<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="AdvanceDirective (formerly know as LivingWill) as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. 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="A good overview of the patient’s wishes is important. A healthcare provider can use the living will to discuss the existing wishes with the persons involved and to incorporate these wishes in their own policy. A concise, orderly list is of particular importance in acute care situations." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/AdvanceDirective-v3.1(2017EN)" /> <name value="HCIM AdvanceDirective-v3.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/AdvanceDirective-v3.0(2016EN)" /> <name value="HCIM AdvanceDirective-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <uri value="https://zibs.nl/wiki/AdvanceDirective-v1.0(2015EN)" /> <name value="HCIM AdvanceDirective-v1.0(2015EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Consent" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Consent" /> <derivation value="constraint" /> <differential> <element id="Consent"> <path value="Consent" /> <short value="LivingWill" /> <alias value="Wilsverklaring" /> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.1" /> <comment value="LivingWill" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.1" /> <comment value="LivingWill" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.1" /> <comment value="AdvanceDirective" /> </mapping> </element> <element id="Consent.extension"> <path value="Consent.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.extension:disorder"> <path value="Consent.extension" /> <sliceName value="disorder" /> <short value="Disorder" /> <definition value="The problem or disorder to which the living will applies." /> <alias value="Aandoening" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder" /> </type> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.4" /> <comment value="Disorder" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.4" /> <comment value="Disorder" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.4" /> <comment value="Disorder" /> </mapping> </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/Comment" /> </type> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.6" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.6" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.6" /> <comment value="Comment" /> </mapping> </element> <element id="Consent.identifier"> <path value="Consent.identifier" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.6" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="Consent.category"> <path value="Consent.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="2" /> </element> <element id="Consent.category:livingWill"> <path value="Consent.category" /> <sliceName value="livingWill" /> <short value="Living will and advance directive record" /> <definition value="Category SNOMED code used for indexing/retrieval of the HCIM AdvanceDirective." /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="11341000146107" /> </coding> </patternCodeableConcept> </element> <element id="Consent.category:livingWill.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Consent.category.coding.display" /> <defaultValueString value="Living will and advance directive record (record artifact)" /> </element> <element id="Consent.category:typeOfLivingWill"> <path value="Consent.category" /> <sliceName value="typeOfLivingWill" /> <short value="TypeOfLivingWill" /> <definition value="List of the different types of living wills." /> <alias value="WilsverklaringType" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="List of the different types of living wills." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000" /> <display value="WilsverklaringTypeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.2" /> <comment value="TypeOfLivingWill" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.2" /> <comment value="TypeOfLivingWill" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.2" /> <comment value="LivingWillType" /> </mapping> </element> <element id="Consent.category:typeOfLivingWill.coding"> <path value="Consent.category.coding" /> <min value="1" /> </element> <element id="Consent.category:typeOfLivingWill.coding.system"> <path value="Consent.category.coding.system" /> <min value="1" /> </element> <element id="Consent.category:typeOfLivingWill.coding.code"> <path value="Consent.category.coding.code" /> <min value="1" /> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> </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" /> <min value="1" /> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.7" /> <comment value="LivingWillDate" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.7" /> <comment value="LivingWillDate" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.7" /> <comment value="LivingWillDate" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.14" /> <comment value="DateTime" /> </mapping> </element> <element id="Consent.consentingParty"> <path value="Consent.consentingParty" /> <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" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.3" /> <comment value="Representative" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.3" /> <comment value="Representative" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <map value="NL-CM:7.15.3" /> <comment value="Representative" /> </mapping> </element> <element id="Consent.actor.reference"> <path value="Consent.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> <element id="Consent.actor.reference.extension"> <path value="Consent.actor.reference.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.actor.reference.extension:practitionerRole"> <path value="Consent.actor.reference.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="Consent.organization"> <path value="Consent.organization" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </element> <element id="Consent.source[x]"> <path value="Consent.source[x]" /> <short value="LivingWillDocument" /> <alias value="WilsverklaringDocument" /> <mapping> <identity value="hcim-advancedirective-v1.0-2015EN" /> <map value="NL-CM:7.15.5" /> <comment value="LivingWillDocument" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.0-2016EN" /> <map value="NL-CM:7.15.5" /> <comment value="LivingWillDocument" /> </mapping> <mapping> <identity value="hcim-advancedirective-v3.1-2017EN" /> <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." /> <example> <label value="General Dutch Law" /> <valueUri value="http://wetten.overheid.nl/" /> </example> </element> <element id="Consent.except.actor.reference"> <path value="Consent.except.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> <element id="Consent.except.actor.reference.extension"> <path value="Consent.except.actor.reference.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.except.actor.reference.extension:practitionerRole"> <path value="Consent.except.actor.reference.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> </differential> </StructureDefinition>