HdBe-AdvanceDirective

Profile	Status	URL
HdBe-AdvanceDirective	draft	https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AdvanceDirective

advance_directive		advance_directive	There are no (further) constraints on this element Element Id advance_directive Short description AdvanceDirective Definition Root concept of the LivingWill information model. This concept contains all data elements of the LivingWill information model. Data Type advance_directive
living_will_type	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id advance_directive.living_will_type Short description LivingWillType Definition List of the different types of living wills. Data Type CodeableConcept Binding LivingWillType codes WilsverklaringType (required)
living_will_date	1..1	dateTime	There are no (further) constraints on this element Element Id advance_directive.living_will_date Short description LivingWillDate Definition The date on which the living will was recorded. Data Type dateTime
disorder	0..*	BackboneElement	There are no (further) constraints on this element Element Id advance_directive.disorder Short description Disorder Definition The problem or disorder to which the living will applies. Data Type BackboneElement
problem	1..1	Reference(HdBe Problem)	There are no (further) constraints on this element Element Id advance_directive.disorder.problem Short description Problem Definition Root concept of the Problem information model. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient himselve (in the form of a complaint) or by their healthprofessional (in the form of a diagnosis, for example). Data Type Reference(HdBe Problem)
representative	0..1	BackboneElement	There are no (further) constraints on this element Element Id advance_directive.representative Short description Representative Definition The person who is the legal representative or is appointed as the authorized representative in the signed authorization. Data Type BackboneElement
contact	1..1	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	There are no (further) constraints on this element Element Id advance_directive.representative.contact Short description Contact Definition Root concept of the Contact information model. This root concept contains all data elements of the Contact information model. Data Type Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
living_will_document	0..1	base64Binary	There are no (further) constraints on this element Element Id advance_directive.living_will_document Short description LivingWillDocument Definition Scanned source document with the living will and the patient's signature, such as a PDF. Data Type base64Binary
comment	0..1	string	There are no (further) constraints on this element Element Id advance_directive.comment Short description Comment Definition Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found. Data Type string

advance_directive		0..*
advance_directive.living_will_type	CodeableConcept	1..1
advance_directive.living_will_date	dateTime	1..1
advance_directive.disorder	BackboneElement	0..*
advance_directive.disorder.problem	Reference(HdBe Problem)	1..1
advance_directive.representative	BackboneElement	0..1
advance_directive.representative.contact	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	1..1
advance_directive.living_will_document	base64Binary	0..1
advance_directive.comment	string	0..1

advance_directive
Definition	Root concept of the LivingWill information model. This concept contains all data elements of the LivingWill information model.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
advance_directive.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
advance_directive.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
advance_directive.living_will_type
Definition	List of the different types of living wills.
Cardinality	1...1
Type	CodeableConcept
Binding	LivingWillType codes WilsverklaringType (required)
Comments	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.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
advance_directive.living_will_date
Definition	The date on which the living will was recorded.
Cardinality	1...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
advance_directive.disorder
Definition	The problem or disorder to which the living will applies.
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
advance_directive.disorder.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
advance_directive.disorder.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
advance_directive.disorder.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
advance_directive.disorder.problem
Definition	Root concept of the Problem information model. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient himselve (in the form of a complaint) or by their healthprofessional (in the form of a diagnosis, for example).
Cardinality	1...1
Type	Reference(HdBe Problem)
Comments	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.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
advance_directive.representative
Definition	The person who is the legal representative or is appointed as the authorized representative in the signed authorization.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
advance_directive.representative.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
advance_directive.representative.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
advance_directive.representative.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
advance_directive.representative.contact
Definition	Root concept of the Contact information model. This root concept contains all data elements of the Contact information model.
Cardinality	1...1
Type	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
Comments	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.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
advance_directive.living_will_document
Definition	Scanned source document with the living will and the patient's signature, such as a PDF.
Cardinality	0...1
Type	base64Binary
Comments	A stream of bytes, base64 encoded
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
advance_directive.comment
Definition	Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a

Example instances

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| name_information      |                   |
|----------------------|-------------------|
| first_names | Johanna Petronella Maria   
| initials | J.P.M. 
| given_name | Jo 
| name_usage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| last_name.prefix | van
| last_name.last_name | Putten
| last_name_partner.partner_prefix | van der
| last_name_partner.partner_last_name | Giessen
| titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
living_will_type	WilsverklaringType	required	https://fhir.healthdata.be/ValueSet/WilsverklaringType