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{
  "resourceType": "StructureDefinition",
  "id": "zib-AdvanceDirective",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective",
  "name": "ZibAdvanceDirective",
  "title": "zib AdvanceDirective",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "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 provider.",
  "purpose": "This Consent resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) AdvanceDirective-v3.1.1(2020EN)](https://zibs.nl/wiki/AdvanceDirective-v3.1.1(2020EN)).",
  "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",
  "mapping": [
    {
      "identity": "zib-advancedirective-v3.1.1-2020EN",
      "uri": "https://zibs.nl/wiki/AdvanceDirective-v3.1.1(2020EN)",
      "name": "zib AdvanceDirective-v3.1.1(2020EN)"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Consent",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Consent",
        "path": "Consent",
        "short": "AdvanceDirective",
        "alias": [
          "Wilsverklaring"
        ],
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.1",
            "comment": "AdvanceDirective"
          }
        ]
      },
      {
        "id": "Consent.extension",
        "path": "Consent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Consent.extension:disorder",
        "path": "Consent.extension",
        "sliceName": "disorder",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-AdvanceDirective.Disorder"
            ]
          }
        ]
      },
      {
        "id": "Consent.extension:comment",
        "path": "Consent.extension",
        "sliceName": "comment",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
            ]
          }
        ]
      },
      {
        "id": "Consent.extension:comment.value[x]",
        "path": "Consent.extension.value[x]",
        "short": "Comment",
        "definition": "Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.6",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Consent.status",
        "path": "Consent.status",
        "comment": "This element has no functional counterpart in the zib and cannot be implicitly mapped to other concepts. Unless a more appropriate status is recorded, it is assumed that only _active_ Consent resources will be exchanged."
      },
      {
        "id": "Consent.scope",
        "path": "Consent.scope",
        "comment": "At the moment of writing (02-11-2021) the _adr_ code is incorrectly removed from the ConsentScopeCodes CodeSystem (http://terminology.hl7.org/CodeSystem/consentscope). This will be corrected within the R4 release of FHIR based on this tracker item: <https://jira.hl7.org/browse/FHIR-34215>.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/consentscope",
              "code": "adr"
            }
          ]
        }
      },
      {
        "id": "Consent.category",
        "path": "Consent.category",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
              "code": "acd"
            }
          ]
        }
      },
      {
        "id": "Consent.dateTime",
        "path": "Consent.dateTime",
        "short": "LivingWillDate",
        "definition": "The date on which the living will was recorded.",
        "alias": [
          "WilsverklaringDatum"
        ],
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.7",
            "comment": "LivingWillDate"
          }
        ]
      },
      {
        "id": "Consent.source[x]",
        "path": "Consent.source[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Consent.source[x]:sourceAttachment",
        "path": "Consent.source[x]",
        "sliceName": "sourceAttachment",
        "type": [
          {
            "code": "Attachment"
          }
        ]
      },
      {
        "id": "Consent.source[x]:sourceAttachment.data",
        "path": "Consent.source[x].data",
        "short": "LivingWillDocument",
        "definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
        "alias": [
          "WilsverklaringDocument"
        ],
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.5",
            "comment": "LivingWillDocument"
          }
        ]
      },
      {
        "id": "Consent.policy.uri",
        "path": "Consent.policy.uri",
        "comment": "Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with <https://wetten.overheid.nl/> if the advance directive is recorded following Dutch law and regulations."
      },
      {
        "id": "Consent.provision.actor",
        "path": "Consent.provision.actor",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "role"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Consent.provision.actor:representative",
        "path": "Consent.provision.actor",
        "sliceName": "representative",
        "max": "1"
      },
      {
        "id": "Consent.provision.actor:representative.role",
        "path": "Consent.provision.actor.role",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
              "code": "RESPRSN"
            }
          ]
        }
      },
      {
        "id": "Consent.provision.actor:representative.reference",
        "path": "Consent.provision.actor.reference",
        "short": "Representative",
        "definition": "The person who is the legal representative or is appointed as the authorized representative in the signed authorization.",
        "alias": [
          "Vertegenwoordiger"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.3",
            "comment": "Representative"
          }
        ]
      },
      {
        "id": "Consent.provision.code",
        "path": "Consent.provision.code",
        "short": "LivingWillType",
        "definition": "List of the different types of living wills.",
        "alias": [
          "WilsverklaringType"
        ],
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-advancedirective-v3.1.1-2020EN",
            "map": "NL-CM:7.15.2",
            "comment": "LivingWillType"
          }
        ]
      }
    ]
  }
}

name : ZibAdvanceDirective

{

}