{
"description": "A living will is a verbal or written description of the patient’s wishes with regard to future medical action or end of their life. A living will is mainly used for situations in which the patient is no longer able to speak about these decisions with their healthcare provider.",
"_filename": "zib-AdvanceDirective.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Consent resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) AdvanceDirective-v3.1.1(2020EN)](https://zibs.nl/wiki/AdvanceDirective-v3.1.1(2020EN)).",
"name": "ZibAdvanceDirective",
"mapping": [ {
"uri": "https://zibs.nl/wiki/AdvanceDirective-v3.1.1(2020EN)",
"name": "zib AdvanceDirective-v3.1.1(2020EN)",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"abstract": true,
"copyright": "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.",
"type": "Consent",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "zib AdvanceDirective",
"package_version": "0.8.0-beta.1",
"status": "draft",
"id": "26895855-cb4a-4001-ba84-607675dafe7d",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective",
"version": null,
"differential": {
"element": [ {
"id": "Consent",
"path": "Consent",
"alias": [ "Wilsverklaring" ],
"short": "AdvanceDirective",
"mapping": [ {
"map": "NL-CM:7.15.1",
"comment": "AdvanceDirective",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ]
}, {
"id": "Consent.extension",
"min": 0,
"path": "Consent.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Consent.extension:disorder",
"min": 0,
"path": "Consent.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-AdvanceDirective.Disorder" ]
} ],
"sliceName": "disorder"
}, {
"id": "Consent.extension:comment",
"max": "1",
"min": 0,
"path": "Consent.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-Comment" ]
} ],
"sliceName": "comment"
}, {
"id": "Consent.extension:comment.value[x]",
"path": "Consent.extension.value[x]",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:7.15.6",
"comment": "Comment",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"definition": "Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found."
}, {
"id": "Consent.status",
"path": "Consent.status",
"comment": "This element has no functional counterpart in the zib and cannot be implicitly mapped to other concepts. Unless a more appropriate status is recorded, it is assumed that only _active_ Consent resources will be exchanged."
}, {
"id": "Consent.scope",
"path": "Consent.scope",
"comment": "At the moment of writing (02-11-2021) the _adr_ code is incorrectly removed from the ConsentScopeCodes CodeSystem (http://terminology.hl7.org/CodeSystem/consentscope). This will be corrected within the R4 release of FHIR based on this tracker item: .",
"patternCodeableConcept": {
"coding": [ {
"code": "adr",
"system": "http://terminology.hl7.org/CodeSystem/consentscope"
} ]
}
}, {
"id": "Consent.category",
"path": "Consent.category",
"patternCodeableConcept": {
"coding": [ {
"code": "acd",
"system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes"
} ]
}
}, {
"id": "Consent.dateTime",
"path": "Consent.dateTime",
"alias": [ "WilsverklaringDatum" ],
"short": "LivingWillDate",
"mapping": [ {
"map": "NL-CM:7.15.7",
"comment": "LivingWillDate",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"definition": "The date on which the living will was recorded."
}, {
"id": "Consent.source[x]",
"path": "Consent.source[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Consent.source[x]:sourceAttachment",
"path": "Consent.source[x]",
"type": [ {
"code": "Attachment"
} ],
"sliceName": "sourceAttachment"
}, {
"id": "Consent.source[x]:sourceAttachment.data",
"path": "Consent.source[x].data",
"alias": [ "WilsverklaringDocument" ],
"short": "LivingWillDocument",
"mapping": [ {
"map": "NL-CM:7.15.5",
"comment": "LivingWillDocument",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"definition": "Scanned source document with the living will and the patient's signature, such as a PDF."
}, {
"id": "Consent.policy.uri",
"path": "Consent.policy.uri",
"comment": "Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with if the advance directive is recorded following Dutch law and regulations."
}, {
"id": "Consent.provision.actor",
"path": "Consent.provision.actor",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "role",
"type": "value"
} ]
}
}, {
"id": "Consent.provision.actor:representative",
"max": "1",
"path": "Consent.provision.actor",
"sliceName": "representative"
}, {
"id": "Consent.provision.actor:representative.role",
"path": "Consent.provision.actor.role",
"patternCodeableConcept": {
"coding": [ {
"code": "RESPRSN",
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode"
} ]
}
}, {
"id": "Consent.provision.actor:representative.reference",
"path": "Consent.provision.actor.reference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" ]
} ],
"alias": [ "Vertegenwoordiger" ],
"short": "Representative",
"mapping": [ {
"map": "NL-CM:7.15.3",
"comment": "Representative",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"definition": "The person who is the legal representative or is appointed as the authorized representative in the signed authorization."
}, {
"id": "Consent.provision.code",
"max": "1",
"path": "Consent.provision.code",
"alias": [ "WilsverklaringType" ],
"short": "LivingWillType",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20200901000000"
},
"mapping": [ {
"map": "NL-CM:7.15.2",
"comment": "LivingWillType",
"identity": "zib-advancedirective-v3.1.1-2020EN"
} ],
"definition": "List of the different types of living wills."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent"
}