<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="email" /> <value value="geboortezorg@nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="The AdvanceDirective concept of zib TreatmentDirective." /> <purpose value="This extension represents the AdvanceDirective concept of the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) TreatmentDirective2-v1.0(2020EN)](https://zibs.nl/wiki/TreatmentDirective2-v1.0(2020EN)). The cardinality of the `Consent.source[x]` element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.2.8). This is solved by adding an extension that can be used to provide additional sources after the `Concent.source[x]` is populated first." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="zib-treatmentdirective2-v1.0-2020EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective2-v1.0(2020EN)" /> <name value="zib TreatmentDirective2-v1.0(2020EN)" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <contextType value="resource" /> <context value="Consent" /> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <snapshot> <element id="Extension"> <path value="Extension" /> <short value="Optional Extensions Element" /> <definition value="Optional Extension Element - found in all resources." /> <comment value="The cardinality of the `Consent.source[x]` element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.2.8) specified in the HCIM TreatmentDirective2. This is solved by adding an extension that can be used to provide additional sources after `Consent.source[x]` is populated." /> <min value="0" /> <max value="*" /> <base> <path value="Element" /> <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() > 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="Extension.id"> <path value="Extension.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() > 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="Extension.extension"> <path value="Extension.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() > 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="Extension.url"> <path value="Extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/bc-treatmentdirective-advancedirective" /> <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() > 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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="AdvanceDirective" /> <definition value="A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter." /> <alias value="Wilsverklaring" /> <min value="0" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" /> </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() > 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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="zib-treatmentdirective2-v1.0-2020EN" /> <map value="NL-CM:2.2.8" /> <comment value="AdvanceDirective" /> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension" /> <comment value="The cardinality of the `Consent.source[x]` element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.2.8) specified in the HCIM TreatmentDirective2. This is solved by adding an extension that can be used to provide additional sources after `Consent.source[x]` is populated." /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/bc-treatmentdirective-advancedirective" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="AdvanceDirective" /> <definition value="A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter." /> <alias value="Wilsverklaring" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" /> </type> <mapping> <identity value="zib-treatmentdirective2-v1.0-2020EN" /> <map value="NL-CM:2.2.8" /> <comment value="AdvanceDirective" /> </mapping> </element> </differential> </StructureDefinition>