TreatmentDirective-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
(5 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.2.1(EN)|1|TreatmentDirective-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v3.1(2017NL)]]<BR> | |||
Release status: | Version<!--hdVersion-->: '''3.1''' <br> | ||
HCIM Status<!--hdStatus-->:Final<br> | |||
Release<!--hdPublication-->: '''2017''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 31-12-2017 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
==Metadata== | ==Metadata== | ||
Regel 44: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.BehandelAanwijzing | |style="width:250px; "|DCM::Name||nl.zorg.BehandelAanwijzing | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds||nl.nfu.BehandelAanwijzing-v1.0.1 | |style="width:250px; "|DCM::Superseeds||nl.nfu.BehandelAanwijzing-v1.0.1 | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
<u>Publicatieversie 1.0</u> (01-04-2015) | <u>Publicatieversie 1.0</u> (01-04-2015) | ||
Regel 146: | Regel 149: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:TreatmentDirective-v3.1Model(2017EN).png | center | |||
rect 541 423 647 493 [[AdvanceDirective-v3.1(2017EN)]] | |||
rect 214 109 355 159 [[#TreatmentCodelist]] | |||
rect 168 313 357 363 [[#TreatmentPermittedCodelist]] | |||
rect 328 668 468 718 [[#VerifiedWithCodelist]] | |||
rect 341 420 461 490 [[#9189]] | |||
rect 210 559 299 627 [[#9190]] | |||
rect 509 559 598 627 [[#9192]] | |||
rect 726 306 832 376 [[#9197]] | |||
rect 726 132 832 202 [[#9195]] | |||
rect 726 219 832 289 [[#9196]] | |||
rect 209 207 356 277 [[#9194]] | |||
rect 335 559 467 627 [[#9191]] | |||
rect 436 226 556 296 [[#9188]] | |||
rect 437 98 557 170 [[#9193]] | |||
rect 726 393 832 463 [[#11754]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| 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="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="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--> | ||
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:2.1.1 | ||NL-CM:2.1.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: BehandelAanwijzing">[[Bestand: arrowdown.png | 10px]]TreatmentDirective</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=9188 Title="NL: BehandelAanwijzing">[[Bestand: arrowdown.png | 10px | link=]]TreatmentDirective</span> | ||
| | | | ||
|Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model. | |Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model. | ||
Regel 160: | Regel 180: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:2.1.8 | ||NL-CM:2.1.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Verificatie">[[Bestand: arrowdown.png | 10px]]Verification</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9189 Title="NL: Verificatie">[[Bestand: arrowdown.png | 10px | link=]]Verification</span> | ||
|0..* | |0..* | ||
|Container of the Verification concept. This container contains all data elements of the Verification concept. | |Container of the Verification concept. This container contains all data elements of the Verification concept. | ||
Regel 169: | Regel 189: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:2.1.9 | ||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: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Geverifieerd">[[Bestand: arrowright.png | 10px]]Verified</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9190 Title="NL: Geverifieerd">[[Bestand: arrowright.png | 10px | link=]]Verified</span> | ||
|1 | |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. | |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. | ||
Regel 179: | Regel 199: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:2.1.11 | ||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: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: GeverifieerdBij">[[Bestand: arrowright.png | 10px]]VerifiedWith</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9191 Title="NL: GeverifieerdBij">[[Bestand: arrowright.png | 10px | link=]]VerifiedWith</span> | ||
|0..* | |0..* | ||
|The person with whom the treatment instruction was discussed and verified. | |The person with whom the treatment instruction was discussed and verified. | ||
Regel 190: | Regel 210: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#VerifiedWithCodelist|VerifiedWithCodelist]] | |[[Bestand: List2.png | link=#VerifiedWithCodelist]]||[[#VerifiedWithCodelist|VerifiedWithCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:2.1.10 | ||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: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: VerificatieDatum">[[Bestand: arrowright.png | 10px]]VerificationDate</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9192 Title="NL: VerificatieDatum">[[Bestand: arrowright.png | 10px | link=]]VerificationDate</span> | ||
|0..1 | |0..1 | ||
|Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place. | |Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place. | ||
Regel 203: | Regel 223: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:2.1.3 | ||NL-CM:2.1.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Behandeling">[[Bestand: arrowright.png | 10px]]Treatment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9193 Title="NL: Behandeling">[[Bestand: arrowright.png | 10px | link=]]Treatment</span> | ||
|0..1 | |0..1 | ||
|The medical treatment to which the treatment instruction applies. | |The medical treatment to which the treatment instruction applies. | ||
