De naam van gekoppelde waardenlijst BehandelingToegestaan is onjuist in de bouwsteen OverdrachtBehandelAanwijzing, dit zou BehandelingToegestaanCodelijst moeten zijn.
BehandelingToegestaanCodelijst uitbreiden met "Niet besproken"
.
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
TreatmentDirective
Root concept of the TreatmentInstruction information model. This concept contains all data elements of the TreatmentInstruction information model.
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.
The restrictions 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 Comment concept.
NL-CM:2.1.15
Comment
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”).
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.
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
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
TreatmentDirective
Verified
or as spreadsheet 