Advanced directive options

Currently there is Yes, No, Not applicable, and Unknown as options. We have to show in the chart, we have offered in the case a patient has declined to fill one out. So we need one of these added: refused, declined, or offered. This is a mandate in California and we cannot pass an audit when we have do not have an option for those declined , so we can pass state audit requirements. Most of our patients refused or decline to fill one out, and we cannot show this in the system. This is easy as adding one more letter to the drop down list.