TreatmentDirective-v1.0.1(2015EN): verschil tussen versies

Uit Zorginformatiebouwstenen
Ga naar: navigatie, zoeken
 
(Een tussenliggende versie door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
==General information==
+
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v1.0.1(2015NL)]]<BR>
+
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.2.1(EN)|1|TreatmentDirective-v1.0.1(2015EN)}}
Version: '''1.0.1''' <br>
+
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
+
==General information<!--hdGeneralInformation-->==
Release: '''2015''' <br>
+
Name<!--hdName-->: '''nl.nfu.TreatmentDirective''' [[Bestand:NL.png|link=BehandelAanwijzing-v1.0.1(2015NL)]]<BR>
Release status: Published<br>
+
Version<!--hdVersion-->: '''1.0.1''' <br>
Release date: 1-4-2015
+
HCIM Status<!--hdStatus-->:Final<br>
 +
Release<!--hdPublication-->: '''2015''' <br>
 +
Release status<!--hdPublicationStatus-->: Published<br>
 +
Release date<!--hdPublicationDate-->: 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<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
  
 
==Metadata==
 
==Metadata==
Regel 61: Regel 64:
 
==Revision History==
 
==Revision History==
 
<div class="mw-collapsible mw-collapsed">
 
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''
+
''Only available in Dutch<!--noTranslation-->''
  
 
<u>Publicatieversie 1.0</u> (01-04-2015)
 
<u>Publicatieversie 1.0</u> (01-04-2015)
Regel 134: Regel 137:
 
==Information Model==
 
==Information Model==
 
<BR>
 
<BR>
<imagemap> Bestand:TreatmentDirective-v1.0.1Model(EN).png | center  
+
<imagemap> Bestand:TreatmentDirective-v1.0.1Model(2015EN).png | center  
rect 531 422 637 492 [[AdvanceDirective-v1.0(2015EN)]]
+
rect 543 430 649 500 [[AdvanceDirective-v1.0(2015EN)]]
rect 204 108 345 158 [[#TreatmentCodelist]]
+
rect 216 116 357 166 [[#TreatmentCodelist]]
rect 158 312 347 362 [[#TreatmentPermittedCodelist]]
+
rect 170 320 359 370 [[#TreatmentPermittedCodelist]]
rect 318 667 458 717 [[#VerifiedWithCodelist]]
+
rect 330 675 470 725 [[#VerifiedWithCodelist]]
rect 331 419 451 489 [[#9189]]
+
rect 343 427 463 497 [[#9189]]
rect 200 558 289 626 [[#9190]]
+
rect 212 566 301 634 [[#9190]]
rect 499 558 588 626 [[#9192]]
+
rect 511 566 600 634 [[#9192]]
rect 716 305 822 375 [[#9197]]
+
rect 728 313 834 383 [[#9197]]
rect 716 131 822 201 [[#9195]]
+
rect 728 139 834 209 [[#9195]]
rect 716 218 822 288 [[#9196]]
+
rect 728 226 834 296 [[#9196]]
rect 199 206 346 276 [[#9194]]
+
rect 211 214 358 284 [[#9194]]
rect 325 558 457 626 [[#9191]]
+
rect 337 566 469 634 [[#9191]]
rect 426 225 546 295 [[#9188]]
+
rect 438 233 558 303 [[#9188]]
rect 427 97 547 169 [[#9193]]
+
rect 439 105 559 177 [[#9193]]
rect 716 392 822 462 [[#11754]]
+
rect 728 400 834 470 [[#11754]]
 
desc none
 
desc none
 
</imagemap>
 
</imagemap>
Regel 155: Regel 158:
 
{| 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"  
 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|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<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
 
|-style="vertical-align:top; background-color: #E3E3E3; "
 
|-style="vertical-align:top; background-color: #E3E3E3; "
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 217: Regel 220:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 50731006 Medical procedure (procedure)</span>
+
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=50731006 50731006] Medical procedure (procedure)</span>
 
|}
 
|}
 
|
 
|
Regel 289: Regel 292:
 
|}
 
|}
 
|}
 
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
+
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
+
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
  
 
==Example Instances==
 
==Example Instances==
''Only available in Dutch''
+
''Only available in Dutch<!--noTranslation-->''
  
