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Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.7.15(EN)|1|AdvanceDirective-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.AdvanceDirective''' link=Zib of versie niet gevonden-v4.2(2022NL)
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Nieuwe pagina

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.7.15(EN)|1|AdvanceDirective-v4.2(2022EN)}}

==General information==
Name: '''nl.zorg.AdvanceDirective''' [[Bestand:NL.png|link=Zib of versie niet gevonden-v4.2(2022NL)]] 
Version: '''4.2''' 
HCIM Status:Final 
Release: '''2022''' 
Release status: Prepublished 
Release date: 15-10-2023

{{ErrataEN|2022|{{PAGENAME}}}}

-----
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==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||25-10-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.7.15
|-
|style="width:250px; "|DCM::KeywordList||wilsverklaring
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Wilsverklaring
|-
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||17-10-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Wilsverklaring-v4.1
|-
|style="width:250px; "|DCM::Version||4.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (01-04-2015)
{|
Issue summaries niet beschikbaar 
Bevat: ZIB-91, ZIB-213, ZIB-214, ZIB-308, ZIB-356.
|}

Incl. algemene wijzigingsverzoeken:
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016)
Bevat: ZIB-453.

Publicatieversie 3.1 (04-09-2017)
Bevat: ZIB-564, ZIB-574.

Publicatieversie 3.1.1 (01-09-2020)
Bevat: ZIB-1004, ZIB-937.

Publicatieversie 4.0 (01-12-2021)
Bevat: ZIB-1173.

Publicatieversie 4.1 (10-06-2022)
Bevat: ZIB-1557, ZIB-1587, ZIB-1597, ZIB-1683.

Publicatieversie 4.2 (15-10-2023)
Bevat: ZIB-2103.
</div>

==Concept==
An advance directive (also known as living will) is a verbal or written description of the patient’s wishes with regard to future medical action or end of their life. A living will is mainly used for situations in which the patient is no longer able to speak about these decisions with their healthcare provider. 
 
The option to select 'Verklaring donorschap' as 'WilsverklaringType' within the HCIM has been removed as this information is registered in a national register and access to this information is subject to strict requirements. See www.donorregister.nl

==Purpose==
A good overview of the patient’s wishes is important. A healthcare provider can use the living will to discuss the existing wishes with the persons involved and to incorporate these wishes in their own policy. A concise, orderly list is of particular importance in acute care situations.

==Evidence Base==
The list with types of living wills was developed in close consultation with the Dutch Patient and Consumer Federation (NPCF), the Dutch Association for Voluntary End of Life (NVVE) and the Dutch Patient Organization (NPV). 
 
The list of types matches the living wills for which the various associations offer examples on their websites. 
 
In the pre-release 2021-2, "Verklaring donorschap" was set to deprecated, because legally this information may only be viewed in the event of the patient's death under strict conditions in a national register.

==Information Model==
 
<imagemap> Bestand:AdvanceDirective-v4.2Model(2022EN).png | center
rect 540 215 648 285 [[#339]]
rect 426 93 555 163 [[#338]]
rect 187 92 295 162 [[Problem-v4.6(2022EN)]]
rect 425 333 553 403 [[#335]]
rect 295 451 461 501 [[#TypeOfLivingWillCodelist]]
rect 308 215 416 285 [[#334]]
rect 185 335 293 405 [[ContactPerson-v3.5(2022EN)]]
rect 77 215 188 285 [[#841]]
rect 521 453 695 503 [[#LivingWillTypeSnomedCodelist]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:7.15.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]AdvanceDirective
|
|Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:7.15.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]LivingWillType
|1
|The type of living will.
|
|
{|
|-
|[[Bestand: List2.png | link=#LivingWillTypeSnomedCodelist]]||[[#LivingWillTypeSnomedCodelist|LivingWillTypeSnomedCodelist]]
|-
|[[Bestand: List2.png | link=#TypeOfLivingWillCodelist]]||[[#TypeOfLivingWillCodelist|TypeOfLivingWillCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:7.15.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]LivingWillDate
|1
|The date on which the living will was recorded.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:7.15.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Disorder::Problem
|0..*
|The problem or disorder to which the living will applies.
|
|
{|
|-
|[[Bestand: block.png | link=Problem-v4.6(2022EN)]]||[[Problem-v4.6(2022EN) |Problem]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:7.15.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Representative::ContactPerson
|0..*
|The person who is the legal representative or is appointed as the authorized representative in the signed authorization.
|
|
{|
|-
|[[Bestand: block.png | link=ContactPerson-v3.5(2022EN)]]||[[ContactPerson-v3.5(2022EN) |ContactPerson]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]
||NL-CM:7.15.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]LivingWillDocument
|0..1
|Scanned source document with the living will and the patient's signature, such as a PDF.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:7.15.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v4.2(NL)_Voorbeeld.docx
==References==
1. NPCF - Wilsverklaring [Online] Beschikbaar op: https://www.patientenfederatie.nl/themas/wilsverklaring/wat-hoe [Geraadpleegd: 15 juni 2020].

