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HdBe-DirectiveTraitement2

CBB	Concept	Status
HdBe-TreatmentDirective2	Une directive de traitement contient une décision conjointe entre un professionnel de la santé (par exemple un médecin généraliste) et un patient ou son (ses) représentant(s) sur l'opportunité de procéder à un certain traitement, comme une réanimation, avant que ce traitement ne devienne nécessaire (de manière pressante). Lorsque la nécessité survient et que le traitement ne peut être discuté avec le patient ou le(s) représentant(s), cette décision est une indication importante pour le professionnel de la santé traitant (par exemple, un médecin urgentiste). Le terme de limite de traitement est un synonyme du terme de directive de traitement. Purpose Une bonne vue d'ensemble des instructions de traitement basées sur les souhaits du patient ou de son (ses) représentant(s) autorisé(s) quant aux traitements (non) désirés est importante pour les soins du patient. Une liste concise et ordonnée est particulièrement importante dans les situations de soins aigus. En raison de la grande variété de symptômes, la situation ne concerne pas seulement un contexte de réanimation, mais également des cas où l'état du patient s'aggrave rapidement en raison de symptômes existants. Un professionnel de la santé qui consulte ces informations peut discuter de ces instructions de traitement existantes avec le patient, la famille du patient ou le représentant autorisé du patient et peut inclure ces instructions dans sa politique. Evidence Base Explication pour ListeCodesTraitement : Dans les discussions sur les restrictions dans le traitement thérapeutique des patients atteints d'une affection neurologique ou respiratoire chronique, la respiration est parfois incluse comme une restriction distincte. L'élément ‘respiration’ doit être considéré séparément des décisions relatives à la réanimation.	active

CBB

Concept

Status

HdBe-TreatmentDirective2

Une directive de traitement contient une décision conjointe entre un professionnel de la santé (par exemple un médecin généraliste) et un patient ou son (ses) représentant(s) sur l'opportunité de procéder à un certain traitement, comme une réanimation, avant que ce traitement ne devienne nécessaire (de manière pressante). Lorsque la nécessité survient et que le traitement ne peut être discuté avec le patient ou le(s) représentant(s), cette décision est une indication importante pour le professionnel de la santé traitant (par exemple, un médecin urgentiste). Le terme de limite de traitement est un synonyme du terme de directive de traitement.

Purpose

Une bonne vue d'ensemble des instructions de traitement basées sur les souhaits du patient ou de son (ses) représentant(s) autorisé(s) quant aux traitements (non) désirés est importante pour les soins du patient. Une liste concise et ordonnée est particulièrement importante dans les situations de soins aigus. En raison de la grande variété de symptômes, la situation ne concerne pas seulement un contexte de réanimation, mais également des cas où l'état du patient s'aggrave rapidement en raison de symptômes existants. Un professionnel de la santé qui consulte ces informations peut discuter de ces instructions de traitement existantes avec le patient, la famille du patient ou le représentant autorisé du patient et peut inclure ces instructions dans sa politique.

Evidence Base

Explication pour ListeCodesTraitement : Dans les discussions sur les restrictions dans le traitement thérapeutique des patients atteints d'une affection neurologique ou respiratoire chronique, la respiration est parfois incluse comme une restriction distincte. L'élément ‘respiration’ doit être considéré séparément des décisions relatives à la réanimation.

