<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="TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. A treatment instruction includes an agreed constraint in the treatment based on the oral or written living will of the patient." /> <purpose value="# Purpose of HCIM A good overview of treatment instructions based on the wishes of the patient or their authorized representative on (un)desired treatments is important in a patient’s care. A concise, orderly list is of particular importance in acute care situations. Due to the large variety of symptoms, the situation concerns not only a CPR setting, but also cases in which the patient’s condition rapidly worsens as a result of existing symptoms. A healthcare provider consulting this information can discuss these existing treatment instructions with the patient, the patient’s family or the patient’s authorized representative and possibly include the instructions in their policy." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v3.1(2017EN)" /> <name value="HCIM TreatmentDirective-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-treatmentdirective-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v3.0(2016EN)" /> <name value="HCIM TreatmentDirective-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective-v1.0.1(2015EN)" /> <name value="HCIM TreatmentDirective-v1.0.1(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="TreatmentDirective" /> <alias value="BehandelAanwijzing" /> <constraint> <key value="hcim-treatmentdirective-1" /> <severity value="error" /> <human value="extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x]" /> <expression value="extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()" /> </constraint> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.1" /> <comment value="TreatmentInstruction" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.1" /> <comment value="TreatmentInstruction" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.1" /> <comment value="TreatmentDirective" /> </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:verification"> <path value="Consent.extension" /> <sliceName value="verification" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.8" /> <comment value="Verification" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.8" /> <comment value="Verification" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.8" /> <comment value="Verification" /> </mapping> </element> <element id="Consent.extension:verification.extension:Verified"> <path value="Consent.extension.extension" /> <sliceName value="Verified" /> <short value="Verified" /> <alias value="Geverifieerd" /> <min value="1" /> <max value="1" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.9" /> <comment value="Verified" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.9" /> <comment value="Verified" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.9" /> <comment value="Verified" /> </mapping> </element> <element id="Consent.extension:verification.extension:VerifiedWith"> <path value="Consent.extension.extension" /> <sliceName value="VerifiedWith" /> <short value="VerifiedWith" /> <alias value="GeverifieerdBij" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.11" /> <comment value="VerifiedWith" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.11" /> <comment value="VerifiedWith" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.11" /> <comment value="VerifiedWith" /> </mapping> </element> <element id="Consent.extension:verification.extension:VerifiedWith.valueCodeableConcept:valueCodeableConcept"> <path value="Consent.extension.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="The person with whom the treatment instruction was discussed and verified." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000" /> <display value="GeverifieerdBijCodelijst" /> </valueSetReference> </binding> </element> <element id="Consent.extension:verification.extension:VerificationDate"> <path value="Consent.extension.extension" /> <sliceName value="VerificationDate" /> <short value="VerificationDate" /> <alias value="VerificatieDatum" /> <max value="1" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.10" /> <comment value="VerificationDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.10" /> <comment value="VerificationDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.10" /> <comment value="VerificationDate" /> </mapping> </element> <element id="Consent.extension:comment"> <path value="Consent.extension" /> <sliceName value="comment" /> <definition value="Comments on the treatment instruction such as a written description of an end date which can be indicated as a date (“until discharge from hospital”)." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/Comment" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.15" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.15" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.15" /> <comment value="Comment" /> </mapping> </element> <element id="Consent.extension:treatment"> <path value="Consent.extension" /> <sliceName value="treatment" /> <short value="Treatment" /> <definition value="The medical treatment to which the treatment instruction applies." /> <alias value="Behandeling" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.3" /> <comment value="Treatment" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.3" /> <comment value="Treatment" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.3" /> <comment value="Treatment" /> </mapping> </element> <element id="Consent.extension:treatment.valueCodeableConcept:valueCodeableConcept"> <path value="Consent.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="The medical treatment to which the treatment instruction applies." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.1--20171231000000" /> <display value="TreatmentCodelist" /> </valueSetReference> </binding> </element> <element id="Consent.extension:additionalSources"> <path value="Consent.extension" /> <sliceName value="additionalSources" /> <comment value="The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using this extension." /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources" /> </type> </element> <element id="Consent.extension:additionalSources.value[x]"> <path value="Consent.