2. Wilsverklaringen van de NVVE [Online] Beschikbaar op: https://nvve.nl/index.php?cID=307 [Geraadpleegd: 15 juni 2020].

3. NPV - Levenswensverklaring [Online] Beschikbaar op: https://npvzorg.nl/levenswensverklaring/ [Geraadpleegd: 15 juni 2020].

== Valuesets ==
=== LivingWillTypeSnomedCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.15.2
|Binding: Extensible
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Do not attempt cardiopulmonary resuscitation order
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11281000146108 11281000146108]
|SNOMED CT
|2.16.840.1.113883.6.96
|Reanimerenverklaring
|-style="vertical-align:top; "
|Power of attorney medical report
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=186065003 186065003]
|SNOMED CT
|2.16.840.1.113883.6.96
|Medische volmacht
|-style="vertical-align:top; "
|Treat ban
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11301000146109 11301000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|Niet-behandelverklaring
|-style="vertical-align:top; "
|Verbal appointment (note) [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11351000146105 11351000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|Notitie van mondelinge afspraak
|-style="vertical-align:top; "
|Euthanasia request [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11321000146101 11321000146101]
|SNOMED CT
|2.16.840.1.113883.6.96
|Euthanasieverzoek
|-style="vertical-align:top; "
|Euthanasia request with addition Dementia
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11331000146104 11331000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|Euthanasieverzoek met aanvulling van dementie
|-style="vertical-align:top; "
|Living will
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1264561001 1264561001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Levenswensverklaring
|-style="vertical-align:top; "
|Living will [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160861000146101 160861000146101]
|SNOMED CT
|2.16.840.1.113883.6.96
|Levenswensverklaring
|-style="vertical-align:top; "
|Self-binding directive
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160881000146109 160881000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|Zelfbindingsverklaring
|-style="vertical-align:top; "
|Declaration of body donation to science
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160871000146107 160871000146107]
|SNOMED CT
|2.16.840.1.113883.6.96
|Verklaring terbeschikkingstelling aan wetenschap
|-style="vertical-align:top; "
|Treat ban with addition Completed Life
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11311000146106 11311000146106]
|SNOMED CT
|2.16.840.1.113883.6.96
|Niet-behandelverklaring met aanvulling van voltooid leven
|}
=== TypeOfLivingWillCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1
|Binding: Deprecated
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Niet reanimeren verklaring [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten NR]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Niet reanimeren verklaring
|-style="vertical-align:top; "
|Volmacht [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VOL]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Volmacht
|-style="vertical-align:top; "
|Behandelverbod [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VERB]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Behandelverbod
|-style="vertical-align:top; "
|Behandelverbod met aanvulling Voltooid Leven [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VERBVL]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Behandelverbod met aanvulling Voltooid Leven
|-style="vertical-align:top; "
|Mondelinge afspraak [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten MON]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Mondelinge afspraak
|-style="vertical-align:top; "
|Euthanasieverzoek [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten EU]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Euthanasieverzoek
|-style="vertical-align:top; "
|Euthanasieverzoek met aanvulling Dementie [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten EUD]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Euthanasieverzoek met aanvulling Dementie
|-style="vertical-align:top; "
|Levenswensverklaring [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten LW]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Levenswensverklaring
|-style="vertical-align:top; "
|Verklaring donorschap [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten DO]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Verklaring donorschap [DEPRECATED]
|-style="vertical-align:top; "
|Zelfbindingsverklaring [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten ZB]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Zelfbindingsverklaring
|-style="vertical-align:top; "
|Verklaring ter beschikkingstelling aan de wetenschap [DEPRECATED]
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten VBW]
|WilsverklaringType
|2.16.840.1.113883.2.4.3.11.60.40.4.14.1
|Verklaring ter beschikkingstelling aan de wetenschap
|-style="vertical-align:top; "
|Other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Anders
|}
Note: This value list is no longer avalid choice and will become obsolete in the next release.

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.7.15(EN)|2|2022}}

==Information model references==
====This information model refers to====
*[[ContactPerson-v3.5(2022EN)|ContactPerson-v3.5]]
*[[Problem-v4.6(2022EN)|Problem-v4.6]]
====This information model is used in====
*[[TreatmentDirective2-v2.0(2022EN)|TreatmentDirective2-v2.0]]
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2022|7.15}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2022|Wilsverklaring}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.AdvanceDirective-v4.2(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.AdvanceDirective-v4.2(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Pre-release 2022-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.76</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 26/03/2024 11:44:02 with ZibExtraction v. 9.3.8851.20230 
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AdvanceDirective-v4.2(2022EN) - Bewerkingsoverzicht

Update bot op 27 mrt 2024 om 10:28

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Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.7.15(EN)|1|AdvanceDirective-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.AdvanceDirective''' link=Zib of versie niet gevonden-v4.2(2022NL) Version: '''4.2''' HCIM Status:Final Release...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.7.15(EN)|1|AdvanceDirective-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.AdvanceDirective''' link=Zib of versie niet gevonden-v4.2(2022NL)
Version: '''4.2'''
HCIM Status:Final
Release...'