active

TreatmentDirective2			TreatmentDirective2	Element id TreatmentDirective2 Short description DirectiveTraitement2 Definition Concept root du modèle d'information DirectiveTraitement2. Ce concept contient tous les éléments de données du modèle d'information DirectiveTraitement2. Data type TreatmentDirective2 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id TreatmentDirective2.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id TreatmentDirective2.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
TreatmentDecision		1..1	CodeableConceptBinding	Element id TreatmentDirective2.TreatmentDecision Short description DécisionTraitement Definition La décision conjointe prise en ce qui concerne l'opportunité d'effectuer le traitement indiqué.Si la décision est ‘Autre’, ‘SpécificationAutre’ doit contenir les instructions concernant le fait d'effectuer ou non le traitement. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes DécisionTraitement TreatmentDecision (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Treatment		1..1	CodeableConceptBinding	Element id TreatmentDirective2.Treatment Short description Traitement Definition Le traitement médical auquel s'applique l'instruction de traitement. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes Traitement Treatment (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
SpecificationOther		0..1	string	Element id TreatmentDirective2.SpecificationOther Short description SpécificationAutre Definition Spécification de la décision de traitement lorsque la décision est ‘Autre’. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MostRecentReviewDate		1..1	dateTime	Element id TreatmentDirective2.MostRecentReviewDate Short description DateRévisionPlusRécente Definition La date à laquelle la directive de traitement a été approuvée avec le patient et/ou son (ses) représentant(s). Ce peut être la première fois que la directive de traitement a été discutée, mais une directive de traitement existante peut également avoir été discutée à nouveau. Le contenu de la directive de traitement peut avoir changé ou être resté le même. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
DateExpired		0..1	dateTime	Element id TreatmentDirective2.DateExpired Short description DateExpiration Definition La date à laquelle la directive de traitement a été retirée et ne s'applique donc plus. Une décision explicite doit être prise au sujet de la ‘date d'expiration’, en concertation entre le professionnel de la santé responsable et le patient ou son (ses) représentant(s).Toute résiliation future éventuelle ne peut être introduite que comme une condition. Souvent, cela sera associé à 1 ou plusieurs événements. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
ReasonForEnding		0..1	string	Element id TreatmentDirective2.ReasonForEnding Short description RaisonExpiration Definition Raison pour laquelle l'accord sur une directive de traitement ne s'applique plus. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AdvanceDirective	I	0..*	Reference(HdBe-AdvanceDirective)	Element id TreatmentDirective2.AdvanceDirective Short description DéclarationVolonté Definition Une déclaration (écrite) dans laquelle une personne émet des souhaits concernant une action médicale future, dans le cas où cette personne n'est plus (réputée) capable de prendre des décisions sur la question à ce moment. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-AdvanceDirective) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
AgreementParty	I	2..*	BackboneElement	Element id TreatmentDirective2.AgreementParty Short description PartieConvention Definition Conteneur du concept Convention Ce conteneur contient tous les éléments de données du concept Convention. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-TreatmentDirective2-1: Exactly one of Patient, Representative, or HealthProfessional must be selected. `Patient.exists() xor Representative.exists() xor HealthProfessional.exists()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id TreatmentDirective2.AgreementParty.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id TreatmentDirective2.AgreementParty.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id TreatmentDirective2.AgreementParty.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Patient	I	0..1	Reference(HdBe-Patient)	Element id TreatmentDirective2.AgreementParty.Patient Short description Patient Definition Patient en tant que la personne avec laquelle la convention a été conclue. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Representative	I	0..1	Reference(HdBe-ContactPerson)	Element id TreatmentDirective2.AgreementParty.Representative Short description Représentant Definition Personne qui représente le patient en matière de soins de santé et avec qui la convention a été (également) conclue. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-ContactPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
HealthProfessional	I	0..1	Reference(HdBe-HealthProfessional)	Element id TreatmentDirective2.AgreementParty.HealthProfessional Short description ProfessionnelSanté Definition ProfessionnelSanté qui a conclu la convention relative à la directive de traitement. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-HealthProfessional) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Comment		0..1	string	Element id TreatmentDirective2.Comment Short description Commentaire Definition Le commentaire peut inclure des informations complémentaires telles que la raison pour laquelle une directive de traitement a été établie, les personnes qui ont aidé le patient à convenir de la directive de traitement mais qui ne sont pas autrement impliquées dans la convention en tant que représentants, etc. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

TreatmentDirective2		0..*
TreatmentDirective2.TreatmentDecision	CodeableConcept	1..1
TreatmentDirective2.Treatment	CodeableConcept	1..1
TreatmentDirective2.SpecificationOther	string	0..1
TreatmentDirective2.MostRecentReviewDate	dateTime	1..1
TreatmentDirective2.DateExpired	dateTime	0..1
TreatmentDirective2.ReasonForEnding	string	0..1
TreatmentDirective2.AdvanceDirective	Reference(HdBe-AdvanceDirective)	0..*
TreatmentDirective2.AgreementParty	BackboneElement	2..*
TreatmentDirective2.AgreementParty.Patient	Reference(HdBe-Patient)	0..1
TreatmentDirective2.AgreementParty.Representative	Reference(HdBe-ContactPerson)	0..1
TreatmentDirective2.AgreementParty.HealthProfessional	Reference(HdBe-HealthProfessional)	0..1
TreatmentDirective2.Comment	string	0..1