Regel 212: | Regel 232: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=50731006 50731006] Medical procedure (procedure)</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#TreatmentCodelist|TreatmentCodelist]] | |[[Bestand: List2.png | link=#TreatmentCodelist]]||[[#TreatmentCodelist|TreatmentCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:2.1.4 | ||NL-CM:2.1.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: BehandelingToegestaan">[[Bestand: arrowright.png | 10px]]TreatmentPermitted</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9194 Title="NL: BehandelingToegestaan">[[Bestand: arrowright.png | 10px | link=]]TreatmentPermitted</span> | ||
|1 | |1 | ||
|Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. | |Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. | ||
Regel 230: | Regel 250: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#TreatmentPermittedCodelist|TreatmentPermittedCodelist]] | |[[Bestand: List2.png | link=#TreatmentPermittedCodelist]]||[[#TreatmentPermittedCodelist|TreatmentPermittedCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:2.1.5 | ||NL-CM:2.1.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Beperkingen">[[Bestand: arrowright.png | 10px]]Restrictions</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9195 Title="NL: Beperkingen">[[Bestand: arrowright.png | 10px | link=]]Restrictions</span> | ||
|0..1 | |0..1 | ||
|The restrictions or specific circumstances that apply to a certain treatment. | |The restrictions or specific circumstances that apply to a certain treatment. | ||
Regel 242: | Regel 262: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:2.1.6 | ||NL-CM:2.1.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: BeginDatum">[[Bestand: arrowright.png | 10px]]StartDate</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9196 Title="NL: BeginDatum">[[Bestand: arrowright.png | 10px | link=]]StartDate</span> | ||
|0..1 | |0..1 | ||
|Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted. | |Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted. | ||
Regel 251: | Regel 271: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:2.1.7 | ||NL-CM:2.1.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: EindDatum">[[Bestand: arrowright.png | 10px]]EndDate</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9197 Title="NL: EindDatum">[[Bestand: arrowright.png | 10px | link=]]EndDate</span> | ||
|0..1 | |0..1 | ||
|Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted. | |Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted. | ||
Regel 262: | Regel 282: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:2.1.15 | ||NL-CM:2.1.15 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11754 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |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”). | |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”). | ||
Regel 271: | Regel 291: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:2.1.14 | ||NL-CM:2.1.14 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Wilsverklaring">[[Bestand: arrowright.png | 10px]]AdvanceDirective</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9198 Title="NL: Wilsverklaring">[[Bestand: arrowright.png | 10px | link=]]AdvanceDirective</span> | ||
|0..* | |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. | |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. | ||
Regel 285: | Regel 305: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[AdvanceDirective-v3.1(2017EN) |AdvanceDirective]] | |[[Bestand: block.png | link=AdvanceDirective-v3.1(2017EN)]]||[[AdvanceDirective-v3.1(2017EN) |AdvanceDirective]] | ||
|} | |} | ||
|} | |} | ||
Columns Concept and DefinitionCode: hover over the values for more information<BR> | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> | ||
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] | ||
==Example Instances== | ==Example Instances== | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
{|class="wikitable" width="772px" style= "font-size: 9.5pt;" | {|class="wikitable" width="772px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #1F497D; width: 24%; color | | style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Behandel</b></font><font color=#FFFFFF><b>ing</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Behandeling </b></font><font color=#FFFFFF><b>T</b></font><font color=#FFFFFF><b>oegestaan</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Beperkingen</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Geverifieerd</b></font><font color=#FFFFFF><b>B</b></font><font color=#FFFFFF><b>ij</b></font> | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>Verificatie</b></font><font color=#FFFFFF><b> D</b></font><font color=#FFFFFF><b>atum</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 24%; "|Opname op Intensive Care | | style="width: 24%; "|Opname op Intensive Care | ||
Regel 314: | Regel 334: | ||
| style="width: 15%; "| | | style="width: 15%; "| | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #1F497D; width: 24%; color | | style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Behandel</b></font><font color=#FFFFFF><b>ing</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Behandeling </b></font><font color=#FFFFFF><b>T</b></font><font color=#FFFFFF><b>oegestaan</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Beperkingen</b></font> | ||
| style="background-color: #1F497D; width: 21%; color | | style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Geverifieerd</b></font><font color=#FFFFFF><b>B</b></font><font color=#FFFFFF><b>ij</b></font> | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>Verificatie</b></font><font color=#FFFFFF><b> D</b></font><font color=#FFFFFF><b>atum</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 24%; "|Cardiopulmonaire resuscitatie | | style="width: 24%; "|Cardiopulmonaire resuscitatie | ||
