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<regulation prefix="Regulation" num=".02" citation="COMAR 10.01.21.02" title_num="10" subtitle_num="01" chapter_num="21" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Advance directive” has the meaning stated in Health-General Article, §5-601(b), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Assisted living program” has the meaning stated in COMAR 10.07.14.02.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Health care” has the meaning stated in Health-General Article, §4-301(f), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Health care agent” means an agent as defined in Health-General Article, §5-601(c), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Health Care Decisions Act” means Health-General Article, §§5-601—5-618, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Health care facility” has the meaning stated in Health-General Article, §5-608.1(a), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Health care provider” has the meaning stated in Health-General Article, §5-601(l), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Home health agency” has the meaning stated in COMAR 10.07.10.02.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Hospice” means a hospice care program as defined in COMAR 10.07.21.02.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Hospital” has the meaning stated in Health-General Article, §19-301(f), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Kidney dialysis center” has the meaning stated in COMAR 10.05.04.01</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Medical record” has the meaning stated in Health-General Article, §4-301(i), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Nurse practitioner” has the meaning stated in Health-General Article, §5-601(p), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Nursing home” means a comprehensive care facility or extended care facility as defined in COMAR 10.07.02.01.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>Patient.</text>
      <paragraph num="(a)">
        <text>Except as provided in §(20)(b), “patient” has the meaning stated in Health-General Article, §4-301(k), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Patient” does not include someone:</text>
        <paragraph num="(i)">
          <text>Whose primary diagnosis for the current treatment is a psychiatric disorder, except for dementia, delirium, or mental disorders due to a medical condition;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Whose primary diagnosis is related to a current pregnancy; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Who is younger than 18 years old and who is unlikely to require a life-sustaining treatment.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>“Physician” has the meaning stated in Health-General Article, §5-601(r), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Physician assistant” has the meaning stated in Health-General Article, §5-601(s), Annotated Code of Maryland</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Practitioner” means a physician, nurse practitioner, or physician assistant.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Substantial change in health status” means a change in a patient’s health or functional status that:</text>
      <paragraph num="(a)">
        <text>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</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is not a temporary change that is self-limited.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(25)">
      <text>“Surrogate” means an individual who makes health care decisions for a patient pursuant to Health-General Article, §5-605, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
</regulation>