TreatmentDirective-v1.0.1(2015EN)

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General information

Name: nl.nfu.TreatmentDirective
Version: 1.0.1
HCIM Status:Final
Publication: 2015
Release status: Published
Publication date: 1-4-2015

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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 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

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.
VerifiedWithCodelist
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.
50731006 Medical procedure (procedure)
TreatmentCodelist
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.
TreatmentPermittedCodelist
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.
AdvanceDirective

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)


More on this information model

More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
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 28/09/2017 00:01:05

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