HdBe-TreatmentDirective2

Profile	Status	URL
HdBe-TreatmentDirective2	draft	https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-TreatmentDirective2

treatment_directive		treatment_directive	There are no (further) constraints on this element Element Id treatment_directive Short description TreatmentDirective Definition Root concept of the TreatmentDirective2 information model. This concept contains all data elements of the TreatmentDirective2 information model. Data Type treatment_directive
treatment_decision	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id treatment_directive.treatment_decision Short description 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. Data Type CodeableConcept Binding TreatmentDecision codes BehandelBesluit (required)
treatment	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id treatment_directive.treatment Short description Treatment Definition The medical treatment to which the treatment instruction applies. Data Type CodeableConcept Binding Treatment codes Behandeling (required)
specification_other	0..1	string	There are no (further) constraints on this element Element Id treatment_directive.specification_other Short description SpecificationOther Definition Specification of the treatment decision when the decision is 'Other'. Data Type string
most_recent_review_date	1..1	dateTime	There are no (further) constraints on this element Element Id treatment_directive.most_recent_review_date Short description 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 have 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. Data Type dateTime
date_expired	0..1	dateTime	There are no (further) constraints on this element Element Id treatment_directive.date_expired Short description DateExpired Definition The date on which the treatment directive has been withdrawn and therefore no longer applies.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 provider 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. Data Type dateTime
reason_for_ending	0..1	string	There are no (further) constraints on this element Element Id treatment_directive.reason_for_ending Short description ReasonForEnding Definition Reason why the agreement on a treatment directive no longer applies. Data Type string
advance_directive	0..*	Reference(HdBe AdvanceDirective)	There are no (further) constraints on this element Element Id treatment_directive.advance_directive Short description 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. Data Type Reference(HdBe AdvanceDirective)
agreement_party	2..*	BackboneElement	There are no (further) constraints on this element Element Id treatment_directive.agreement_party Short description AgreementParty Definition Container of the Agreement concept.This container contains all data elements of the Agreement concept. Data Type BackboneElement
patient	0..*	Reference(HdBe Patient)	There are no (further) constraints on this element Element Id treatment_directive.agreement_party.patient Short description Patient Definition Patient as the person with whom the agreement was made. Data Type Reference(HdBe Patient)
representative	0..*	BackboneElement	There are no (further) constraints on this element Element Id treatment_directive.agreement_party.representative Short description Representative Definition Person who represents the patient in health care matters and with whom the agreement has been made (too). Data Type BackboneElement
contact	1..1	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	There are no (further) constraints on this element Element Id treatment_directive.agreement_party.representative.contact Short description Contact Definition Root concept of the Contact information model. This root concept contains all data elements of the Contact information model. Data Type Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
health_professional	0..*	Reference(HdBe HealthProfessional)	There are no (further) constraints on this element Element Id treatment_directive.agreement_party.health_professional Short description HealthProfessional Definition HealthProfessional who has made de agreement regarding the treatement directive. Data Type Reference(HdBe HealthProfessional)
comment	0..1	string	There are no (further) constraints on this element Element Id treatment_directive.comment Short description 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. Data Type string

treatment_directive		0..*
treatment_directive.treatment_decision	CodeableConcept	1..1
treatment_directive.treatment	CodeableConcept	1..1
treatment_directive.specification_other	string	0..1
treatment_directive.most_recent_review_date	dateTime	1..1
treatment_directive.date_expired	dateTime	0..1
treatment_directive.reason_for_ending	string	0..1
treatment_directive.advance_directive	Reference(HdBe AdvanceDirective)	0..*
treatment_directive.agreement_party	BackboneElement	2..*
treatment_directive.agreement_party.patient	Reference(HdBe Patient)	0..*
treatment_directive.agreement_party.representative	BackboneElement	0..*
treatment_directive.agreement_party.representative.contact	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	1..1
treatment_directive.agreement_party.health_professional	Reference(HdBe HealthProfessional)	0..*
treatment_directive.comment	string	0..1

treatment_directive
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
treatment_directive.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	System.String
Mappings	rim:n/a
treatment_directive.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
treatment_directive.treatment_decision
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 BehandelBesluit (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
treatment_directive.treatment
Definition	The medical treatment to which the treatment instruction applies.
Cardinality	1...1
Type	CodeableConcept
Binding	Treatment codes Behandeling (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
treatment_directive.specification_other
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
treatment_directive.most_recent_review_date
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 have 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
treatment_directive.date_expired
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 provider 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
treatment_directive.reason_for_ending
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
treatment_directive.advance_directive
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)
treatment_directive.agreement_party
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())`
Mappings	rim:n/a
treatment_directive.agreement_party.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	System.String
Mappings	rim:n/a
treatment_directive.agreement_party.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
treatment_directive.agreement_party.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
treatment_directive.agreement_party.patient
Definition	Patient as the person with whom the agreement was made.
Cardinality	0...*
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)
treatment_directive.agreement_party.representative
Definition	Person who represents the patient in health care matters and with whom the agreement has been made (too).
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
treatment_directive.agreement_party.representative.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	System.String
Mappings	rim:n/a
treatment_directive.agreement_party.representative.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
treatment_directive.agreement_party.representative.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
treatment_directive.agreement_party.representative.contact
Definition	Root concept of the Contact information model. This root concept contains all data elements of the Contact information model.
Cardinality	1...1
Type	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
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)
treatment_directive.agreement_party.health_professional
Definition	HealthProfessional who has made de agreement regarding the treatement directive.
Cardinality	0...*
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)
treatment_directive.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

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| name_information      |                   |
|----------------------|-------------------|
| first_names | Johanna Petronella Maria   
| initials | J.P.M. 
| given_name | Jo 
| name_usage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| last_name.prefix | van
| last_name.last_name | Putten
| last_name_partner.partner_prefix | van der
| last_name_partner.partner_last_name | Giessen
| titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
treatment_decision	BehandelBesluit	required	https://fhir.healthdata.be/ValueSet/BehandelBesluit
treatment	Behandeling	required	https://fhir.healthdata.be/ValueSet/Behandeling