<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="zib-AdvanceDirective" />
    <url value="http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective" />
    <version value="2.1.2" />
    <name value="Zib AdvanceDirective" />
    <title value="HCIM AdvanceDirective" />
    <status value="active" />
    <publisher value="Nictiz" />
    <contact>
        <name value="Nictiz" />
        <telecom>
            <system value="email" />
            <value value="info@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.\nA 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-v1.0-2015EN" />
        <uri value="https://zibs.nl/wiki/AdvanceDirective-v1.0(2015EN)" />
        <name value="HCIM AdvanceDirective-v1.0(2015EN)" />
    </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-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>
    <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 LivingWills" />
            <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 &lt;https://wetten.overheid.nl/&gt; 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>