Regel 331: | Regel 351: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Admission to intensive care unit (procedure) | |Admission to intensive care unit (procedure) | ||
|305351004 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=305351004 305351004] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 347: | Regel 368: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Cardiopulmonary resuscitation (procedure) | |Cardiopulmonary resuscitation (procedure) | ||
|89666000 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=89666000 89666000] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 353: | Regel 374: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Artificial respiration (procedure) | |Artificial respiration (procedure) | ||
|40617009 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=40617009 40617009] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 359: | Regel 380: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Administration of blood product (procedure) | |Administration of blood product (procedure) | ||
|116762002 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116762002 116762002] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 370: | Regel 391: | ||
|Overige behandelingen, namelijk (in vrije tekst meegeven) | |Overige behandelingen, namelijk (in vrije tekst meegeven) | ||
|} | |} | ||
=== TreatmentPermittedCodelist=== | === TreatmentPermittedCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Ja | |Ja | ||
Regel 401: | Regel 422: | ||
|Behandeling niet toegestaan en/of wenselijk | |Behandeling niet toegestaan en/of wenselijk | ||
|} | |} | ||
=== VerifiedWithCodelist=== | === VerifiedWithCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Patient | |Patient | ||
|116154003 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116154003 116154003] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 421: | Regel 442: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Parent | |Parent | ||
|40683002 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=40683002 40683002] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 427: | Regel 448: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Guardian | |Guardian | ||
|394619001 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=394619001 394619001] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 433: | Regel 454: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Holder of enduring power of attorney | |Holder of enduring power of attorney | ||
|8601000146109 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8601000146109 8601000146109] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 445: | Regel 466: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.2.1(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.TreatmentDirective-v3.1( | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | *[[AdvanceDirective-v3.1(2017EN)|AdvanceDirective-v3.1]] | ||
This page is generated on 21/ | ====This information model is used in<!--ftReferredBy-->==== | ||
:-- | |||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | |||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | |||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.2.1&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | |||
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
This information model is also available as [[Media:nl.zorg.TreatmentDirective-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.TreatmentDirective-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | |||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | |||
This page is generated on 21/12/2018 14:08:57 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 24 dec 2018 om 12:04
General information
Name: nl.zorg.TreatmentDirective
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Kerngroep Registratie aan de Bron |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::CreationDate | 25-10-2012 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.2.1 |
DCM::KeywordList | advance directives, behandel aanwijzing, wilsverklaring, behandelbeperking |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.BehandelAanwijzing |
DCM::PublicationDate | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.nfu.BehandelAanwijzing-v1.0.1 |
DCM::Version | 3.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-04-2015)
ZIB-82 | OverdrachtBehandelAanwijzing v1.1 |
ZIB-91 | Opsplitsen OverdrachtBehandelAanwijzing in OverdrachtWilsverklaring en OverdrachtBehandelAanwijzing, incl. uitbreiding WilsverklaringTypeCodelijst. |
ZIB-133 | Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst BehandelingCodelijst n.a.v. review terminologie expert. |
ZIB-134 | Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst GeverifieerdBijCodelijst n.a.v. review terminologie expert. |
ZIB-213 | In klinische bouwsteen OverdrachtBehandelAanwijzing de waarde van DCM::Name aanpassen van <<DCM>> nl.nfu. ... naar nl.nfu. .... |
ZIB-215 | De naam van gekoppelde waardenlijst BehandelingToegestaan is onjuist in de bouwsteen OverdrachtBehandelAanwijzing, dit zou BehandelingToegestaanCodelijst moeten zijn. |
ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
Incl. algemene wijzigingsverzoeken:
ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
ZIB-309 | EOI aangepast |
ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 1.0.1 (22-05-2015)
ZIB-386 | De GeverifeerdBijCodelijst heeft geen "OID: " aanduiding in de onderliggende codelijst. |
Publicatieversie 3.0 (01-05-2016)
Publicatieversie 3.1 (04-09-2017)
ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
.
