health care agent, guardian of the person, or surrogate decision maker who is
				  making health care decisions on behalf of a patient in accordance with the
				  Health Care Decisions Act, Health-General Article, §§5-601-5-618,
				  Annotated Code of Maryland.
(4)
				  "EMS DNR order" means an emergency medical services do not resuscitate order as
				  defined in Health-General Article, §5-601(i), Annotated Code of
				  Maryland.
(5) "Guardian of the
				  person" means a person appointed by a court to be a guardian of the person of a
				  disabled individual in accordance with Estates and Trusts Article, §
											13-705, Annotated
				  Code of Maryland.
(6) "Health care"
				  has the meaning stated in Health-General Article, §4-301(f), Annotated
				  Code of Maryland.
(7) "Health care
				  agent" means an agent as defined in Health-General Article, §5-601(c),
				  Annotated Code of Maryland.
(8)
				  "Health Care Decisions Act" means Health-General Article,
				  §§5-601-5-618, Annotated Code of Maryland.
(9) "Health care facility" has the meaning
				  stated in Health-General Article, §5-608.1(a), Annotated Code of
				  Maryland.
(10) "Health care
				  provider" has the meaning stated in Health-General Article, §5-601(l),
				  Annotated Code of Maryland.
(11)
				  "Home health agency" has the meaning stated in COMAR 10.07.10.02.
(12) "Hospice" means a hospice care program
				  as defined in COMAR 10.07.21.02.
(13) "Hospital" has the meaning stated in
				  Health-General Article, §19-301(f), Annotated Code of Maryland.
(14) "Kidney dialysis center" has the meaning
				  stated in COMAR
				  10.05.04.01
(15) "Medical Orders for Life-Sustaining
				  Treatment (MOLST) form" means the form required to be developed pursuant to
				  Health-General Article, §5-608.1, Annotated Code of Maryland.
(16) "Medical record" has the meaning stated
				  in Health-General Article, §4-301(i), Annotated Code of
				  Maryland.
(17) "Minor" means an
				  individual younger than 18 years old who is not married, not the parent of a
				  child, and not otherwise authorized by law to consent to medical
				  treatment.
(18) "Nurse
				  practitioner" has the meaning stated in Health-General Article, §5-601(p),
				  Annotated Code of Maryland.
(19)
				  "Nursing home" means a comprehensive care facility or extended care facility as
				  defined in COMAR 10.07.02.01.
(20)
				  Patient.
(a) Except as provided in
				  §(20)(b), "patient" has the meaning stated in Health-General Article,
				  §4-301(k), Annotated Code of Maryland.
(b) "Patient" does not include someone:
(i) Whose primary diagnosis for the current
				  treatment is a psychiatric disorder, except for dementia, delirium, or mental
				  disorders due to a medical condition;
(ii) Whose primary diagnosis is related to a
				  current pregnancy; or
(iii) Who is
				  younger than 18 years old and who is unlikely to require a life-sustaining
				  treatment.
(21) "Physician" has the meaning stated in
				  Health-General Article, §5-601(r), Annotated Code of Maryland.
(22) "Physician assistant" has the meaning
				  stated in Health-General Article, §5-601(s), Annotated Code of
				  Maryland
(23) "Practitioner" means
				  a physician, nurse practitioner, or physician assistant.
(24) "Substantial change in health status"
				  means a change in a patient's health or functional status that:
(a) Demonstrates an improvement or decline in
				  the patient's status that requires the need for interdisciplinary review or
				  revision of the patient's health care; and
(b) Is not a temporary change that is
				  self-limited.
(25)
				  "Surrogate" means an individual who makes health care decisions for a patient
				  pursuant to Health-General Article, §5-605, Annotated Code of
				  Maryland.