Table 1 Descriptive Characteristics of Participating Patients Patient Age Sex Origin of referral Diagnosis 1 72 M Oncology Lung cancer 7 DNR, pain management 2 65 F Oncology Pancreatic cancer 8 Symptom control (anxiety, bloating, pain) 3 77 M Intensive care Leukaemia 1 Symptom control (pain, shortness of breath) 4 84 F Oncology Breast cancer 7 Place of care, radiotherapy, surgery 5 54 F Family physician Lung cancer 14 Anticoagulation, antidepressants, DNR, oxygen therapy, place of care, radiotherapy, symptom control (pain, lymphedema, shortness of breath) 6 70 F Local health services centre 4 Diagnostic test, DNR, gastrostomy, place of care 7 67 M Family physician Melanoma, hip fracture 6 Pain management, place of care, surgery 8 76 M Oncology Esophageal cancer 8 Antibiotics, gastrostomy, place of care 9 54 M Emergency care Lung cancer 1 Radiotherapy, symptom control (anxiety, shortness of breath) 10 88 F Local health services centre Uterine cancer 2 Blood transfusions, DNR, place of care, radiotherapy Lung cancer, COPD, heart failure Consultations Decisions observed observed 11 66 F Oncology Lung cancer, COPD 5 Neurological tests, pleural taps / drain, symptom control (pain, shortness of breath) 12 80 M Oncology Colon cancer, atrial fibrillation 8 Anticoagulation, chemotherapy, diuretics 13 76 M Oncology Brain cancer 1 DNR, diagnostic tests 14 62 F Oncology Bile duct cancer 2 Antibiotics, anxiety management 15 61 M Emergency care Stomach cancer, heart attack 1 Anticoagulation, place of care 16 71 F Local health services centre Lung cancer 4 DNR, pain management, place of care 17 76 F Family physician Breast cancer, COPD, heart failure 9 Constipation, diuretics, DNR, pain management, place of care, urinary catheters 18 62 F Family physician Lung cancer, vertebral fracture 13 Anticoagulation, antibiotics, chemotherapy, DNR, imaging tests, pain management, place of care