TreatmentDirective2
Definition	Root concept of the TreatmentDirective2 information model. This concept contains all data elements of the TreatmentDirective2 information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
TreatmentDirective2.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
TreatmentDirective2.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
TreatmentDirective2.TreatmentDecision
Definition	The joint decision taken with regard to the desirability of performing the indicated treatment. If the agreement is 'Other', 'Specification Other' shall contain the instructions for whether or not to carry out the treatment.
Cardinality	1...1
Type	CodeableConcept
Binding	TreatmentDecision codes TreatmentDecision (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
TreatmentDirective2.Treatment
Definition	The medical treatment to which the treatment instruction applies.
Cardinality	1...1
Type	CodeableConcept
Binding	Treatment codes Treatment (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
TreatmentDirective2.SpecificationOther
Definition	Specification of the treatment decision when the decision is 'Other'.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
TreatmentDirective2.MostRecentReviewDate
Definition	The date on which the treatment directive has been agreed is with the patient and / or his representative(s). This can be the first time that the treatment directive has been discussed, but an existing treatment directive may also have been discussed again. The content of the treatment directive may have changed or remained the same.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
TreatmentDirective2.DateExpired
Definition	The date on which the treatment directive has been withdrawn and therefore no longer applies. An explicit decision must be taken about the 'date expired', in consultation between the responsible care professional and the patient or his representative(s). Any future termination can only be entered as a condition. Often this will be linked to 1 or more events.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
TreatmentDirective2.ReasonForEnding
Definition	Reason why the agreement on a treatment directive no longer applies.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
TreatmentDirective2.AdvanceDirective
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.
Cardinality	0...*
Type	Reference(HdBe-AdvanceDirective)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
TreatmentDirective2.AgreementParty
Definition	Container of the Agreement concept. This container contains all data elements of the Agreement concept.
Cardinality	2...*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-TreatmentDirective2-1: Exactly one of Patient, Representative, or HealthProfessional must be selected. `Patient.exists() xor Representative.exists() xor HealthProfessional.exists()`
Mappings	rim: n/a
TreatmentDirective2.AgreementParty.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
TreatmentDirective2.AgreementParty.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
TreatmentDirective2.AgreementParty.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
TreatmentDirective2.AgreementParty.Patient
Definition	Patient as the person with whom the agreement was made.
Cardinality	0...1
Type	Reference(HdBe-Patient)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
TreatmentDirective2.AgreementParty.Representative
Definition	Person who represents the patient in health care matters and with whom the agreement has been made (too).
Cardinality	0...1
Type	Reference(HdBe-ContactPerson)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
TreatmentDirective2.AgreementParty.HealthProfessional
Definition	HealthProfessional who has made the agreement regarding the treatment directive.
Cardinality	0...1
Type	Reference(HdBe-HealthProfessional)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
TreatmentDirective2.Comment
Definition	The comment may include further information such as the reason why a treatment directive has been drawn up, persons who assisted the patient in agreeing the treatment directive but who are not otherwise involved in the agreement as a representative, etc.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

TreatmentDirective2
TreatmentDecision	385643006 - To be done (code by SNOMED CT)
Treatment	305351004 - Admission to intensive care unit (code by SNOMED CT)
SpecificationOther
MostRecentReviewDate	2012-09-11
DateExpired	2012-10-15
ReasonForEnding	Recovered and released from the hospital.
AdvanceDirective	Reference to AdvanceDirective (Power of attorney granted)
AgreementParty	---
AgreementParty.Patient
AgreementParty.Representative	Reference to ContactPerson (Jan Pieter Mark (Piet) van Putten)
AgreementParty.HealthProfessional	Reference to HealthProfessional (J.H.R. Peters, Doctor)
Comment

TreatmentDirective2
TreatmentDecision	74964007 - Other (code by SNOMED CT)
Treatment	89666000 - Cardiopulmonary resuscitation (code by SNOMED CT)
SpecificationOther	First consult with husband
MostRecentReviewDate	2012-09-11
DateExpired
ReasonForEnding
AdvanceDirective
AgreementParty	---
AgreementParty.Patient
AgreementParty.Representative	Reference to ContactPerson (Jan Pieter Mark (Piet) van Putten)
AgreementParty.HealthProfessional
Comment

zib TreatmentDirective2-v1.0 difference

Concept	Category	Description
`TreatmentDirective2` (root)	naming	Renamed the root concept name TreatmentDirective to TreatmentDirective2 to align with the sdf-8 constraint. (zib ticket #1875)
`Treatment`	terminology	Changed binding strenght from Required to Extensible because it is very likely other codes may be relevant in the future. This is already the case with the zibs in release 2020 versus the pre-release of 2022 where new codes have been added.
`Treatment`	terminology	Changed codes to the one found in TreatmentDirective2-v2.0(2022EN).
`TreatmentDecision`	terminology	Replaced zib codes to SNOMED codes.
description.concept	textual	Replaced 'patient or representative (s)' with 'patient or representative(s)'.
`MostRecentReviewDate`	textual	Replaced 'his representative (s)' with 'his representative(s)'.
`MostRecentReviewDate`	textual	Replaced 'treatment directive have' with 'treatment directive has'.
`AgreementParty`	textual	Replaced 'concept.This' with 'concept. This'.

Terminology Bindings

Path	Name	Strength	URL
TreatmentDecision	TreatmentDecision	required	https://fhir.healthdata.be/ValueSet/TreatmentDecision
Treatment	Treatment	extensible	https://fhir.healthdata.be/ValueSet/Treatment