<status value="active" /> <date value="2017-05-03T12:18:39.6788994+02:00" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="email" /> <value value="info@nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. A treatment instruction includes an agreed constraint in the treatment based on the oral or written living will of the patient." /> <purpose value="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 value="CC0" /> <fhirVersion value="3.0.1" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v1.0.1(2015EN)" /> <name value="HCIM TreatmentDirective-v1.0.1(2015EN)" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v3.0(2016EN)" /> <name value="HCIM TreatmentDirective-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v3.1(2017EN)" /> <name value="HCIM TreatmentDirective-v3.1(2017EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Consent" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Consent" /> <derivation value="constraint" /> <differential> <element id="Consent"> <path value="Consent" /> <short value="TreatmentDirective" /> <alias value="BehandelAanwijzing" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.1" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.1" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.1" /> </mapping> </element> <element id="Consent.extension"> <path value="Consent.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.extension:verification"> <path value="Consent.extension" /> <sliceName value="verification" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.8" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.8" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.8" /> </mapping> </element> <element id="Consent.extension:verification.extension:Verified"> <path value="Consent.extension.extension" /> <sliceName value="Verified" /> <short value="Verified" /> <alias value="Geverifieerd" /> <min value="1" /> <max value="1" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.9" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.9" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.9" /> </mapping> </element> <element id="Consent.extension:verification.extension:Verified.valueBoolean"> <path value="Consent.extension.extension.valueBoolean" /> </element> <element id="Consent.extension:verification.extension:VerifiedWith"> <path value="Consent.extension.extension" /> <sliceName value="VerifiedWith" /> <short value="VerifiedWith" /> <alias value="GeverifieerdBij" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.11" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.11" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.11" /> </mapping> </element> <element id="Consent.extension:verification.extension:VerifiedWith.valueCodeableConcept"> <path value="Consent.extension.extension.valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="The person with whom the treatment instruction was discussed and verified." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000" /> <display value="GeverifieerdBijCodelijst" /> </valueSetReference> </binding> </element> <element id="Consent.extension:verification.extension:VerificationDate"> <path value="Consent.extension.extension" /> <sliceName value="VerificationDate" /> <short value="VerificationDate" /> <alias value="VerificatieDatum" /> <max value="1" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.10" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.10" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.10" /> </mapping> </element> <element id="Consent.extension:verification.extension:VerificationDate.valueDateTime"> <path value="Consent.extension.extension.valueDateTime" /> </element> <element id="Consent.extension:verification.url"> <path value="Consent.extension.url" /> <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification" /> </element> <element id="Consent.extension:comment"> <path value="Consent.extension" /> <sliceName value="comment" /> <short value="Comment" /> <definition value="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 value="Toelichting" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/Comment" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.15" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.15" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.15" /> </mapping> </element> <element id="Consent.extension:comment.valueString"> <path value="Consent.extension.valueString" /> </element> <element id="Consent.extension:treatment"> <path value="Consent.extension" /> <sliceName value="treatment" /> <short value="Treatment" /> <definition value="The medical treatment to which the treatment instruction applies." /> <alias value="Behandeling" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.3" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.3" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.3" /> </mapping> </element> <element id="Consent.extension:treatment.valueCodeableConcept"> <path value="Consent.extension.valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="The medical treatment to which the treatment instruction applies." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1--20171231000000" /> <display value="TreatmentCodelist" /> </valueSetReference> </binding> </element> <element id="Consent.modifierExtension"> <path value="Consent.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.modifierExtension:treatmentPermitted"> <path value="Consent.modifierExtension" /> <sliceName value="treatmentPermitted" /> <short value="TreatmentPermitted" /> <definition value="Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints." /> <comment value="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 value="BehandelingToegestaan" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.4" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.4" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.4" /> </mapping> </element> <element id="Consent.modifierExtension:treatmentPermitted.valueCodeableConcept"> <path value="Consent.modifierExtension.valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000" /> <display value="TreatmentPermittedCodelist" /> </valueSetReference> </binding> </element> <element id="Consent.status"> <path value="Consent.status" /> <comment value="The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is "active" unless stated otherwise." /> </element> <element id="Consent.category"> <path value="Consent.category" /> <min value="1" /> </element> <element id="Consent.category.coding"> <path value="Consent.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Consent.category.coding:treatmentDirective"> <path value="Consent.category.coding" /> <sliceName value="treatmentDirective" /> <definition value="Category snomed code used for indexing/retrieval of TreatmentDirective." /> <min value="1" /> <max value="1" /> </element> <element id="Consent.category.coding:treatmentDirective.system"> <path value="Consent.category.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Consent.category.coding:treatmentDirective.code"> <path value="Consent.category.coding.code" /> <min value="1" /> <fixedCode value="11291000146105" /> </element> <element id="Consent.category.coding:treatmentDirective.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Consent.category.coding.display" /> <fixedString value="Treatment instructions (record artifact)" /> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> </element> <element id="Consent.period.start"> <path value="Consent.period.start" /> <short value="StartDate" /> <definition value="Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted." /> <alias value="BeginDatum" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.6" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.6" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.6" /> </mapping> </element> <element id="Consent.period.end"> <path value="Consent.period.end" /> <short value="EndDate" /> <definition value="Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted." /> <alias value="EindDatum" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.7" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.7" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.7" /> </mapping> </element> <element id="Consent.consentingParty"> <path value="Consent.consentingParty" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> </element> <element id="Consent.actor.reference"> <path value="Consent.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> <element id="Consent.organization"> <path value="Consent.organization" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </element> <element id="Consent.source[x]"> <path value="Consent.source[x]" /> <short value="AdvanceDirective" /> <definition value="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 value="Wilsverklaring" /> <type> <code value="Attachment" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.14" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.14" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.14" /> </mapping> </element> <element id="Consent.policy.uri"> <path value="Consent.policy.uri" /> <example> <label value="General Dutch Law" /> <valueUri value="http://wetten.overheid.nl/" /> </example> </element> <element id="Consent.except"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Except" /> </extension> <path value="Consent.except" /> <comment value="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." /> </element> <element id="Consent.except.extension"> <path value="Consent.except.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.except.extension:restrictions"> <path value="Consent.except.extension" /> <sliceName value="restrictions" /> <short value="Restrictions" /> <definition value="The restrictions or specific circumstances that apply to a certain treatment." /> <alias value="Beperkingen" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.5" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.5" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.5" /> </mapping> </element> <element id="Consent.except.extension:restrictions.valueString"> <path value="Consent.except.extension.valueString" /> </element> <element id="Consent.except.type"> <path value="Consent.except.type" /> <comment value="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"" /> </element> <element id="Consent.except.actor.reference"> <path value="Consent.except.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> </differential> </StructureDefinition>