<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 treatment directive contains a joint decision between a health professional (for example a general practitioner) and a patient or his representative(s) about the desirability of performing a certain treatment, such as resuscitation, before this treatment becomes (acute) necessary. When the need arises and the treatment cannot be discussed with the patient or representative (s), that decision is an important indication for the treating health professional (for example an ER doctor). The term treatment limit is a synonym of the term treatment directive." /> <purpose value="A derived profile from [zib-TreatmentDirective2](http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective2) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." /> <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-treatmentdirective2-v1.0-2020EN" /> <uri value="https://zibs.nl/wiki/TreatmentDirective2-v1.0(2020EN)" /> <name value="zib TreatmentDirective2-v1.0(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Consent" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective2" /> <derivation value="constraint" /> <differential> <element id="Consent"> <path value="Consent" /> <alias value="nl-core-TreatmentDirective2" /> </element> <element id="Consent.extension:additionalAdvanceDirective"> <path value="Consent.extension" /> <sliceName value="additionalAdvanceDirective" /> </element> <element id="Consent.extension:additionalAdvanceDirective.value[x]"> <path value="Consent.extension.value[x]" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AdvanceDirective" /> </type> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="Consent.source[x]:sourceReference"> <path value="Consent.source[x]" /> <sliceName value="sourceReference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Consent" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AdvanceDirective" /> </type> </element> <element id="Consent.provision.actor:agreementParty"> <path value="Consent.provision.actor" /> <sliceName value="agreementParty" /> </element> <element id="Consent.provision.actor:agreementParty.reference"> <path value="Consent.provision.actor.reference" /> <comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." /> <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/nl-core-Patient" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" /> </type> </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.