{
  "resourceType": "StructureDefinition",
  "id": "HdBe-AdvanceDirective",
  "language": "en-US",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2020-08-31T22:00:00+00:00"
      }
    }
  ],
  "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AdvanceDirective",
  "name": "HdBeAdvanceDirective",
  "_name": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-NL"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBeWilsverklaring"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBeDéclarationVolonté"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "title": "HdBe AdvanceDirective",
  "_title": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-NL"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBe  Wilsverklaring"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "HdBe DéclarationVolonté"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "status": "draft",
  "date": "2022-07-07T15:04:03.259205+00:00",
  "publisher": "Healthdata.be (Sciensano)",
  "contact": [
    {
      "name": "Service portal – healthdata.be",
      "telecom": [
        {
          "system": "url",
          "value": "https://sciensano.service-now.com/sp",
          "use": "work"
        }
      ]
    }
  ],
  "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 professional.\r\n#### Purpose\r\nA good overview of the patient’s wishes is important. A healthcare professional 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.",
  "_description": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "nl-NL"
          },
          {
            "url": "content",
            "valueMarkdown": "Een wilsverklaring is een mondelinge of schriftelijke omschrijving van de wens van de patiënt ten aanzien van toekomstig medisch handelen of het levenseinde. Een wilsverklaring is vooral voor situaties waarin de patiënt niet meer over deze beslissingen kan praten met de zorgverlener.
\n#### Purpose
\nEen goed overzicht van wensen van de patiënt is belangrijk. Een zorgverlener kan de wilsverklaring gebruiken om de bestaande wensen met de betrokkenen te bespreken en om deze wensen in het eigen beleid op te nemen. Vooral in de acute situatie is een beknopte en overzichtelijke lijst van belang. 
\n#### Evidence Base
\nDe lijst met type wilsverklaringen is tot stand gekomen in nauw overleg met de Nederlandse Patiënten en Consumenten Federatie (NPCF), de Nederlandse Vereniging voor een Vrijwillig Levenseinde (NVVE) en de Nederlandse Patiënten Vereniging (NPV).
\n
\nDe lijst met types komt overeen met de wilsverklaringen waarvoor de verschillende verenigingen op hun websites voorbeelden voor aanbieden.
\n
\n
\n**References**
\n1. NPCF - Wilsverklaring [Online] Beschikbaar op: https://www.patientenfederatie.nl/themas/wilsverklaring/wat-hoe [Geraadpleegd: 15 juni 2020].
\n
\n2. Wilsverklaringen van de NVVE [Online] Beschikbaar op: https://nvve.nl/index.php?cID=307 [Geraadpleegd: 15 juni 2020].
\n
\n3. NPV - Levenswensverklaring [Online] Beschikbaar op: https://npvzorg.nl/levenswensverklaring/ [Geraadpleegd: 15 juni 2020].
"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "fr-BE"
          },
          {
            "url": "content",
            "valueMarkdown": "Une déclaration de volonté est une description orale ou écrite des souhaits du patient en ce qui concerne l'action médicale future ou sa fin de vie. Une déclaration de volonté est principalement utilisée pour les situations où le patient n'est plus en mesure de s'exprimer au sujet de ces décisions auprès de son professionnel de la santé.\n##### But\nUne bonne vue d'ensemble des souhaits du patient est importante. Un professionnel de la santé peut utiliser la déclaration de volonté pour discuter des souhaits existants avec les personnes concernées et pour intégrer ces souhaits dans leur propre politique. Une liste concise et ordonnée est particulièrement importante dans les situations de soins aigus."
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "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.",
  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": true,
  "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/AdvanceDirective",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "AdvanceDirective",
        "path": "AdvanceDirective",
        "short": "AdvanceDirective",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Wilsverklaring"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Rootconcept van de bouwsteen Wilsverklaring. Dit concept bevat alle gegevenselementen van de bouwsteen Wilsverklaring."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Concept root du modèle d'information DéclarationVolonté. Ce concept contient tous les éléments de données du modèle d'information DéclarationVolonté."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "AdvanceDirective",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "AdvanceDirective.id",
        "path": "AdvanceDirective.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "comment": "Note that FHIR strings may not exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "AdvanceDirective.extension",
        "path": "AdvanceDirective.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "AdvanceDirective.LivingWillType",
        "path": "AdvanceDirective.LivingWillType",
        "short": "LivingWillType",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringType"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "TypeDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "List of the different types of living wills.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Aanduiding van de verschillende soorten wilsverklaringen."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Liste des différents types de déclarations de volonté."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "AdvanceDirective.LivingWillType",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "LivingWillType codes",
          "_description": {
            "extension": [
              {
                "extension": [
                  {
                    "url": "lang",
                    "valueCode": "fr-BE"
                  },
                  {
                    "url": "content",
                    "valueMarkdown": "Codes TypeDéclarationVolonté"
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "valueSet": "https://fhir.healthdata.be/ValueSet/TypeOfLivingWill"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "AdvanceDirective.LivingWillDate",
        "path": "AdvanceDirective.LivingWillDate",
        "short": "LivingWillDate",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringDatum"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DateDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The date on which the living will was recorded.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De datum waarop de wilsverklaring is vastgelegd."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "La date à laquelle la déclaration de volonté a été enregistrée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "base": {
          "path": "AdvanceDirective.LivingWillDate",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "AdvanceDirective.Disorder",
        "path": "AdvanceDirective.Disorder",
        "short": "Disorder",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Aandoening"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Maladie"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The problem or disorder to which the living will applies.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het probleem of aandoening waar de wilsverklaring betrekking op heeft."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Le problème ou l'affection auquel/à laquelle la déclaration de volonté s'applique."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "AdvanceDirective.Disorder",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          }
        ]
      },
      {
        "id": "AdvanceDirective.Representative",
        "path": "AdvanceDirective.Representative",
