Update bot op 24 dec 2018 om 11:10

2018-12-24T11:10:03Z

← Oudere versie		Versie van 24 dec 2018 13:10
Regel 142:		Regel 142:
	==Information Model==		==Information Model==
	<BR>		<BR>
	<imagemap> Bestand:TreatmentDirective-v3.0Model(EN).png \| center		<imagemap> Bestand:TreatmentDirective-v3.0Model(2016EN).png \| center
	rect 541 430 647 500 [[AdvanceDirective-v3.0(2016EN)]]		rect 541 430 647 500 [[AdvanceDirective-v3.0(2016EN)]]
	rect 214 116 355 166 [[#TreatmentCodelist]]		rect 214 116 355 166 [[#TreatmentCodelist]]
Regel 476:		Regel 476:
	The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>		The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 10:14:29 with ZibExtraction v. 3.0.~~6928~~.~~1309~~<!--ftDate--> <BR>		This page is generated on 21/12/2018 15:38:18 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 12:40

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Update bot op 24 jan 2018 om 23:13

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Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.TreatmentDirective''' link=BehandelAanwijzing-v3.0(2016NL)
Version: '''3.0'''
HCIM Status:Fi...'

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==General information==
Name: '''nl.zorg.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v3.0(2016NL)]] 
Version: '''3.0''' 
HCIM Status:Final 
Publication: '''2016''' 
Release status: Published 
Publication date: 1-5-2016
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

==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||2.16.840.1.113883.2.4.3.11.60.40.3.2.1
|-
|style="width:250px; "|DCM::KeywordList||advance directives, behandel aanwijzing, wilsverklaring, behandelbeperking
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.BehandelAanwijzing
|-
|style="width:250px; "|DCM::PublicationDate||1-5-2016
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||22-5-2015
|-
|style="width:250px; "|DCM::Superseeds||nl.nfu.BehandelAanwijzing-v1.0.1
|-
|style="width:250px; "|DCM::Version||3.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-82 | ZIB-82 ]]
|OverdrachtBehandelAanwijzing v1.1
|-
|style="width:75px; "|[[ZIBIssues#ZIB-91 | ZIB-91 ]]
|Opsplitsen OverdrachtBehandelAanwijzing in OverdrachtWilsverklaring en OverdrachtBehandelAanwijzing, incl. uitbreiding WilsverklaringTypeCodelijst.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-133 | ZIB-133 ]]
|Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst BehandelingCodelijst n.a.v. review terminologie expert.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-134 | ZIB-134 ]]
|Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst GeverifieerdBijCodelijst n.a.v. review terminologie expert.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-213 | ZIB-213 ]]
|In klinische bouwsteen OverdrachtBehandelAanwijzing de waarde van DCM::Name aanpassen van <<DCM>> nl.nfu. ... naar nl.nfu. ....
|-
|style="width:75px; "|[[ZIBIssues#ZIB-215 | ZIB-215 ]]
|De naam van gekoppelde waardenlijst BehandelingToegestaan is onjuist in de bouwsteen OverdrachtBehandelAanwijzing, dit zou BehandelingToegestaanCodelijst moeten zijn.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|}

Incl. algemene wijzigingsverzoeken:
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}

Publicatieversie 1.0.1 (22-05-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-386 | ZIB-386 ]]
|De GeverifeerdBijCodelijst heeft geen "OID: " aanduiding in de onderliggende codelijst.
|}

Publicatieversie 3.0 (01-05-2016)
{|
|}
.
</div>

==Concept==
A treatment instruction includes an agreed constraint in the treatment based on the oral or written living will of the patient.

==Purpose==
A good overview of treatment instructions based on the wishes of the patient or their authorized representative on (un)desired treatments is important in a patient’s care. A concise, orderly list is of particular importance in acute care situations. Due to the large variety of symptoms, the situation concerns not only a CPR setting, but also cases in which the patient’s condition rapidly worsens as a result of existing symptoms. 
A healthcare provider consulting this information can discuss these existing treatment instructions with the patient, the patient’s family or the patient’s authorized representative and possibly include the instructions in their policy. 

==Evidence Base==
Explanation for TreatmentCodeList: 
In discussions on constraints in the therapeutic treatment of patients with a chronic neurological or respiratory condition, respiration is sometimes included as a separate restriction. The ‘Respiration’ item is to be seen separately from the decisions on CPR. 

==Information Model==
 
[[Bestand: TreatmentDirective-v3.0Model(EN).png | center]]
 
{| 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]]
||NL-CM:2.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]TreatmentInstruction
|
|Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px]]
||NL-CM:2.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]Verification
|0..*
|Container of the Verification concept. This container contains all data elements of the Verification concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px]]
||NL-CM:2.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Verified
|1
|Indication of the fact that the treatment instruction has been verified with the patient, the patient’s family and/or the patient's authorized representative.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:2.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]VerifiedWith
|0..*
|The person with whom the treatment instruction was discussed and verified.
|
|
{|
|-
|[[Bestand: List2.png]]||[[#VerifiedWithCodelist|VerifiedWithCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:2.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]VerificationDate
|0..1
|Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:2.1.3
|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]]Treatment
|0..1
|The medical treatment to which the treatment instruction applies.
|
{|
|-
| 50731006 Medical procedure (procedure)
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#TreatmentCodelist|TreatmentCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:2.1.4
|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]]TreatmentPermitted
|1
|Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
|
|
{|
|-
|[[Bestand: List2.png]]||[[#TreatmentPermittedCodelist|TreatmentPermittedCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:2.1.5
|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]]Constraints
|0..1
|The constraints or specific circumstances that apply to a certain treatment.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:2.1.6
|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]]StartDate
|0..1
|Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:2.1.7
|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]]EndDate
|0..1
|Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted.
If the validity duration of the treatment instruction cannot be expressed as a date, such as “until discharge from hospital”, it can be included in the Explanation concept.

