{
"description": "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.",
"_filename": "zib-TreatmentDirective.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"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.",
"name": "Zib TreatmentDirective",
"mapping": [ {
"uri": "https://zibs.nl/wiki/TreatmentDirective-v1.0.1(2015EN)",
"name": "HCIM TreatmentDirective-v1.0.1(2015EN)",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/TreatmentDirective-v3.0(2016EN)",
"name": "HCIM TreatmentDirective-v3.0(2016EN)",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/TreatmentDirective-v3.1(2017EN)",
"name": "HCIM TreatmentDirective-v3.1(2017EN)",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Consent",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM TreatmentDirective",
"package_version": "1.3.1",
"status": "active",
"id": "2751f18b-aaa9-4da1-85b3-b2830a409797",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective",
"version": "2.1.0",
"differential": {
"element": [ {
"id": "Consent",
"path": "Consent",
"alias": [ "BehandelAanwijzing" ],
"short": "TreatmentDirective",
"mapping": [ {
"map": "NL-CM:2.1.1",
"comment": "TreatmentInstruction",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.1",
"comment": "TreatmentInstruction",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.1",
"comment": "TreatmentDirective",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ]
}, {
"id": "Consent.extension",
"path": "Consent.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.extension:verification",
"path": "Consent.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
} ],
"mapping": [ {
"map": "NL-CM:2.1.8",
"comment": "Verification",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.8",
"comment": "Verification",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.8",
"comment": "Verification",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "verification"
}, {
"id": "Consent.extension:verification.extension:Verified",
"max": "1",
"min": 1,
"path": "Consent.extension.extension",
"alias": [ "Geverifieerd" ],
"short": "Verified",
"mapping": [ {
"map": "NL-CM:2.1.9",
"comment": "Verified",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.9",
"comment": "Verified",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.9",
"comment": "Verified",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "Verified"
}, {
"id": "Consent.extension:verification.extension:VerifiedWith",
"path": "Consent.extension.extension",
"alias": [ "GeverifieerdBij" ],
"short": "VerifiedWith",
"mapping": [ {
"map": "NL-CM:2.1.11",
"comment": "VerifiedWith",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.11",
"comment": "VerifiedWith",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.11",
"comment": "VerifiedWith",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "VerifiedWith"
}, {
"id": "Consent.extension:verification.extension:VerifiedWith.valueCodeableConcept:valueCodeableConcept",
"path": "Consent.extension.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The person with whom the treatment instruction was discussed and verified.",
"valueSetReference": {
"display": "GeverifieerdBijCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
}, {
"id": "Consent.extension:verification.extension:VerificationDate",
"max": "1",
"path": "Consent.extension.extension",
"alias": [ "VerificatieDatum" ],
"short": "VerificationDate",
"mapping": [ {
"map": "NL-CM:2.1.10",
"comment": "VerificationDate",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.10",
"comment": "VerificationDate",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.10",
"comment": "VerificationDate",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "VerificationDate"
}, {
"id": "Consent.extension:verification.url",
"path": "Consent.extension.url",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
}, {
"id": "Consent.extension:comment",
"max": "1",
"path": "Consent.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/Comment"
} ],
"mapping": [ {
"map": "NL-CM:2.1.15",
"comment": "Explanation",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.15",
"comment": "Explanation",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.15",
"comment": "Comment",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "comment",
"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”)."
}, {
"id": "Consent.extension:treatment",
"path": "Consent.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
} ],
"alias": [ "Behandeling" ],
"short": "Treatment",
"mapping": [ {
"map": "NL-CM:2.1.3",
"comment": "Treatment",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.3",
"comment": "Treatment",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.3",
"comment": "Treatment",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "treatment",
"definition": "The medical treatment to which the treatment instruction applies."