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
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
NL-CM:2.1.1 | TreatmentDirective | Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model. | ||||||||||||
NL-CM:2.1.8 | Verification | 0..* | Container of the Verification concept. This container contains all data elements of the Verification concept. | |||||||||||
NL-CM:2.1.9 | 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. | |||||||||||
NL-CM:2.1.11 | VerifiedWith | 0..* | The person with whom the treatment instruction was discussed and verified. |
| ||||||||||
NL-CM:2.1.10 | VerificationDate | 0..1 | Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place. | |||||||||||
NL-CM:2.1.3 | Treatment | 0..1 | The medical treatment to which the treatment instruction applies. |
|
| |||||||||
NL-CM:2.1.4 | TreatmentPermitted | 1 | Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. |
| ||||||||||
NL-CM:2.1.5 | Restrictions | 0..1 | The restrictions or specific circumstances that apply to a certain treatment. | |||||||||||
NL-CM:2.1.6 | StartDate | 0..1 | Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted. | |||||||||||
NL-CM:2.1.7 | 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 Comment concept. |
|||||||||||
NL-CM:2.1.15 | Comment | 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”). |
|
||||||||||
NL-CM:2.1.14 | AdvanceDirective | 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. |
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
Behandeling | Behandeling Toegestaan | Beperkingen | GeverifieerdBij | Verificatie Datum |
Opname op Intensive Care | Ja | gevolmachtigde | 11-9-2012 | |
Behandeling | Behandeling Toegestaan | Beperkingen | GeverifieerdBij | Verificatie Datum |
Cardiopulmonaire resuscitatie | Ja, maar met beperkingen | eerst overleg met echtgenote | patiënt | 11-9-2012 |
Valuesets
TreatmentCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Admission to intensive care unit (procedure) | 305351004 | SNOMED CT | 2.16.840.1.113883.6.96 | Opname op intensive care |
Cardiopulmonary resuscitation (procedure) | 89666000 | SNOMED CT | 2.16.840.1.113883.6.96 | Cardiopulmonaire resuscitatie |
Artificial respiration (procedure) | 40617009 | SNOMED CT | 2.16.840.1.113883.6.96 | Kunstmatige beademing |
Administration of blood product (procedure) | 116762002 | SNOMED CT | 2.16.840.1.113883.6.96 | Toediening van een bloedproduct |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Overige behandelingen, namelijk (in vrije tekst meegeven) |
TreatmentPermittedCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Ja | JA | NL-CM-CS | 2.16.840.1.113883.2.4.3.11.60.40.4 | Behandeling is toegestaan en/of wenselijk. |
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 |
Nee | NEE | NL-CM-CS | 2.16.840.1.113883.2.4.3.11.60.40.4 | Behandeling niet toegestaan en/of wenselijk |
VerifiedWithCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Patient | 116154003 | SNOMED CT | 2.16.840.1.113883.6.96 | Patiënt |
Parent | 40683002 | SNOMED CT | 2.16.840.1.113883.6.96 | Ouder |
Guardian | 394619001 | SNOMED CT | 2.16.840.1.113883.6.96 | Voogd |
Holder of enduring power of attorney | 8601000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Gevolmachtigde |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Anders, namelijk (in vrije tekst meegeven) |
This information model in other releases
- Release 2015, (Version 1.0.1)
- Release 2016, (Version 3.0)
- Release 2018, (Version 3.2)
- Release 2019, (Version 3.2)
Information model references
This information model refers to
This information model is used in
- --
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:08:57 with ZibExtraction v. 3.0.6929.24609