<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="HdBe-AdvanceDirective" />
  <language value="en-US" />
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2020-09-01T00:00:00+02:00" />
    </valuePeriod>
  </extension>
  <url value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AdvanceDirective" />
  <name value="HdBeAdvanceDirective">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeWilsverklaring" />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeDéclarationVolonté" />
      </extension>
    </extension>
  </name>
  <title value="HdBe AdvanceDirective">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBe  Wilsverklaring" />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBe DéclarationVolonté" />
      </extension>
    </extension>
  </title>
  <status value="draft" />
  <date value="2022-07-07T15:04:03.259205+00:00" />
  <publisher value="Healthdata.be (Sciensano)" />
  <contact>
    <name value="Service portal – healthdata.be" />
    <telecom>
      <system value="url" />
      <value value="https://sciensano.service-now.com/sp" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="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.&#xD;&#xA;#### Purpose&#xD;&#xA;A 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.">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="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.&amp;#13;&#xA;#### Purpose&amp;#13;&#xA;Een 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. &amp;#13;&#xA;#### Evidence Base&amp;#13;&#xA;De 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).&amp;#13;&#xA;&amp;#13;&#xA;De lijst met types komt overeen met de wilsverklaringen waarvoor de verschillende verenigingen op hun websites voorbeelden voor aanbieden.&amp;#13;&#xA;&amp;#13;&#xA;&amp;#13;&#xA;**References**&amp;#13;&#xA;1. NPCF - Wilsverklaring [Online] Beschikbaar op: https://www.patientenfederatie.nl/themas/wilsverklaring/wat-hoe [Geraadpleegd: 15 juni 2020].&amp;#13;&#xA;&amp;#13;&#xA;2. Wilsverklaringen van de NVVE [Online] Beschikbaar op: https://nvve.nl/index.php?cID=307 [Geraadpleegd: 15 juni 2020].&amp;#13;&#xA;&amp;#13;&#xA;3. NPV - Levenswensverklaring [Online] Beschikbaar op: https://npvzorg.nl/levenswensverklaring/ [Geraadpleegd: 15 juni 2020].&amp;#13;" />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="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.&#xA;##### But&#xA;Une 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." />
      </extension>
    </extension>
  </description>
  <copyright value="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 value="4.0.1" />
  <kind value="logical" />
  <abstract value="true" />
  <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/AdvanceDirective" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="AdvanceDirective">
      <path value="AdvanceDirective" />
      <short value="AdvanceDirective">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wilsverklaring" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen Wilsverklaring. Dit concept bevat alle gegevenselementen van de bouwsteen Wilsverklaring." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Concept root du modèle d'information DéclarationVolonté. Ce concept contient tous les éléments de données du modèle d'information DéclarationVolonté." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <base>
        <path value="AdvanceDirective" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="AdvanceDirective.id">
      <path value="AdvanceDirective.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="AdvanceDirective.extension">
      <path value="AdvanceDirective.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="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 value="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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="AdvanceDirective.LivingWillType">
      <path value="AdvanceDirective.LivingWillType" />
      <short value="LivingWillType">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringType" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="TypeDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="List of the different types of living wills.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Aanduiding van de verschillende soorten wilsverklaringen." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Liste des différents types de déclarations de volonté." />
          </extension>
        </extension>
      </definition>
      <comment value="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 value="1" />
      <max value="1" />
      <base>
        <path value="AdvanceDirective.LivingWillType" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="extensible" />
        <description value="LivingWillType codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes TypeDéclarationVolonté" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/TypeOfLivingWill" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="AdvanceDirective.LivingWillDate">
      <path value="AdvanceDirective.LivingWillDate" />
      <short value="LivingWillDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the living will was recorded.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop de wilsverklaring is vastgelegd." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La date à laquelle la déclaration de volonté a été enregistrée." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <base>
        <path value="AdvanceDirective.LivingWillDate" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="AdvanceDirective.Disorder">
      <path value="AdvanceDirective.Disorder" />
      <short value="Disorder">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Aandoening" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Maladie" />
          </extension>
        </extension>
      </short>
      <definition value="The problem or disorder to which the living will applies.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het probleem of aandoening waar de wilsverklaring betrekking op heeft." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le problème ou l'affection auquel/à laquelle la déclaration de volonté s'applique." />
          </extension>
        </extension>
      </definition>
      <comment value="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 value="0" />
      <max value="*" />
      <base>
        <path value="AdvanceDirective.Disorder" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="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 value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
    </element>
    <element id="AdvanceDirective.Representative">
      <path value="AdvanceDirective.Representative" />
      <short value="Representative">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Vertegenwoordiger" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Représentant" />
          </extension>
        </extension>
      </short>
      <definition value="The person who is the legal representative or is appointed as the authorized representative in the signed authorization.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De persoon die wettelijke vertegerwoordiger is of in de ondertekende volmacht als gevolmachtigde wordt benoemd." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La personne qui est le représentant légal ou qui est désignée comme étant le représentant autorisé dans l'autorisation signée." />
