{
  "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": "# Purpose of HCIM\r\nA good overview of treatment instructions based on the wishes of the patient or their authorized representative on (un)desired treatments is important in a patient’s care. A concise, orderly list is of particular importance in acute care situations. Due to the large variety of symptoms, the situation concerns not only a CPR setting, but also cases in which the patient’s condition rapidly worsens as a result of existing symptoms.\r\nA healthcare provider consulting this information can discuss these existing treatment instructions with the patient, the patient’s family or the patient’s authorized representative and possibly include the instructions in their policy.",
  "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": "1.3.2",
  "status": "active",
  "id": "62dc9952-0dce-41cc-9d3b-88ae2a56d16a",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective",
  "version": "2.1.1",
  "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"
      } ],
      "constraint": [ {
        "key": "hcim-treatmentdirective-1",
        "human": "source.additionalSources may only be used for AdvanceDirective references in addition to first reference in source",
        "severity": "error",
        "expression": "sourceReference.extension.empty() or sourceReference.reference.exists()"
      }, {
        "key": "hcim-treatmentdirective-2",
        "human": "source.additionalSources may only be used for AdvanceDirective references in addition to first reference in source",
        "severity": "error",
        "expression": "(sourceReference.reference in sourceReference.extension.valueReference.reference).not()"
      } ]
    }, {
      "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: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",
      "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" ],
      "comment": "The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using the extension in the additionalSources element.",
      "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"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "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.source[x]:reference",
      "path": "Consent.source[x]",
      "type": [ {
        "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"
      } ],
      "comment": "The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using the additionalSources extension added in source[x]:reference slice.",
      "sliceName": "reference"
    }, {
      "id": "Consent.source[x]:reference.extension",
      "path": "Consent.source[x].extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Consent.source[x]:reference.extension:additionalSources",
      "path": "Consent.source[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources"
      } ],
      "comment": "The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using this extension.",
      "sliceName": "additionalSources"
    }, {
      "id": "Consent.source[x]:reference.extension:additionalSources.value[x]",
      "path": "Consent.source[x].extension.value[x]",
      "type": [ {
        "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"
      } ]
    }, {
      "id": "Consent.source[x]:reference.extension:additionalSources.value[x].reference",
      "path": "Consent.source[x].extension.value[x].reference",
      "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.source[x]:reference.reference",
      "path": "Consent.source[x].reference",
      "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."
    }, {
      "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"
}