AdvanceDirective-v4.1(2022EN): verschil tussen versies

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Regel 274: Regel 274:
{|
{|
|-
|-
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|}
|
|
Regel 364: Regel 364:
|Niet-behandelverklaring
|Niet-behandelverklaring
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "(record artifact)">Verbal appointment (note)</span>
|<span title = "(record artifact)&#xA;Status: deprecated">Verbal appointment (note) [DEPRECATED]</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11351000146105 11351000146105]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11351000146105 11351000146105]
|SNOMED CT
|SNOMED CT
Regel 382: Regel 382:
|Euthanasieverzoek met aanvulling van dementie
|Euthanasieverzoek met aanvulling van dementie
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" style = "color:red">Living will</span>
|<span title = "Levenswensverklaring (record artifact)">Living will</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160861000146101 160861000146101]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160861000146101 160861000146101]
|SNOMED CT
|SNOMED CT
Regel 388: Regel 388:
|Levenswensverklaring
|Levenswensverklaring
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" style = "color:red">Self-binding directive</span>
|<span title = "Zelfbindingsverklaring (record artifact)">Self-binding directive</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160881000146109 160881000146109]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160881000146109 160881000146109]
|SNOMED CT
|SNOMED CT
Regel 394: Regel 394:
|Zelfbindingsverklaring
|Zelfbindingsverklaring
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" style = "color:red">Declaration of body donation to science</span>
|<span title = "Verklaring van ter beschikkingstelling aan de wetenschap (record artifact)">Declaration of body donation to science</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160871000146107 160871000146107]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160871000146107 160871000146107]
|SNOMED CT
|SNOMED CT
Regel 516: Regel 516:
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>SNOMED Clinical Terms versie: 20220930 [R] (september 2022-editie)</li>
<li>LOINC version 2.67</li>
<li>LOINC version 2.72</li>
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 10/06/2022 12:46:11 with ZibExtraction v. 8.0.8196.20371<!--ftDate--> <BR>
This page is generated on 17/10/2022 23:17:14 with ZibExtraction v. 8.1.8325.41206<!--ftDate--> <BR>
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Huidige versie van 17 okt 2022 om 22:29


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.AdvanceDirective NL.png
Version: 4.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022

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 2.16.840.1.113883.2.4.3.11.60.40.3.7.15
DCM::KeywordList wilsverklaring
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Wilsverklaring
DCM::PublicationDate 10-06-2022
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 27-05-2022
DCM::Supersedes nl.zorg.Wilsverklaring-v4.0
DCM::Version 4.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-91 Opsplitsen OverdrachtBehandelAanwijzing in OverdrachtWilsverklaring en OverdrachtBehandelAanwijzing, incl. uitbreiding WilsverklaringTypeCodelijst.
ZIB-213 In klinische bouwsteen OverdrachtBehandelAanwijzing de waarde van DCM::Name aanpassen van <<DCM>> nl.nfu. ... naar nl.nfu. ....
ZIB-214 De naam van gekoppelde waardenlijst TypeWilsverklaringTypeCodelijst is onjuist in de bouwsteen OverdrachtBehandelAanwijzing, dit zou WilsverklaringTypeCodelijst moeten zijn.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-356 Concept WilsverklaringDatum toevoegen

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 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-574 Alleen verwijzen naar het rootconcept van de ZIB.

Publicatieversie 3.1.1 (01-09-2020)

ZIB-1004 links/referenties in zib wilsverklaring zijn niet meer actueel
ZIB-937 aanpassen wilsverklaring met type (zelfbindingsverklaring)

Publicatieversie 4.0 (01-12-2021)

ZIB-1173 Wilsverklaring: Orgaandonatie verder specificeren

Publicatieversie 4.1 (10-06-2022)

ZIB-1557 Wilsverklaring ZIB - kardinaliteit van Vertegenwoordiger::Contactpersoon
ZIB-1587 Tekstuele wijzigingen zib Wilsverklaring (2020)
ZIB-1597 zib-AdvanceDirective: use of living will next to advance directive
ZIB-1683 Snomed codes voor waardenlijst

Concept

An advance directive (also known as living will) is a verbal or written description of the patient’s wishes with regard to future medical action or end of their life. A living will is mainly used for situations in which the patient is no longer able to speak about these decisions with their healthcare provider.

The option to select 'Verklaring donorschap' as 'WilsverklaringType' within the HCIM has been removed as this information is registered in a national register and access to this information is subject to strict requirements. See www.donorregister.nl

Purpose

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

Evidence Base

The list with types of living wills was developed in close consultation with the Dutch Patient and Consumer Federation (NPCF), the Dutch Association for Voluntary End of Life (NVVE) and the Dutch Patient Organization (NPV).

The list of types matches the living wills for which the various associations offer examples on their websites.

In the pre-release 2021-2, "Verklaring donorschap" was set to deprecated, because legally this information may only be viewed in the event of the patient's death under strict conditions in a national register.

