RIVO-Noord Zorgviewer Implementation Guide
1.25.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.25.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

: CGM TreatmentDirective Example - XML Representation

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<Consent xmlns="http://hl7.org/fhir">
  <id value="b7e2c890-3d4f-4a1e-8c6b-2f9e1d7a5c83"/>
  <meta>
    <lastUpdated value="2026-02-20T10:30:00.000+01:00"/>
    <profile
             value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><table><caption>Consent. Patient: Dhr. P. Patient-4. Category: <span title="Behandelingsinstructies (artefact opnemen) (11291000146105 - SNOMED CT)">Behandelingsinstructies (artefact opnemen)</span>, Status: active</caption><tbody><tr><th>Periode</th><td>Vanaf 20 februari 2026</td></tr><tr><th>Datum</th><td>20 februari 2026</td></tr><tr><th>Geverifieerd</th><td>ja - 20 februari 2026 - <span title="Gevolmachtigde (8601000146109 - SNOMED CT)">Gevolmachtigde</span></td></tr><tr><th><span title="Kunstmatige beademing (40617009 - SNOMED CT)">Kunstmatige beademing</span></th><td><span title="Behandeling niet toegestaan en/of wenselijk (NEE - 2.16.840.1.113883.2.4.3.11.60.40.4)">Behandeling niet toegestaan en/of wenselijk</span></td></tr></tbody></table></div>
  </text>
  <extension
             url="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification">
    <extension url="Verified">
      <valueBoolean value="true"/>
    </extension>
    <extension url="VerifiedWith">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="8601000146109"/>
          <display value="Gevolmachtigde"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="VerificationDate">
      <valueDateTime value="2026-02-20"/>
    </extension>
  </extension>
  <extension url="http://nictiz.nl/fhir/StructureDefinition/Comment">
    <valueString value="Patiënt wenst geen kunstmatige beademing."/>
  </extension>
  <extension
             url="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="40617009"/>
        <display value="Kunstmatige beademing"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <modifierExtension
                     url="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted">
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4"/>
        <code value="NEE"/>
        <display value="Behandeling niet toegestaan en/of wenselijk"/>
      </coding>
    </valueCodeableConcept>
  </modifierExtension>
  <identifier>
    <system value="http://cgmhuisarts.cgm.nl/fhir/NamingSystem/consentID"/>
    <value value="cgm-treatment-directive-001"/>
  </identifier>
  <status value="active"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="11291000146105"/>
      <display value="Behandelingsinstructies (artefact opnemen)"/>
    </coding>
  </category>
  <patient>🔗 
    <reference value="Patient/40bbb218-2bcf-4851-a104-dfb910408587"/>
    <display value="Dhr. P. Patient-4"/>
  </patient>
  <period>
    <start value="2026-02-20"/>
  </period>
  <dateTime value="2026-02-20T10:30:00+01:00"/>
  <policy>
    <uri value="http://wetten.overheid.nl/"/>
  </policy>
</Consent>