description: An Advance Decision To Refuse Treatment (ADRT) flag that determines if a patient has an advance decision to refuse treatment on their EoL record. The details of the specifics are captured in a seperate ADRT legal document.
package_name: nhsdigital.fhir.stu3
derivation: constraint
name: EOL-ADRT-Flag-1
type: Flag
elements:
  category: {index: 5}
  encounter: {index: 17}
  author: {index: 18}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        conditionList:
          match: {url: null}
          schema:
            type: Extension
            short: ADRT Flag for EOL Condition List
            url: h
            index: 1
            elements:
              valueReference:
                type: Reference
                short: ADRT Flag for EOL Condition List
                refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/EOL-ATPProblemList-List-1']
                index: 2
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        type: Reference
                        short: ADRT Flag for EOL Condition List
                        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/EOL-ATPProblemList-List-1']
                        _required: true
                        index: 2
                      min: 1
            required: [valueReference]
  status: {short: active | inactive, index: 4}
  code:
    short: SNOMED Code indicating patient has a Advance Decision To Refuse Treatment flag
    index: 6
    elements:
      coding:
        index: 7
        elements:
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            index: 8
          version: {index: 9}
          code: {index: 10}
          display: {index: 11}
          userSelected: {index: 12}
        required: [display, system, code]
      text: {index: 13}
    required: [text]
  identifier: {index: 3}
  period:
    short: Effective period when ADRT flag is active
    index: 15
    elements:
      start: {index: 16}
    required: [start]
  subject:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/EOL-Patient-1']
    index: 14
package_version: 1.2.0
extensions:
  conditionList:
    url: h
    type: Extension
    short: ADRT Flag for EOL Condition List
    index: 1
    elements:
      valueReference:
        type: Reference
        short: ADRT Flag for EOL Condition List
        refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/EOL-ATPProblemList-List-1']
        index: 2
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                type: Reference
                short: ADRT Flag for EOL Condition List
                refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/EOL-ATPProblemList-List-1']
                _required: true
                index: 2
              min: 1
    required: [valueReference]
class: profile
kind: resource
url: https://fhir.nhs.uk/STU3/StructureDefinition/EOL-ADRT-Flag-1
base: http://hl7.org/fhir/StructureDefinition/Flag
version: 1.0.0
required: [period]