No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
 <status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="Freedom restricting interventions are interventions that are used against the will of the person concerned and that consciously restrict the person's freedom to protect the person or his environment. This definition includes many forms of freedom restriction, such as (not exhaustive) * Forced administration of fluid and nutrition * Forced administration of medication * Performing medical checks or other medical procedures * Restricting freedom of movement * Admitting to an accommodation and secluding when admitted to an accommodation. * Exercising supervision * Searching of clothing or body * Restriction of visitors and the use of communication means In the hospital, it is usually about restricting the freedom of movement, for example by using bed rails, moving a chair near to the table or using an arm splint for infusion. In combination with freedom-restricting interventions, soothing medication can be administered. In the case of small children, it is often a question of fixing hands, for example, to prevent a stomach tube from being pulled out. For nurses to use it in hospitals, Dutch Nurses Association (V&VN) published a guideline [ref. 3]. In mental health care, care for the disabled and psychogeriatric care, it always concerns care that is used against the will of the patient. The legal framework for using these interventions is (per 1-1-2020) governed by two laws, namely: * The Wet verplichte ggz (Wvggz: Mandatory Care In Mental Health Act) for people with psychiatric disorders * The Wet zorg en dwang (Wzd: Care and Compulsion Act) for people with intellectual disabilities and people with a psychogeriatric disorder, such as dementia. The Wvggz refers to the term compulsory care, while the Wzd uses the term involuntary care. A national registration system, the Argus registration, is used to register the interventions in the context of the Wvggz." /> <purpose value="A derived profile from [zib-FreedomRestrictingIntervention](http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingIntervention) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." /> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-freedomrestrictingintervention-v1.0-2020EN" /> <uri value="https://zibs.nl/wiki/FreedomRestrictingIntervention-v1.0(2020EN)" /> <name value="zib FreedomRestrictingIntervention-v1.0(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingIntervention" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <alias value="nl-core-FreedomRestrictingIntervention" /> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="Procedure.reasonReference:legalSituation-LegalStatus"> <path value="Procedure.reasonReference" /> <sliceName value="legalSituation-LegalStatus" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-LegalSituation-LegalStatus" /> </type> </element> <element id="Procedure.reasonReference:legalSituation-Representation"> <path value="Procedure.reasonReference" /> <sliceName value="legalSituation-Representation" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-LegalSituation-Representation" /> </type> </element> </differential> </StructureDefinition>