TreatmentDirective-v1.0.1(2015EN): verschil tussen versies
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Geen bewerkingssamenvatting |
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Regel 3: | Regel 3: | ||
Version: '''1.0.1''' <br> | Version: '''1.0.1''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2015''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 1-4-2015 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | ||
Regel 134: | Regel 134: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:TreatmentDirective-v1.0.1Model(EN).png | center | |||
rect 531 422 637 492 [[AdvanceDirective-v1.0(2015EN)]] | |||
rect 204 108 345 158 [[#TreatmentCodelist]] | |||
rect 158 312 347 362 [[#TreatmentPermittedCodelist]] | |||
rect 318 667 458 717 [[#VerifiedWithCodelist]] | |||
rect 331 419 451 489 [[#9189]] | |||
rect 200 558 289 626 [[#9190]] | |||
rect 499 558 588 626 [[#9192]] | |||
rect 716 305 822 375 [[#9197]] | |||
rect 716 131 822 201 [[#9195]] | |||
rect 716 218 822 288 [[#9196]] | |||
rect 199 206 346 276 [[#9194]] | |||
rect 325 558 457 626 [[#9191]] | |||
rect 426 225 546 295 [[#9188]] | |||
rect 427 97 547 169 [[#9193]] | |||
rect 716 392 822 462 [[#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" | ||
Regel 140: | Regel 157: | ||
|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||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="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]]TreatmentInstruction</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=9188 Title="NL: BehandelAanwijzing">[[Bestand: arrowdown.png | 10px | link=]]TreatmentInstruction</span> | ||
| | | | ||
|Root concept of the TreatmentInstruction building block. This concept contains all data elements of the TreatmentInstruction building block. | |Root concept of the TreatmentInstruction building block. This concept contains all data elements of the TreatmentInstruction building block. | ||
Regel 148: | Regel 165: | ||
| | | | ||
|-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 157: | Regel 174: | ||
| | | | ||
|-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 167: | Regel 184: | ||
| | | | ||
|-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 178: | Regel 195: | ||
{| | {| | ||
|- | |- | ||
|[[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 191: | Regel 208: | ||
| | | | ||
|-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 205: | Regel 222: | ||
{| | {| | ||
|- | |- | ||
|[[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 218: | Regel 235: | ||
{| | {| | ||
|- | |- | ||
|[[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]]Constraints</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9195 Title="NL: Beperkingen">[[Bestand: arrowright.png | 10px | link=]]Constraints</span> | ||
|0..1 | |0..1 | ||
|The constraints or specific circumstances that apply to a certain treatment. | |The constraints or specific circumstances that apply to a certain treatment. | ||
Regel 230: | Regel 247: | ||
| | | | ||
|-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 239: | Regel 256: | ||
| | | | ||
|-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 250: | Regel 267: | ||
| | | | ||
|-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]]Explanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11754 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</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 259: | Regel 276: | ||
| | | | ||
|-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::Wilsverklaring">[[Bestand: arrowright.png | 10px]]LivingWill::LivingWill</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9198 Title="NL: Wilsverklaring::Wilsverklaring">[[Bestand: arrowright.png | 10px | link=]]LivingWill::LivingWill</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 269: | Regel 286: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[AdvanceDirective-v1.0(2015EN) |AdvanceDirective]] | |[[Bestand: block.png | link=AdvanceDirective-v1.0(2015EN)]]||[[AdvanceDirective-v1.0(2015EN) |AdvanceDirective]] | ||
|} | |} | ||
|} | |} | ||
Regel 280: | Regel 297: | ||
{|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 298: | Regel 315: | ||
| 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 430: | Regel 447: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[TreatmentDirective-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
<li>[[TreatmentDirective-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
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: | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.2.1&effectiveDate=2015-04-01T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li> | |||
</ul> | |||
This information model is also available as [[Media:nl.nfu.TreatmentDirective-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.TreatmentDirective-v1.0.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.nfu.TreatmentDirective-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.TreatmentDirective-v1.0.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
This page is generated on | This page is generated on 24/01/2018 17:11:44 <BR> | ||
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> |
Versie van 25 jan 2018 00:20
General information
Name: nl.nfu.TreatmentDirective
Version: 1.0.1
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015
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 | NFU |
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.nfu.BehandelAanwijzing |
DCM::PublicationDate | 1-4-2015 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 22-5-2015 |
DCM::Superseeds | nl.nfu.OverdrachtBehandelAanwijzing-v1.1 (2.16.840.1.113883.2.4.3.11.60.40.3.2.1) |
DCM::Version | 1.0.1 |
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. |
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 | TreatmentInstruction | Root concept of the TreatmentInstruction building block. This concept contains all data elements of the TreatmentInstruction building block. | ||||||||||||
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 | Constraints | 0..1 | The constraints 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 Explanation concept. |
|||||||||||
NL-CM:2.1.15 | 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”). | |||||||||||
NL-CM:2.1.14 | 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. |
|
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 |
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 2.16.840.1.113883.2.4.3.11.60.40.2.2.2 |
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 2.16.840.1.113883.2.4.3.11.60.40.2.2.4 |
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
More on this information model
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
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 17:11:44