description: '**Concept**\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.\r\n**Purpose**\r\nA 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.\r\n**Evidence Base**\r\nThe list with types of living wills was developed in close consultation with the Dutch Patient and Consumer Federation (NPCF), the Dutch Association for Voluntary End of Life (NVVE) and the Dutch Patient Organization (NPV). \r\n\r\nThe list of types matches the living wills for which the various associations offer examples on their websites.\r\n\r\n**Example Instances**'
package_name: healthdata.be.r4.cbb
derivation: specialization
name: HdBeAdvanceDirective
abstract: true
type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/advance_directive
elements:
  living_will_type:
    short: LivingWillType
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Aanduiding van de verschillende soorten wilsverklaringen.}
    type: CodeableConcept
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: WilsverklaringType}
    binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/WilsverklaringType'}
    base: {max: '1', min: 1, path: advance_directive.living_will_type}
    index: 0
  living_will_date:
    short: LivingWillDate
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De datum waarop de wilsverklaring is vastgelegd.}
    type: dateTime
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: WilsverklaringDatum}
    base: {max: '1', min: 1, path: advance_directive.living_will_date}
    index: 1
  disorder:
    short: Disorder
    index: 2
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Het probleem of aandoening waar de wilsverklaring betrekking op heeft.}
    type: BackboneElement
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Aandoening}
    array: true
    elements:
      problem:
        short: Problem
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: nl-NL}
            - url: content
              valueMarkdown: "Rootconcept van de bouwsteen Probleem.\r\nEen probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de patiënt zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose)."
        refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem']
        type: Reference
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: nl-NL}
            - {url: content, valueMarkdown: Probleem}
        base: {max: '1', min: 1, path: advance_directive.disorder.problem}
        index: 3
    base: {max: '*', min: 0, path: advance_directive.disorder}
    required: [problem]
  representative:
    short: Representative
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De persoon die wettelijke vertegerwoordiger is of in de ondertekende volmacht als gevolmachtigde wordt benoemd.}
    type: BackboneElement
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Vertegenwoordiger}
    base: {max: '1', min: 0, path: advance_directive.representative}
    index: 4
    elements:
      contact:
        short: Contact
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: nl-NL}
            - {url: content, valueMarkdown: Rootconcept van de bouwsteen Contactpersoon. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Contactpersoon.}
        refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact']
        type: Reference
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: nl-NL}
            - {url: content, valueMarkdown: Contactpersoon}
        base: {max: '1', min: 1, path: advance_directive.representative.contact}
        index: 5
    required: [contact]
  living_will_document:
    short: LivingWillDocument
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: 'Ingescand brondocument met de wilsverklaring en handtekening van de patiënt, bijv. een PDF.'}
    type: base64Binary
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: WilsverklaringDocument}
    base: {max: '1', min: 0, path: advance_directive.living_will_document}
    index: 6
  comment:
    short: Comment
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: 'Toelichting bij de wilsverklaring, bijvoorbeeld de vorm, zoals een penning, een tattoo etc. of waar de wilsverklaring te vinden is.'}
    type: string
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Toelichting}
    base: {max: '1', min: 0, path: advance_directive.comment}
    index: 7
package_version: 0.5.0-alpha
class: logical
kind: logical
url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AdvanceDirective
base: http://hl7.org/fhir/StructureDefinition/Element
version: null
required: [living_will_date, living_will_type]