{
"resourceType": "StructureDefinition",
"id": "zib-AdvanceDirective",
"text": {
"status": "empty",
"div": "No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
"
},
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective",
"name": "ZibAdvanceDirective",
"title": "zib AdvanceDirective",
"status": "draft",
"publisher": "Nictiz",
"contact": [
{
"name": "Nictiz",
"telecom": [
{
"system": "url",
"value": "https://www.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 (2020)](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:disorder",
"path": "Consent.extension",
"sliceName": "disorder",
"type": [
{
"code": "Extension",
"profile": [
"http://nictiz.nl/fhir/StructureDefinition/ext-AdvanceDirective.Disorder"
]
}
]
},
{
"id": "Consent.extension:comment",
"path": "Consent.extension",
"sliceName": "comment",
"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 zib concepts. An appropriate status needs to be recorded in order to produce a valid instance."
},
{
"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: .",
"patternCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "adr"
}
]
}
},
{
"id": "Consent.category",
"path": "Consent.category",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
}
},
{
"id": "Consent.category:advanceDirectiveCode",
"path": "Consent.category",
"sliceName": "advanceDirectiveCode",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code": "acd"
}
]
}
},
{
"id": "Consent.dateTime",
"path": "Consent.dateTime",
"short": "LivingWillDate",
"definition": "The date on which the living will was recorded.",
"alias": [
"WilsverklaringDatum"
],
"mapping": [
{
"identity": "zib-advancedirective-v3.1.1-2020EN",
"map": "NL-CM:7.15.7",
"comment": "LivingWillDate"
}
]
},
{
"id": "Consent.source[x]",
"path": "Consent.source[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
}
},
{
"id": "Consent.source[x]:sourceAttachment",
"path": "Consent.source[x]",
"sliceName": "sourceAttachment",
"short": "LivingWillDocument",
"definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
"alias": [
"WilsverklaringDocument"
],
"type": [
{
"code": "Attachment"
}
],
"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 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"
}
]
}
]
}
}