FHIR IG Statistics: StructureDefinition/zib-TreatmentDirective
| Package | nictiz.fhir.nl.stu3.zib2015 |
| Resource Type | StructureDefinition |
| Id | zib-TreatmentDirective |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2015@1.0.0&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective |
| URL | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective |
| Version | 1.0 |
| Status | retired |
| Date | 2017-05-03T12:18:39.6788994+02:00 |
| Name | ZIB-TreatmentDirective |
| Title | HCIM TreatmentDirective |
| Realm | nl |
| Authority | hl7 |
| Description | TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0. 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 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. |
| Copyright | CC0 |
| Type | Consent |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
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{
"resourceType": "StructureDefinition",
"id": "zib-TreatmentDirective",
"meta": {
"lastUpdated": "2017-09-29T16:50:06.012+02:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cbcc"
}
],
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective",
"version": "1.0",
"name": "ZIB-TreatmentDirective",
"title": "HCIM TreatmentDirective",
"status": "retired",
"date": "2017-05-03T12:18:39.6788994+02:00",
"publisher": "Nictiz",
"contact": [
{
"name": "Nictiz",
"telecom": [
{
"system": "email",
"value": "info@nictiz.nl",
"use": "work"
}
]
}
],
"description": "TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0. 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 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.",
"copyright": "CC0",
"fhirVersion": "3.0.0",
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"uri": "https://zibs.nl/wiki/TreatmentDirective-v1.0.1(2015EN)",
"name": "HCIM TreatmentDirective-v1.0.1(2015EN)"
}
],
"kind": "resource",
"abstract": false,
"type": "Consent",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Consent",
"path": "Consent",
"short": "TreatmentDirective",
"alias": [
"BehandelAanwijzing"
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.1"
}
]
},
{
"id": "Consent.extension",
"path": "Consent.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Consent.extension:verification",
"path": "Consent.extension",
"sliceName": "verification",
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.8"
}
]
},
{
"id": "Consent.extension:verification.extension:Verified",
"path": "Consent.extension.extension",
"sliceName": "Verified",
"short": "Verified",
"alias": [
"Geverifieerd"
],
"min": 1,
"max": "1",
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.9"
}
]
},
{
"id": "Consent.extension:verification.extension:VerifiedWith",
"path": "Consent.extension.extension",
"sliceName": "VerifiedWith",
"short": "VerifiedWith",
"alias": [
"GeverifieerdBij"
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.11"
}
]
},
{
"id": "Consent.extension:verification.extension:VerifiedWith.value[x]",
"path": "Consent.extension.extension.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The person with whom the treatment instruction was discussed and verified.",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.4--20150401000000"
}
}
},
{
"id": "Consent.extension:verification.extension:VerificationDate",
"path": "Consent.extension.extension",
"sliceName": "VerificationDate",
"short": "VerificationDate",
"alias": [
"VerificatieDatum"
],
"max": "1",
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.10"
}
]
},
{
"id": "Consent.extension:verification.url",
"path": "Consent.extension.url",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
},
{
"id": "Consent.extension:explanation",
"path": "Consent.extension",
"sliceName": "explanation",
"short": "explanation",
"definition": "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”).",
"alias": [
"Toelichting"
],
"max": "1",
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Explanation"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.15"
}
]
},
{
"id": "Consent.extension:treatment",
"path": "Consent.extension",
"sliceName": "treatment",
"short": "Treatment",
"definition": "The medical treatment to which the treatment instruction applies.",
"alias": [
"Behandeling"
],
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.3"
}
]
},
{
"id": "Consent.extension:treatment.value[x]:valueCodeableConcept",
"path": "Consent.extension.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The medical treatment to which the treatment instruction applies.",
"valueSetUri": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1--20150401000000"
}
},
{
"id": "Consent.modifierExtension",
"path": "Consent.modifierExtension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Consent.modifierExtension:treatmentPermitted",
"path": "Consent.modifierExtension",
"sliceName": "treatmentPermitted",
"short": "TreatmentPermitted",
"definition": "Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.",
"comment": "If the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of NL-CM:2.1.5 Restrictions is expected under Consent.except.",
"alias": [
"BehandelingToegestaan"
],
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.4"
}
]
},
{
"id": "Consent.modifierExtension:treatmentPermitted.value[x]:valueCodeableConcept",
"path": "Consent.modifierExtension.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.2--20150401000000"
}
}
},
{
"id": "Consent.status",
"path": "Consent.status",
"comment": "The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is \"active\" unless stated otherwise."