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:2.1.15
|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]]Explanation
|0..1
|Comments on the treatment instruction such as a written description of an end date which can be indicated as a date (“until discharge from hospital”).
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:2.1.14
|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]]LivingWill::LivingWill
|0..*
|A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter.
|
|
{|
|-
|[[Bestand: block.png]]||[[AdvanceDirective-v3.0(2016EN) |AdvanceDirective]]
|}
|}
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''

{|class="wikitable" width="772px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 24%; color: #FFFFFF; font-weight: bold; "|Behandeling
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|Behandeling Toegestaan
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|Beperkingen
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|GeverifieerdBij
| style="background-color: #1F497D; width: 15%; color: #FFFFFF; font-weight: bold; "|Verificatie Datum
|-style=vertical-align:top;
| style="width: 24%; "|Opname op Intensive Care
| style="width: 21%; "|Ja
| style="width: 21%; "|
| style="width: 21%; "|gevolmachtigde
| style="width: 15%; "|11-9-2012
|-style=vertical-align:top;
| style="width: 24%; "|
| style="width: 21%; "|
| style="width: 21%; "|
| style="width: 21%; "|
| style="width: 15%; "|
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 24%; color: #FFFFFF; font-weight: bold; "|Behandeling
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|Behandeling Toegestaan
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|Beperkingen
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|GeverifieerdBij
| style="background-color: #1F497D; width: 15%; color: #FFFFFF; font-weight: bold; "|Verificatie Datum
|-style=vertical-align:top;
| style="width: 24%; "|Cardiopulmonaire resuscitatie
| style="width: 21%; "|Ja, maar met beperkingen
| style="width: 21%; "|eerst overleg met echtgenote
| style="width: 21%; "|patiënt
| style="width: 15%; "|11-9-2012
|}

== Valuesets ==
=== TreatmentCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Admission to intensive care unit (procedure)
|305351004
|SNOMED CT
|2.16.840.1.113883.6.96
|Opname op intensive care
|-style="vertical-align:top; "
|Cardiopulmonary resuscitation (procedure)
|89666000
|SNOMED CT
|2.16.840.1.113883.6.96
|Cardiopulmonaire resuscitatie
|-style="vertical-align:top; "
|Artificial respiration (procedure)
|40617009
|SNOMED CT
|2.16.840.1.113883.6.96
|Kunstmatige beademing
|-style="vertical-align:top; "
|Administration of blood product (procedure)
|116762002
|SNOMED CT
|2.16.840.1.113883.6.96
|Toediening van een bloedproduct
|-style="vertical-align:top; "
|Other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Overige behandelingen, namelijk (in vrije tekst meegeven)
|}

=== TreatmentPermittedCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Ja
|JA
|NL-CM-CS
|2.16.840.1.113883.2.4.3.11.60.40.4
|Behandeling is toegestaan en/of wenselijk.
|-style="vertical-align:top; "
|Ja, maar met beperkingen
|JA_MAAR
|NL-CM-CS
|2.16.840.1.113883.2.4.3.11.60.40.4
|Behandeling toegestaan en/of wenselijk maar met beperkingen die dan ook vermeld moeten worden
|-style="vertical-align:top; "
|Nee
|NEE
|NL-CM-CS
|2.16.840.1.113883.2.4.3.11.60.40.4
|Behandeling niet toegestaan en/of wenselijk
|}

=== VerifiedWithCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.4
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Patient
|116154003
|SNOMED CT
|2.16.840.1.113883.6.96
|Patiënt
|-style="vertical-align:top; "
|Parent
|40683002
|SNOMED CT
|2.16.840.1.113883.6.96
|Ouder
|-style="vertical-align:top; "
|Guardian
|394619001
|SNOMED CT
|2.16.840.1.113883.6.96
|Voogd
|-style="vertical-align:top; "
|Holder of enduring power of attorney
|8601000146109
|SNOMED CT
|2.16.840.1.113883.6.96
|Gevolmachtigde
|-style="vertical-align:top; "
|Other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Anders, namelijk (in vrije tekst meegeven)
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.2.1] 
This information model is also available as [[Media:nl.zorg.TreatmentDirective-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.TreatmentDirective-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release summer 2016 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 01:18:44 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

TreatmentDirective-v3.0(2016EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:10

Update bot op 20 dec 2018 om 12:40

Update bot op 24 jan 2018 om 23:13

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.TreatmentDirective''' link=BehandelAanwijzing-v3.0(2016NL) Version: '''3.0''' HCIM Status:Fi...'

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.TreatmentDirective''' link=BehandelAanwijzing-v3.0(2016NL)
Version: '''3.0'''
HCIM Status:Fi...'