TreatmentDirective-v3.1(2017EN): verschil tussen versies

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(4 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-->==
Publication: '''2017''' <br>
Name<!--hdName-->: '''nl.zorg.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v3.1(2017NL)]]<BR>
Release status: Prepublished<br>
Version<!--hdVersion-->: '''3.1''' <br>
Publication date: 04-09-2017
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= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<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||04-09-2017
|style="width:250px; "|DCM::PublicationDate||31-12-2017
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|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||04-09-2017
|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>
[[Bestand: TreatmentDirective-v3.1Model(EN).png | center]]
<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 Title="Codesystem: SNOMED CT"> 50731006 Medical procedure (procedure)</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 Title="Codesystem: LOINC"> 48767-8 Annotation comment</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: #FFFFFF; font-weight: bold; "|Behandeling
| 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: #FFFFFF; font-weight: bold; "|Behandeling Toegestaan
| 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: #FFFFFF; font-weight: bold; "|Beperkingen
| style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Beperkingen</b></font>
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|GeverifieerdBij
| 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: #FFFFFF; font-weight: bold; "|Verificatie Datum
| 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: #FFFFFF; font-weight: bold; "|Behandeling
| 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: #FFFFFF; font-weight: bold; "|Behandeling Toegestaan
| 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: #FFFFFF; font-weight: bold; "|Beperkingen
| style="background-color: #1F497D; width: 21%; "|<font color=#FFFFFF><b>Beperkingen</b></font>
| style="background-color: #1F497D; width: 21%; color: #FFFFFF; font-weight: bold; "|GeverifieerdBij
| 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: #FFFFFF; font-weight: bold; "|Verificatie Datum
| 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-->==
==More on this information model==
<!-- Hieronder wordt een transclude page aangeroepen -->
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] <BR>
{{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(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.TreatmentDirective-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
<!-- Tot hier de transclude page -->
==About this information==
==Information model references<!--ftReferences-->==
The information in this wikipage is based on Prerelease 2017 #1 <BR>
====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 28/09/2017 10:57:05 <BR>
====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>
-----
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Huidige versie van 24 dec 2018 om 12:04


Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.zorg.TreatmentDirective NL.png
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

Back 16.png Back to HCIM list

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


AdvanceDirective-v3.1(2017EN)#TreatmentCodelist#TreatmentPermittedCodelist#VerifiedWithCodelist#9189#9190#9192#9197#9195#9196#9194#9191#9188#9193#11754TreatmentDirective-v3.1Model(2017EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:2.1.1 Arrowdown.pngTreatmentDirective Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model.
Folder.png NL-CM:2.1.8 Arrowdown.pngVerification 0..* Container of the Verification concept. This container contains all data elements of the Verification concept.
BL.png NL-CM:2.1.9 Arrowright.pngVerified 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.
CD.png NL-CM:2.1.11 Arrowright.pngVerifiedWith 0..* The person with whom the treatment instruction was discussed and verified.
List2.png VerifiedWithCodelist
TS.png NL-CM:2.1.10 Arrowright.pngVerificationDate 0..1 Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place.
CD.png NL-CM:2.1.3 Arrowright.pngTreatment 0..1 The medical treatment to which the treatment instruction applies.
50731006 Medical procedure (procedure)
List2.png TreatmentCodelist
CD.png NL-CM:2.1.4 Arrowright.pngTreatmentPermitted 1 Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
List2.png TreatmentPermittedCodelist
ST.png NL-CM:2.1.5 Arrowright.pngRestrictions 0..1 The restrictions or specific circumstances that apply to a certain treatment.
TS.png NL-CM:2.1.6 Arrowright.pngStartDate 0..1 Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted.
TS.png NL-CM:2.1.7 Arrowright.pngEndDate 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.

ST.png NL-CM:2.1.15 Arrowright.pngComment 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”).
48767-8 Annotation comment
Verwijzing.png NL-CM:2.1.14 Arrowright.pngAdvanceDirective 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.
Block.png AdvanceDirective

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

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

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Release 2017
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 14:08:57 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=TreatmentDirective-v3.1(2017EN)&oldid=15940"