AdvanceDirective-v4.2(2022EN)

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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: 4.2
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023


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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 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 17-10-2023
DCM::Supersedes nl.zorg.Wilsverklaring-v4.1
DCM::Version 4.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

Issue summaries niet beschikbaar
Bevat: ZIB-91, ZIB-213, ZIB-214, ZIB-308, ZIB-356.

Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-453.

Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-564, ZIB-574.

Publicatieversie 3.1.1 (01-09-2020) Bevat: ZIB-1004, ZIB-937.

Publicatieversie 4.0 (01-12-2021) Bevat: ZIB-1173.

Publicatieversie 4.1 (10-06-2022) Bevat: ZIB-1557, ZIB-1587, ZIB-1597, ZIB-1683.

Publicatieversie 4.2 (15-10-2023) Bevat: ZIB-2103.

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


#339#338Problem-v4.6(2022EN)#335#TypeOfLivingWillCodelist#334ContactPerson-v3.5(2022EN)#841#LivingWillTypeSnomedCodelistAdvanceDirective-v4.2Model(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

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v4.2(NL)_Voorbeeld.docx

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 [DEPRECATED] 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 1264561001 SNOMED CT 2.16.840.1.113883.6.96 Levenswensverklaring
Living will [DEPRECATED] 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.

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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:

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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: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage List2.png
This page is generated on 27/03/2024 11:11:55 with ZibExtraction v. 9.3.8851.20230


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