          </extension>
        </extension>
      </definition>
      <comment value="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 value="0" />
      <max value="*" />
      <base>
        <path value="AdvanceDirective.Representative" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-ContactPerson" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="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 value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
    </element>
    <element id="AdvanceDirective.LivingWillDocument">
      <path value="AdvanceDirective.LivingWillDocument" />
      <short value="LivingWillDocument">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringDocument" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DocumentDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="Scanned source document with the living will and the patient's signature, such as a PDF.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Ingescand brondocument met de wilsverklaring en handtekening van de patiënt, bijv. een PDF." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Document source numérisé avec la déclaration de volonté et la signature du patient, par exemple un PDF." />
          </extension>
        </extension>
      </definition>
      <comment value="A stream of bytes, base64 encoded" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="AdvanceDirective.LivingWillDocument" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="base64Binary" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="AdvanceDirective.Comment">
      <path value="AdvanceDirective.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting bij de wilsverklaring, bijvoorbeeld de vorm, zoals een penning, een tattoo etc. of waar de wilsverklaring te vinden is." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="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." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="AdvanceDirective.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="AdvanceDirective">
      <path value="AdvanceDirective" />
      <short value="AdvanceDirective">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Wilsverklaring" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the AdvanceDirective information model. This concept contains all data elements of the AdvanceDirective information model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen Wilsverklaring. Dit concept bevat alle gegevenselementen van de bouwsteen Wilsverklaring." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Concept root du modèle d'information DéclarationVolonté. Ce concept contient tous les éléments de données du modèle d'information DéclarationVolonté." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="AdvanceDirective.LivingWillType">
      <path value="AdvanceDirective.LivingWillType" />
      <short value="LivingWillType">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringType" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="TypeDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="List of the different types of living wills.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Aanduiding van de verschillende soorten wilsverklaringen." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Liste des différents types de déclarations de volonté." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="LivingWillType codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes TypeDéclarationVolonté" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/TypeOfLivingWill" />
      </binding>
    </element>
    <element id="AdvanceDirective.LivingWillDate">
      <path value="AdvanceDirective.LivingWillDate" />
      <short value="LivingWillDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="The date on which the living will was recorded.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum waarop de wilsverklaring is vastgelegd." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La date à laquelle la déclaration de volonté a été enregistrée." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="AdvanceDirective.Disorder">
      <path value="AdvanceDirective.Disorder" />
      <short value="Disorder">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Aandoening" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Maladie" />
          </extension>
        </extension>
      </short>
      <definition value="The problem or disorder to which the living will applies.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het probleem of aandoening waar de wilsverklaring betrekking op heeft." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le problème ou l'affection auquel/à laquelle la déclaration de volonté s'applique." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" />
      </type>
    </element>
    <element id="AdvanceDirective.Representative">
      <path value="AdvanceDirective.Representative" />
      <short value="Representative">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Vertegenwoordiger" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Représentant" />
          </extension>
        </extension>
      </short>
      <definition value="The person who is the legal representative or is appointed as the authorized representative in the signed authorization.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De persoon die wettelijke vertegerwoordiger is of in de ondertekende volmacht als gevolmachtigde wordt benoemd." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La personne qui est le représentant légal ou qui est désignée comme étant le représentant autorisé dans l'autorisation signée." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-ContactPerson" />
      </type>
    </element>
    <element id="AdvanceDirective.LivingWillDocument">
      <path value="AdvanceDirective.LivingWillDocument" />
      <short value="LivingWillDocument">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="WilsverklaringDocument" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DocumentDéclarationVolonté" />
          </extension>
        </extension>
      </short>
      <definition value="Scanned source document with the living will and the patient's signature, such as a PDF.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Ingescand brondocument met de wilsverklaring en handtekening van de patiënt, bijv. een PDF." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Document source numérisé avec la déclaration de volonté et la signature du patient, par exemple un PDF." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="base64Binary" />
      </type>
    </element>
    <element id="AdvanceDirective.Comment">
      <path value="AdvanceDirective.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting bij de wilsverklaring, bijvoorbeeld de vorm, zoals een penning, een tattoo etc. of waar de wilsverklaring te vinden is." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="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." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>