Information Model


#9576#9575Problem-v4.6(2022EN)#9572#TypeOfLivingWillCodelist#9571ContactPerson-v3.5(2022EN)#11675#LivingWillTypeSnomedCodelistAdvanceDirective-v4.1Model(2022EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:7.15.1 Arrowdown.pngAdvanceDirective Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.
CD.png NL-CM:7.15.2 Arrowright.pngLivingWillType 1 The type of living will.
List2.png LivingWillTypeSnomedCodelist
List2.png TypeOfLivingWillCodelist
TS.png NL-CM:7.15.7 Arrowright.pngLivingWillDate 1 The date on which the living will was recorded.
Verwijzing.png NL-CM:7.15.4 Arrowright.pngDisorder::Problem 0..* The problem or disorder to which the living will applies.
Block.png Problem
Verwijzing.png NL-CM:7.15.3 Arrowright.pngRepresentative::ContactPerson 0..* The person who is the legal representative or is appointed as the authorized representative in the signed authorization.
Block.png ContactPerson
ED.png NL-CM:7.15.5 Arrowright.pngLivingWillDocument 0..1 Scanned source document with the living will and the patient's signature, such as a PDF.
ST.png NL-CM:7.15.6 Arrowright.pngComment 0..1 Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.
48767-8 Annotation comment [Interpretation] Narrative

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

Example Instances

Only available in Dutch

Wilsverklaring
WilsverklaringType Niet reanimeren verklaring
Datum 15-08-2011
Aandoening ALS
Toelichting Niet-reanimerenpenning
Vertegenwoordiger  
Initialen J.P.M.
Geslachtsnaam Pietersen
Rol Wettelijk vertegenwoordiger
TelefoonEmail  
Telefoonnummer +31611234567
NummerSoort Mobiel telefoonnummer

References

1. NPCF - Wilsverklaring [Online] Beschikbaar op: https://www.patientenfederatie.nl/themas/wilsverklaring/wat-hoe [Geraadpleegd: 15 juni 2020].

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

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

Valuesets

LivingWillTypeSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.15.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Do not attempt cardiopulmonary resuscitation order 11281000146108 SNOMED CT 2.16.840.1.113883.6.96 Reanimerenverklaring
Power of attorney medical report 186065003 SNOMED CT 2.16.840.1.113883.6.96 Medische volmacht
Treat ban 11301000146109 SNOMED CT 2.16.840.1.113883.6.96 Niet-behandelverklaring
Verbal appointment (note) [DEPRECATED] 11351000146105 SNOMED CT 2.16.840.1.113883.6.96 Notitie van mondelinge afspraak
Euthanasia request 11321000146101 SNOMED CT 2.16.840.1.113883.6.96 Euthanasieverzoek
Euthanasia request with addition Dementia 11331000146104 SNOMED CT 2.16.840.1.113883.6.96 Euthanasieverzoek met aanvulling van dementie
Living will 160861000146101 SNOMED CT 2.16.840.1.113883.6.96 Levenswensverklaring
Self-binding directive 160881000146109 SNOMED CT 2.16.840.1.113883.6.96 Zelfbindingsverklaring
Declaration of body donation to science 160871000146107 SNOMED CT 2.16.840.1.113883.6.96 Verklaring terbeschikkingstelling aan wetenschap
Treat ban with addition Completed Life 11311000146106 SNOMED CT 2.16.840.1.113883.6.96 Niet-behandelverklaring met aanvulling van voltooid leven

TypeOfLivingWillCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1 Binding: Deprecated
Conceptname Conceptcode Codesystem name Codesystem OID Description
Niet reanimeren verklaring [DEPRECATED] NR WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Niet reanimeren verklaring
Volmacht [DEPRECATED] VOL WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Volmacht
Behandelverbod [DEPRECATED] VERB WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Behandelverbod
Behandelverbod met aanvulling Voltooid Leven [DEPRECATED] VERBVL WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Behandelverbod met aanvulling Voltooid Leven
Mondelinge afspraak [DEPRECATED] MON WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Mondelinge afspraak
Euthanasieverzoek [DEPRECATED] EU WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Euthanasieverzoek
Euthanasieverzoek met aanvulling Dementie [DEPRECATED] EUD WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Euthanasieverzoek met aanvulling Dementie
Levenswensverklaring [DEPRECATED] LW WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Levenswensverklaring
Verklaring donorschap [DEPRECATED] DO WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Verklaring donorschap [DEPRECATED]
Zelfbindingsverklaring [DEPRECATED] ZB WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Zelfbindingsverklaring
Verklaring ter beschikkingstelling aan de wetenschap [DEPRECATED] VBW WilsverklaringType 2.16.840.1.113883.2.4.3.11.60.40.4.14.1 Verklaring ter beschikkingstelling aan de wetenschap
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

Note: This value list is no longer avalid choice and will become obsolete in the next release.

This information model in other releases

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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

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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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20220930 [R] (september 2022-editie)
  • LOINC version 2.72

Conditions for use are located on the mainpage List2.png
This page is generated on 17/10/2022 23:17:14 with ZibExtraction v. 8.1.8325.41206

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=AdvanceDirective-v4.1(2022EN)&oldid=24907"