<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="email" /> <value value="info@nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A Condition resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) LegalSituation 2.0(2020), implementing the Representation concept of the HCIM. A legal situation can concern a legal status and/or representation. The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge. Representation is important in situations where a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently)." /> <purpose value="Health professionals must be aware of the existence of a legal status or representation because this in part determines what type of care can be provided to the patient. For example, a supporting legal status can be required for using freedom restricting interventions. For a mentally incompetent patient, it must be clear that there is a representative for further decision-making: in this case, the health professional should follow the decision of the representative of the mentally incompetent patient, unless this is incompatible with the care of a good health professional." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <uri value="https://zibs.nl/wiki/LegalSituation-v2.0(2020EN)" /> <name value="HCIM LegalSituation-v2.0(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Condition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" /> <derivation value="constraint" /> <differential> <element id="Condition"> <path value="Condition" /> <short value="LegalSituation" /> <comment value="HCIM LegalSituation is implemented using two profiles: this profile implements the Representation concept of the HCIM, while <http://nictiz.nl/fhir/StructureDefinition/zib-LegalSituation-LegalStatus> represents the LegalStatus concept of the HCIM." /> <alias value="JuridischeSituatie" /> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <map value="NL-CM:7.17.1" /> <comment value="LegalSituation" /> </mapping> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus" /> <comment value="HCIM concept DateStop (NL-CM:7.17.4) is partially represented by this element (together with `Condition.abatementDateTime`). When DateStop is populated and in the past, this element is expected to be _inactive_, otherwise it is expected to be _active_." /> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <map value="NL-CM:7.17.4" /> <comment value="DateStop (partial representation)" /> </mapping> </element> <element id="Condition.category"> <path value="Condition.category" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Condition.category:representationCode"> <path value="Condition.category" /> <sliceName value="representationCode" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="151701000146105" /> </coding> </patternCodeableConcept> </element> <element id="Condition.code"> <path value="Condition.code" /> <definition value="In some situations, a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently). The representative should involve the patient as much as possible in the fulfillment of their tasks and the factual capability of the patient must be honored as much as possible. The Wgbo (Dutch law) determines who are able to become representatives as well as an enforced order." /> <alias value="Vertegenwoordiging" /> <min value="1" /> <binding> <strength value="required" /> <description value="VertegenwoordigingCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.17.2--20200901000000" /> </valueSetReference> </binding> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <map value="NL-CM:7.17.5" /> <comment value="Representation" /> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> </element> <element id="Condition.onset[x]:onsetDateTime"> <path value="Condition.onsetDateTime" /> <sliceName value="onsetDateTime" /> <short value="DateStart" /> <definition value="The date on which the legal situation of the patient starts." /> <alias value="DatumAanvang" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <map value="NL-CM:7.17.3" /> <comment value="DateStart" /> </mapping> </element> <element id="Condition.abatement[x]:abatementDateTime"> <path value="Condition.abatementDateTime" /> <sliceName value="abatementDateTime" /> <short value="DateStop" /> <definition value="The date on which the legal situation of the patient ends." /> <alias value="DatumEinde" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-legalsituation-v2.0-2020EN" /> <map value="NL-CM:7.17.4" /> <comment value="DateStop" /> </mapping> </element> </differential> </StructureDefinition>