        "short": "Representative",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vertegenwoordiger"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Représentant"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The person who is the legal representative or is appointed as the authorized representative in the signed authorization.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De persoon die wettelijke vertegerwoordiger is of in de ondertekende volmacht als gevolmachtigde wordt benoemd."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "La personne qui est le représentant légal ou qui est désignée comme étant le représentant autorisé dans l'autorisation signée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "AdvanceDirective.Representative",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-ContactPerson"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          }
        ]
      },
      {
        "id": "AdvanceDirective.LivingWillDocument",
        "path": "AdvanceDirective.LivingWillDocument",
        "short": "LivingWillDocument",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringDocument"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DocumentDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Ingescand brondocument met de wilsverklaring en handtekening van de patiënt, bijv. een PDF."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Document source numérisé avec la déclaration de volonté et la signature du patient, par exemple un PDF."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "A stream of bytes, base64 encoded",
        "min": 0,
        "max": "1",
        "base": {
          "path": "AdvanceDirective.LivingWillDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "AdvanceDirective.Comment",
        "path": "AdvanceDirective.Comment",
        "short": "Comment",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Toelichting"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Commentaire"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.",
        "_definition": {
          "extension": [
            {
              "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."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Commentaire sur la déclaration de volonté : la forme, comme un médaillon, un tatouage, etc., ou l'endroit où la déclaration de volonté peut être trouvée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "comment": "Note that FHIR strings may not exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "AdvanceDirective.Comment",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "AdvanceDirective",
        "path": "AdvanceDirective",
        "short": "AdvanceDirective",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Wilsverklaring"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Rootconcept van de bouwsteen Wilsverklaring. Dit concept bevat alle gegevenselementen van de bouwsteen Wilsverklaring."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Concept root du modèle d'information DéclarationVolonté. Ce concept contient tous les éléments de données du modèle d'information DéclarationVolonté."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "AdvanceDirective.LivingWillType",
        "path": "AdvanceDirective.LivingWillType",
        "short": "LivingWillType",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringType"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "TypeDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "List of the different types of living wills.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Aanduiding van de verschillende soorten wilsverklaringen."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Liste des différents types de déclarations de volonté."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "LivingWillType codes",
          "_description": {
            "extension": [
              {
                "extension": [
                  {
                    "url": "lang",
                    "valueCode": "fr-BE"
                  },
                  {
                    "url": "content",
                    "valueMarkdown": "Codes TypeDéclarationVolonté"
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "valueSet": "https://fhir.healthdata.be/ValueSet/TypeOfLivingWill"
        }
      },
      {
        "id": "AdvanceDirective.LivingWillDate",
        "path": "AdvanceDirective.LivingWillDate",
        "short": "LivingWillDate",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringDatum"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DateDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The date on which the living will was recorded.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De datum waarop de wilsverklaring is vastgelegd."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "La date à laquelle la déclaration de volonté a été enregistrée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "AdvanceDirective.Disorder",
        "path": "AdvanceDirective.Disorder",
        "short": "Disorder",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Aandoening"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Maladie"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The problem or disorder to which the living will applies.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Het probleem of aandoening waar de wilsverklaring betrekking op heeft."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Le problème ou l'affection auquel/à laquelle la déclaration de volonté s'applique."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem"
            ]
          }
        ]
      },
      {
        "id": "AdvanceDirective.Representative",
        "path": "AdvanceDirective.Representative",
        "short": "Representative",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Vertegenwoordiger"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Représentant"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "The person who is the legal representative or is appointed as the authorized representative in the signed authorization.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "De persoon die wettelijke vertegerwoordiger is of in de ondertekende volmacht als gevolmachtigde wordt benoemd."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "La personne qui est le représentant légal ou qui est désignée comme étant le représentant autorisé dans l'autorisation signée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-ContactPerson"
            ]
          }
        ]
      },
      {
        "id": "AdvanceDirective.LivingWillDocument",
        "path": "AdvanceDirective.LivingWillDocument",
        "short": "LivingWillDocument",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "WilsverklaringDocument"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "DocumentDéclarationVolonté"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
        "_definition": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Ingescand brondocument met de wilsverklaring en handtekening van de patiënt, bijv. een PDF."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Document source numérisé avec la déclaration de volonté et la signature du patient, par exemple un PDF."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "base64Binary"
          }
        ]
      },
      {
        "id": "AdvanceDirective.Comment",
        "path": "AdvanceDirective.Comment",
        "short": "Comment",
        "_short": {
          "extension": [
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "nl-NL"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Toelichting"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Commentaire"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "definition": "Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.",
        "_definition": {
          "extension": [
            {
              "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."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "fr-BE"
                },
                {
                  "url": "content",
                  "valueMarkdown": "Commentaire sur la déclaration de volonté : la forme, comme un médaillon, un tatouage, etc., ou l'endroit où la déclaration de volonté peut être trouvée."
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      }
    ]
  }
}