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." /> <type> <code value="Attachment" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.14" /> <comment value="LivingWill - additional to .source" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.14" /> <comment value="LivingWill - additional to .source" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.14" /> <comment value="AdvanceDirective - additional to .source" /> </mapping> </element> <element id="Consent.modifierExtension"> <path value="Consent.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.modifierExtension:treatmentPermitted"> <path value="Consent.modifierExtension" /> <sliceName value="treatmentPermitted" /> <short value="TreatmentPermitted" /> <definition value="Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints." /> <comment value="If the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of NL-CM:2.1.5 Restrictions is expected under Consent.except." /> <alias value="BehandelingToegestaan" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.4" /> <comment value="TreatmentPermitted" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.4" /> <comment value="TreatmentPermitted" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.4" /> <comment value="TreatmentPermitted" /> </mapping> </element> <element id="Consent.modifierExtension:treatmentPermitted.valueCodeableConcept:valueCodeableConcept"> <path value="Consent.modifierExtension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints." /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000" /> <display value="TreatmentPermittedCodelist" /> </valueSetReference> </binding> </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.status"> <path value="Consent.status" /> <comment value="The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is "active" unless stated otherwise." /> </element> <element id="Consent.category"> <path value="Consent.category" /> <min value="1" /> </element> <element id="Consent.category.coding"> <path value="Consent.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Consent.category.coding:treatmentDirective"> <path value="Consent.category.coding" /> <sliceName value="treatmentDirective" /> <definition value="Category SNOMED code used for indexing/retrieval of the HCIM TreatmentDirective." /> <min value="1" /> <max value="1" /> </element> <element id="Consent.category.coding:treatmentDirective.system"> <path value="Consent.category.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Consent.category.coding:treatmentDirective.code"> <path value="Consent.category.coding.code" /> <min value="1" /> <fixedCode value="11291000146105" /> </element> <element id="Consent.category.coding:treatmentDirective.display"> <path value="Consent.category.coding.display" /> <defaultValueString value="Treatment instructions (record artifact)" /> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="Consent.period.start"> <path value="Consent.period.start" /> <short value="StartDate" /> <definition value="Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted." /> <alias value="BeginDatum" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.6" /> <comment value="StartDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.6" /> <comment value="StartDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.6" /> <comment value="StartDate" /> </mapping> </element> <element id="Consent.period.end"> <path value="Consent.period.end" /> <short value="EndDate" /> <definition value="Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted." /> <alias value="EindDatum" /> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.7" /> <comment value="EndDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.7" /> <comment value="EndDate" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.7" /> <comment value="EndDate" /> </mapping> </element> <element id="Consent.dateTime"> <path value="Consent.dateTime" /> <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" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </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> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.7" /> <comment value="Author" /> </mapping> </element> <element id="Consent.consentingParty.extension"> <path value="Consent.consentingParty.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.consentingParty.extension:practitionerRole"> <path value="Consent.consentingParty.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.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="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." /> <comment value="The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using the additionalSources extension." /> <alias value="Wilsverklaring" /> <type> <code value="Attachment" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.14" /> <comment value="LivingWill" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.14" /> <comment value="LivingWill" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.14" /> <comment value="AdvanceDirective" /> </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 treatment 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"> <path value="Consent.except" /> <comment value="If a Consent.except is used in accordance with the HCIM TreatmentDirective, then the only time an except is in order, is when the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR." /> </element> <element id="Consent.except.extension"> <path value="Consent.except.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.except.extension:restrictions"> <path value="Consent.except.extension" /> <sliceName value="restrictions" /> <short value="Restrictions" /> <definition value="The restrictions or specific circumstances that apply to a certain treatment." /> <alias value="Beperkingen" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions" /> </type> <mapping> <identity value="hcim-treatmentdirective-v1.0.1-2015EN" /> <map value="NL-CM:2.1.5" /> <comment value="Constraints" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.0-2016EN" /> <map value="NL-CM:2.1.5" /> <comment value="Constraints" /> </mapping> <mapping> <identity value="hcim-treatmentdirective-v3.1-2017EN" /> <map value="NL-CM:2.1.5" /> <comment value="Restrictions" /> </mapping> </element> <element id="Consent.except.type"> <path value="Consent.except.type" /> <comment value="If a Consent.except is used in accordance with the HCIM TreatmentDirective and the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of this element SHALL be "deny"" /> </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>