}, {
"id": "Consent.extension:treatment.valueCodeableConcept:valueCodeableConcept",
"path": "Consent.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The medical treatment to which the treatment instruction applies.",
"valueSetReference": {
"display": "TreatmentCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
}, {
"id": "Consent.modifierExtension",
"path": "Consent.modifierExtension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Consent.modifierExtension",
"min": 1,
"definition": "Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.",
"short": "TreatmentPermitted",
"mapping": [ {
"map": "NL-CM:2.1.4",
"comment": "TreatmentPermitted",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.4",
"comment": "TreatmentPermitted",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.4",
"comment": "TreatmentPermitted",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
} ],
"sliceName": "treatmentPermitted",
"alias": [ "BehandelingToegestaan" ],
"max": "1",
"id": "Consent.modifierExtension:treatmentPermitted",
"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."
}, {
"id": "Consent.modifierExtension:treatmentPermitted.valueCodeableConcept:valueCodeableConcept",
"path": "Consent.modifierExtension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.",
"valueSetReference": {
"display": "TreatmentPermittedCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
}, {
"id": "Consent.identifier",
"path": "Consent.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"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",
"min": 1,
"path": "Consent.category"
}, {
"id": "Consent.category.coding",
"min": 1,
"path": "Consent.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Consent.category.coding:treatmentDirective",
"max": "1",
"min": 1,
"path": "Consent.category.coding",
"sliceName": "treatmentDirective",
"definition": "Category snomed code used for indexing/retrieval of TreatmentDirective."
}, {
"id": "Consent.category.coding:treatmentDirective.system",
"min": 1,
"path": "Consent.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Consent.category.coding:treatmentDirective.code",
"min": 1,
"path": "Consent.category.coding.code",
"fixedCode": "11291000146105"
}, {
"id": "Consent.category.coding:treatmentDirective.display",
"path": "Consent.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Treatment instructions (record artifact)"
}, {
"id": "Consent.patient",
"path": "Consent.patient",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Consent.period.start",
"path": "Consent.period.start",
"alias": [ "BeginDatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:2.1.6",
"comment": "StartDate",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.6",
"comment": "StartDate",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.6",
"comment": "StartDate",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"definition": "Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted."
}, {
"id": "Consent.period.end",
"path": "Consent.period.end",
"alias": [ "EindDatum" ],
"short": "EndDate",
"mapping": [ {
"map": "NL-CM:2.1.7",
"comment": "EndDate",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.7",
"comment": "EndDate",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.7",
"comment": "EndDate",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"definition": "Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted."
}, {
"id": "Consent.dateTime",
"path": "Consent.dateTime",
"mapping": [ {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"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"
} ],
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Consent.consentingParty.extension",
"path": "Consent.consentingParty.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.consentingParty.extension:practitionerRole",
"max": "1",
"path": "Consent.consentingParty.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "Consent.actor.reference",
"path": "Consent.actor.reference",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
}, {
"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.actor.reference.extension",
"path": "Consent.actor.reference.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.actor.reference.extension:practitionerRole",
"max": "1",
"path": "Consent.actor.reference.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"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]",
"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"
} ],
"alias": [ "Wilsverklaring" ],
"short": "AdvanceDirective",
"mapping": [ {
"map": "NL-CM:2.1.14",
"comment": "LivingWill",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.14",
"comment": "LivingWill",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.14",
"comment": "AdvanceDirective",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"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."
}, {
"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.",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Except"
} ]
}, {
"id": "Consent.except.extension",
"path": "Consent.except.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.except.extension:restrictions",
"path": "Consent.except.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions"
} ],
"alias": [ "Beperkingen" ],
"short": "Restrictions",
"mapping": [ {
"map": "NL-CM:2.1.5",
"comment": "Constraints",
"identity": "hcim-treatmentdirective-v1.0.1-2015EN"
}, {
"map": "NL-CM:2.1.5",
"comment": "Constraints",
"identity": "hcim-treatmentdirective-v3.0-2016EN"
}, {
"map": "NL-CM:2.1.5",
"comment": "Restrictions",
"identity": "hcim-treatmentdirective-v3.1-2017EN"
} ],
"sliceName": "restrictions",
"definition": "The restrictions or specific circumstances that apply to a certain treatment."
}, {
"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://hl7.org/fhir/StructureDefinition/Device"
}, {
"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.except.actor.reference.extension",
"path": "Consent.except.actor.reference.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.except.actor.reference.extension:practitionerRole",
"max": "1",
"path": "Consent.except.actor.reference.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent"
}