<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <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 provider." /> <purpose value="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 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" /> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <uri value="https://zibs.nl/wiki/AdvanceDirective-v3.1.1(2020EN)" /> <name value="zib AdvanceDirective-v3.1.1(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Consent" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Consent" /> <derivation value="constraint" /> <differential> <element id="Consent"> <path value="Consent" /> <short value="AdvanceDirective" /> <alias value="Wilsverklaring" /> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.1" /> <comment value="AdvanceDirective" /> </mapping> </element> <element id="Consent.extension:disorder"> <path value="Consent.extension" /> <sliceName value="disorder" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-AdvanceDirective.Disorder" /> </type> </element> <element id="Consent.extension:comment"> <path value="Consent.extension" /> <sliceName value="comment" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-Comment" /> </type> </element> <element id="Consent.extension:comment.value[x]"> <path value="Consent.extension.value[x]" /> <short value="Comment" /> <definition value="Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found." /> <alias value="Toelichting" /> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.6" /> <comment value="Comment" /> </mapping> </element> <element id="Consent.status"> <path value="Consent.status" /> <comment value="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." /> </element> <element id="Consent.scope"> <path value="Consent.scope" /> <comment value="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 value="http://terminology.hl7.org/CodeSystem/consentscope" /> <code value="adr" /> </coding> </patternCodeableConcept> </element> <element id="Consent.category"> <path value="Consent.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.category:advanceDirectiveCode"> <path value="Consent.category" /> <sliceName value="advanceDirectiveCode" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes" /> <code value="acd" /> </coding> </patternCodeableConcept> </element> <element id="Consent.dateTime"> <path value="Consent.dateTime" /> <short value="LivingWillDate" /> <definition value="The date on which the living will was recorded." /> <alias value="WilsverklaringDatum" /> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.7" /> <comment value="LivingWillDate" /> </mapping> </element> <element id="Consent.source[x]"> <path value="Consent.source[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.source[x]:sourceAttachment"> <path value="Consent.source[x]" /> <sliceName value="sourceAttachment" /> <short value="LivingWillDocument" /> <definition value="Scanned source document with the living will and the patient's signature, such as a PDF." /> <alias value="WilsverklaringDocument" /> <type> <code value="Attachment" /> </type> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.5" /> <comment value="LivingWillDocument" /> </mapping> </element> <element id="Consent.policy.uri"> <path value="Consent.policy.uri" /> <comment value="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." /> </element> <element id="Consent.provision.actor"> <path value="Consent.provision.actor" /> <slicing> <discriminator> <type value="value" /> <path value="role" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.provision.actor:representative"> <path value="Consent.provision.actor" /> <sliceName value="representative" /> <max value="1" /> </element> <element id="Consent.provision.actor:representative.role"> <path value="Consent.provision.actor.role" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="RESPRSN" /> </coding> </patternCodeableConcept> </element> <element id="Consent.provision.actor:representative.reference"> <path value="Consent.provision.actor.reference" /> <short value="Representative" /> <definition value="The person who is the legal representative or is appointed as the authorized representative in the signed authorization." /> <alias value="Vertegenwoordiger" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" /> </type> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.3" /> <comment value="Representative" /> </mapping> </element> <element id="Consent.provision.code"> <path value="Consent.provision.code" /> <short value="LivingWillType" /> <definition value="List of the different types of living wills." /> <alias value="WilsverklaringType" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20200901000000" /> </binding> <mapping> <identity value="zib-advancedirective-v3.1.1-2020EN" /> <map value="NL-CM:7.15.2" /> <comment value="LivingWillType" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.