},
{
"id": "Consent.category",
"path": "Consent.category",
"min": 1
},
{
"id": "Consent.category.coding",
"path": "Consent.category.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "code"
}
],
"rules": "open"
}
},
{
"id": "Consent.category.coding:treatmentDirective",
"path": "Consent.category.coding",
"sliceName": "treatmentDirective",
"definition": "Category snomed code used for indexing/retrieval of TreatmentDirective.",
"max": "1"
},
{
"id": "Consent.category.coding:treatmentInstructions.system",
"path": "Consent.category.coding.system",
"fixedUri": "http://snomed.info/sct"
},
{
"id": "Consent.category.coding:treatmentInstructions.code",
"path": "Consent.category.coding.code",
"fixedCode": "11291000146105"
},
{
"id": "Consent.category.coding:treatmentInstructions.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Consent.category.coding.display",
"fixedString": "Treatment instructions (record artifact)"
},
{
"id": "Consent.patient",
"path": "Consent.patient",
"type": [
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}
]
},
{
"id": "Consent.period.start",
"path": "Consent.period.start",
"short": "StartDate",
"definition": "Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted.",
"alias": [
"BeginDatum"
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.6"
}
]
},
{
"id": "Consent.period.end",
"path": "Consent.period.end",
"short": "EndDate",
"definition": "Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted.",
"alias": [
"EindDatum"
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.7"
}
]
},
{
"id": "Consent.consentingParty",
"path": "Consent.consentingParty",
"type": [
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}
]
},
{
"id": "Consent.actor.reference",
"path": "Consent.actor.reference",
"type": [
{
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalAidProduct"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}
]
},
{
"id": "Consent.organization",
"path": "Consent.organization",
"type": [
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}
]
},
{
"id": "Consent.source[x]",
"path": "Consent.source[x]",
"short": "LivingWill",
"definition": "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.",
"alias": [
"Wilsverklaring"
],
"type": [
{
"code": "Attachment"
},
{
"code": "Identifier"
},
{
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/DocumentReference"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Contract"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.14"
}
]
},
{
"id": "Consent.policy.uri",
"path": "Consent.policy.uri",
"example": [
{
"label": "General Dutch Law",
"valueUri": "http://wetten.overheid.nl/"
}
]
},
{
"id": "Consent.except",
"path": "Consent.except",
"comment": "If a Consent.except is used in accordance with the HCIM TreatmentDirective, then the only time an except is in order, is when the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR."
},
{
"id": "Consent.except.extension",
"path": "Consent.except.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Consent.except.extension:Constraints",
"path": "Consent.except.extension",
"sliceName": "Constraints",
"short": "Constraints",
"definition": "The constraints or specific circumstances that apply to a certain treatment.",
"alias": [
"Beperkingen"
],
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Constraints"
}
],
"mapping": [
{
"identity": "hcim-treatmentdirective-v1.0.1-2015EN",
"map": "NL-CM:2.1.5"
}
]
},
{
"id": "Consent.except.type",
"path": "Consent.except.type",
"comment": "If a Consent.except is used in accordance with the HCIM TreatmentDirective and the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of this element SHALL be \"deny\""
},
{
"id": "Consent.except.actor.reference",
"path": "Consent.except.actor.reference",
"type": [
{
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalAidProduct"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
},
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}
]
}
]
}
}
FHIR