 
{|class="wikitable" width="772px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="772px" style= "font-size: 9.5pt;"
Regel 332: Regel 335:
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.1
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.1
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Conceptcode
+
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
+
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
+
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Admission to intensive care unit (procedure)
 
|Admission to intensive care unit (procedure)
|305351004
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=305351004 305351004]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 348: Regel 352:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Cardiopulmonary resuscitation (procedure)
 
|Cardiopulmonary resuscitation (procedure)
|89666000
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=89666000 89666000]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 354: Regel 358:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Artificial respiration (procedure)
 
|Artificial respiration (procedure)
|40617009
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=40617009 40617009]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 360: Regel 364:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Administration of blood product (procedure)
 
|Administration of blood product (procedure)
|116762002
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116762002 116762002]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 371: Regel 375:
 
|Overige behandelingen, namelijk (in vrije tekst meegeven)
 
|Overige behandelingen, namelijk (in vrije tekst meegeven)
 
|}
 
|}
 
 
=== TreatmentPermittedCodelist===
 
=== TreatmentPermittedCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.2
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.2
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Conceptcode
+
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
+
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
+
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Ja
 
|Ja
Regel 402: Regel 406:
 
|Behandeling niet toegestaan en/of wenselijk
 
|Behandeling niet toegestaan en/of wenselijk
 
|}
 
|}
 
 
=== VerifiedWithCodelist===
 
=== VerifiedWithCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.2.4
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.2.4
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Conceptcode
+
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
+
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
+
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Patient
 
|Patient
|116154003
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116154003 116154003]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 422: Regel 426:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Parent
 
|Parent
|40683002
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=40683002 40683002]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 428: Regel 432:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Guardian
 
|Guardian
|394619001
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=394619001 394619001]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 434: Regel 438:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Holder of enduring power of attorney
 
|Holder of enduring power of attorney
|8601000146109
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8601000146109 8601000146109]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 446: Regel 450:
 
|}
 
|}
  
 
+
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
+
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
+
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.2.1(EN)|2|2015}}
<li>[[TreatmentDirective-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+
<!-- Tot hier de transclude page -->
<li>[[TreatmentDirective-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
+
==Information model references<!--ftReferences-->==
</ul>
+
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
+
*[[AdvanceDirective-v1.0(2015EN)|AdvanceDirective-v1.0]]
 +
====This information model is used in<!--ftReferredBy-->====
 +
:--
 +
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
 
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:
+
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 
<ul>
 
<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® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [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>
+
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
 
</ul>
 
</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=]]
+
==Downloads<!--ftDownloadTitle-->==
==About this information==
+
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=]]<!--ftDownloads-->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
+
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
+
The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
This page is generated on 24/01/2018 17:11:44 <BR>
+
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
 +
This page is generated on 24/12/2018 12:28:53 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
 
-----
 
-----
<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<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 11:15


Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

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


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 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


AdvanceDirective-v1.0(2015EN)#TreatmentCodelist#TreatmentPermittedCodelist#VerifiedWithCodelist#9189#9190#9192#9197#9195#9196#9194#9191#9188#9193#11754TreatmentDirective-v1.0.1Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:2.1.1 Arrowdown.pngTreatmentInstruction Root concept of the TreatmentInstruction building block. This concept contains all data elements of the TreatmentInstruction building block.
Folder.png NL-CM:2.1.8 Arrowdown.pngVerification 0..* Container of the Verification concept. This container contains all data elements of the Verification concept.
BL.png NL-CM:2.1.9 Arrowright.pngVerified 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.
CD.png NL-CM:2.1.11 Arrowright.pngVerifiedWith 0..* The person with whom the treatment instruction was discussed and verified.
List2.png VerifiedWithCodelist
TS.png NL-CM:2.1.10 Arrowright.pngVerificationDate 0..1 Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place.
CD.png NL-CM:2.1.3 Arrowright.pngTreatment 0..1 The medical treatment to which the treatment instruction applies.
50731006 Medical procedure (procedure)
List2.png TreatmentCodelist
CD.png NL-CM:2.1.4 Arrowright.pngTreatmentPermitted 1 Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
List2.png TreatmentPermittedCodelist
ST.png NL-CM:2.1.5 Arrowright.pngConstraints 0..1 The constraints or specific circumstances that apply to a certain treatment.
TS.png NL-CM:2.1.6 Arrowright.pngStartDate 0..1 Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted.
TS.png NL-CM:2.1.7 Arrowright.pngEndDate 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.

ST.png NL-CM:2.1.15 Arrowright.pngExplanation 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”).
Verwijzing.png NL-CM:2.1.14 Arrowright.pngLivingWill::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.
Block.png AdvanceDirective

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

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 Binding:
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 Binding:
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 Binding:
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

Information model references

This information model refers to

This information model is used in

--

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

Downloads

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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:28:53 with ZibExtraction v. 3.0.6932.1989


Back 16.png Back to HCIM list