{ "description": "AdvanceDirective (formerly know as LivingWill) as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1.\\r\\nA 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.stu3.zib2017", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "3.0.2", "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 AdvanceDirective", "mapping": [ { "uri": "https://zibs.nl/wiki/AdvanceDirective-v1.0(2015EN)", "name": "HCIM AdvanceDirective-v1.0(2015EN)", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "uri": "https://zibs.nl/wiki/AdvanceDirective-v3.0(2016EN)", "name": "HCIM AdvanceDirective-v3.0(2016EN)", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/AdvanceDirective-v3.1(2017EN)", "name": "HCIM AdvanceDirective-v3.1(2017EN)", "identity": "hcim-advancedirective-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 AdvanceDirective", "package_version": "1.3.6", "status": "active", "id": "2f96ef09-52f0-40d8-8ac7-e036a28d5003", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective", "version": "2.1.0", "differential": { "element": [ { "id": "Consent", "path": "Consent", "alias": [ "Wilsverklaring" ], "short": "LivingWill", "mapping": [ { "map": "NL-CM:7.15.1", "comment": "LivingWill", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.1", "comment": "LivingWill", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.1", "comment": "AdvanceDirective", "identity": "hcim-advancedirective-v3.1-2017EN" } ] }, { "id": "Consent.extension", "path": "Consent.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Consent.extension:disorder", "path": "Consent.extension", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder" } ], "alias": [ "Aandoening" ], "short": "Disorder", "mapping": [ { "map": "NL-CM:7.15.4", "comment": "Disorder", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.4", "comment": "Disorder", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.4", "comment": "Disorder", "identity": "hcim-advancedirective-v3.1-2017EN" } ], "sliceName": "disorder", "definition": "The problem or disorder to which the living will applies." }, { "id": "Consent.extension:comment", "max": "1", "path": "Consent.extension", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/Comment" } ], "mapping": [ { "map": "NL-CM:7.15.6", "comment": "Explanation", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.6", "comment": "Explanation", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.6", "comment": "Comment", "identity": "hcim-advancedirective-v3.1-2017EN" } ], "sliceName": "comment" }, { "id": "Consent.identifier", "path": "Consent.identifier", "mapping": [ { "map": "NL-CM:0.0.6", "comment": "IdentificationNumber", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "Consent.category", "min": 2, "path": "Consent.category", "slicing": { "rules": "open", "discriminator": [ { "path": "coding.system", "type": "value" } ] } }, { "id": "Consent.category:livingWill", "max": "1", "min": 1, "path": "Consent.category", "short": "Living will and advance directive record", "sliceName": "livingWill", "definition": "Category snomed code used for indexing/retrieval of LivingWills" }, { "id": "Consent.category:livingWill.coding", "max": "1", "min": 1, "path": "Consent.category.coding" }, { "id": "Consent.category:livingWill.coding.system", "min": 1, "path": "Consent.category.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Consent.category:livingWill.coding.code", "min": 1, "path": "Consent.category.coding.code", "fixedCode": "11341000146107" }, { "id": "Consent.category:livingWill.coding.display", "path": "Consent.category.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "defaultValueString": "Living will and advance directive record (record artifact)" }, { "path": "Consent.category", "min": 1, "definition": "List of the different types of living wills.", "short": "TypeOfLivingWill", "mapping": [ { "map": "NL-CM:7.15.2", "comment": "TypeOfLivingWill", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.2", "comment": "TypeOfLivingWill", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.2", "comment": "LivingWillType", "identity": "hcim-advancedirective-v3.1-2017EN" } ], "sliceName": "typeOfLivingWill", "binding": { "strength": "extensible", "description": "List of the different types of living wills.", "valueSetReference": { "display": "WilsverklaringTypeCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000" } }, "alias": [ "WilsverklaringType" ], "max": "1", "id": "Consent.category:typeOfLivingWill" }, { "id": "Consent.category:typeOfLivingWill.coding", "min": 1, "path": "Consent.category.coding" }, { "id": "Consent.category:typeOfLivingWill.coding.system", "min": 1, "path": "Consent.category.coding.system" }, { "id": "Consent.category:typeOfLivingWill.coding.code", "min": 1, "path": "Consent.category.coding.code" }, { "id": "Consent.patient", "path": "Consent.patient", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" } ] }, { "id": "Consent.dateTime", "min": 1, "path": "Consent.dateTime", "alias": [ "WilsverklaringDatum" ], "short": "LivingWillDate", "mapping": [ { "map": "NL-CM:7.15.7", "comment": "LivingWillDate", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.7", "comment": "LivingWillDate", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.7", "comment": "LivingWillDate", "identity": "hcim-advancedirective-v3.1-2017EN" }, { "map": "NL-CM:0.0.14", "comment": "DateTime", "identity": "hcim-basicelements-v1.0-2017EN" } ], "definition": "The date on which the living will was recorded." }, { "id": "Consent.consentingParty", "max": "1", "path": "Consent.consentingParty", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" } ], "alias": [ "Vertegenwoordiger" ], "short": "Representative", "mapping": [ { "map": "NL-CM:7.15.3", "comment": "Representative", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.3", "comment": "Representative", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.3", "comment": "Representative", "identity": "hcim-advancedirective-v3.1-2017EN" }, { "map": "NL-CM:0.0.7", "comment": "Author", "identity": "hcim-basicelements-v1.0-2017EN" } ], "definition": "The person who is the legal representative or is appointed as the authorized representative in the signed authorization." }, { "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]", "alias": [ "WilsverklaringDocument" ], "short": "LivingWillDocument", "mapping": [ { "map": "NL-CM:7.15.5", "comment": "LivingWillDocument", "identity": "hcim-advancedirective-v1.0-2015EN" }, { "map": "NL-CM:7.15.5", "comment": "LivingWillDocument", "identity": "hcim-advancedirective-v3.0-2016EN" }, { "map": "NL-CM:7.15.5", "comment": "LivingWillDocument", "identity": "hcim-advancedirective-v3.1-2017EN" } ] }, { "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" }