Advance Care Planning (PZP)
0.1.3-beta3 - consultation

Advance Care Planning (PZP) - Local Development build (v0.1.3-beta3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: TreatmentDirective

Official URL: https://fhir.iknl.nl/fhir/StructureDefinition/ACP-TreatmentDirective Version: 0.1.3-beta3
Draft as of 2025-08-28 Computable Name: ACPTreatmentDirective

Copyright/Legal: 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.

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. Based on nl-core-TreatmentDirective2 and HCIM TreatmentDirective2.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* NlcoreTreatmentDirective2 TreatmentDirective
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, zib-TreatmentDirective2-1, zib-TreatmentDirective2-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:comment 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective C 0..* (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"
..... value[x] C 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference"
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... modifierExtension:specificationOther ?!C 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"
..... value[x] C 0..1 string SpecificationOther
... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: treatment
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices voor category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... category:treatmentDirectiveCode Σ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.

Verplicht patroon: Tenminste de volgende
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 129125009
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 0..1 dateTime MostRecentReviewDate
... Slices voor source[x] ΣC 0..1 Source from which this consent is taken
Slice: Zonder volgorde, Gesloten op type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference ΣC 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
From the FHIR Standard
Consent.scopeextensiblePattern Value: treatment
http://hl7.org/fhir/ValueSet/consent-scope|4.0.1
From the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.category:treatmentDirectiveCodeextensiblePattern Value: SNOMED CT code 129125009
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorConsent.implicitRules, Consent.extension:comment, Consent.extension:comment.value[x], Consent.extension:additionalAdvanceDirective, Consent.extension:additionalAdvanceDirective.value[x], Consent.extension:encounter, Consent.extension:encounter.value[x], Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.value[x], Consent.status, Consent.scope, Consent.category, Consent.category:treatmentDirectiveCode, Consent.patient, Consent.dateTime, Consent.source[x], Consent.source[x]:sourceReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorConsent.extension:comment, Consent.extension:additionalAdvanceDirective, Consent.extension:encounter, Consent.modifierExtension, Consent.modifierExtension:specificationOtherMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
zib-TreatmentDirective2-1errorConsent`extension.additionalAdvanceDirective` may only be used for AdvanceDirective references in addition to first reference in `.source[x]`.
: extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective').empty() or source.exists()
zib-TreatmentDirective2-2errorConsentIf the specificationOther extension is used, `.provision.type` MUST be absent and vice versa
: (extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificitionOther').exists() and provision.type.exists()).not()

This structure is derived from NlcoreTreatmentDirective2

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent 0..* NlcoreTreatmentDirective2 TreatmentDirective
... Slices voor extension Content/regels voor alle slices
.... extension:comment 0..1 ExtComment Optional Extensions Element
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective 0..* ExtTreatmentDirective2AdvanceDirective Optional Extensions Element
..... extension 0..0
..... value[x] 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension Content/regels voor alle slices
.... modifierExtension:specificationOther 0..1 ExtTreatmentDirective2SpecificationOther Optional Extensions Element
..... value[x] 0..1 string SpecificationOther
... patient 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceReference 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
... provision
.... Slices voor extension Content/regels voor alle slices
..... extension:reasonForEnding 0..1 ExtTreatmentDirective2ReasonForEnding Optional Extensions Element
...... value[x] 0..1 string ReasonForEnding
.... type 0..1 code TreatmentDecision
.... period
..... end 0..1 dateTime DateExpired
.... Slices voor actor Content/regels voor alle slices
..... actor:agreementParty 0..* BackboneElement AgreementParty
...... reference 1..1 Reference(Patient(0.1.3-beta3) | HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3)) Patient / Representative / HealthProfessional
.... code 0..1 CodeableConcept Treatment
..... text 0..1 string Plain text representation of the concept

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* NlcoreTreatmentDirective2 TreatmentDirective
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, zib-TreatmentDirective2-1, zib-TreatmentDirective2-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... extension:comment 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective C 0..* (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"
..... value[x] C 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference"
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... modifierExtension:specificationOther ?!C 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"
..... value[x] C 0..1 string SpecificationOther
... identifier Σ 0..* Identifier Identifier for this record (external references)

Voorbeeld General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"}
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: treatment
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices voor category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... category:treatmentDirectiveCode Σ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.

Verplicht patroon: Tenminste de volgende
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 129125009
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 0..1 dateTime MostRecentReviewDate
... performer Σ 0..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... Slices voor source[x] ΣC 0..1 Source from which this consent is taken
Slice: Zonder volgorde, Gesloten op type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference ΣC 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision Σ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... extension:reasonForEnding 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding"
...... value[x] 0..1 string ReasonForEnding
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type ΣC 0..1 code TreatmentDecision
Binding: ConsentProvisionType (required): Use ConceptMap TreatmentDecisionCodelist-to-ConsentProvisionType to translate terminology from the functional model to profile terminology in ValueSet ConsentProvisionType.
.... period Σ 0..1 Period Timeframe for this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime DateExpired
.... Slices voor actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
Slice: Zonder volgorde, Open op value:role
..... actor:Alle slices Content/regels voor alle slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
...... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
..... actor:agreementParty 0..* BackboneElement AgreementParty
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
Verplicht patroon: Tenminste de volgende
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/v3-RoleCode
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Vaste waarde: CONSENTER
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
...... reference 1..1 Reference(Patient(0.1.3-beta3) | HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3)) Patient / Representative / HealthProfessional
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... purpose Σ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
.... code Σ 0..1 CodeableConcept Treatment
Binding: BehandelingCodelijst (2020-09-01T00:00:00) (required): If this code is found in an instance, then the exception applies.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* Zie provision (Consent) Nested Exception Rules

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additionele bindings Doel
AllLanguages Max binding
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
From the FHIR Standard
Consent.scopeextensiblePattern Value: treatment
http://hl7.org/fhir/ValueSet/consent-scope|4.0.1
From the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.category:treatmentDirectiveCodeextensiblePattern Value: SNOMED CT code 129125009
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy|4.0.1
From the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
From the FHIR Standard
Consent.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|4.0.1
From the FHIR Standard
Consent.provision.actor:agreementParty.roleextensiblePattern Value: CONSENTER
http://hl7.org/fhir/ValueSet/security-role-type|4.0.1
From the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action|4.0.1
From the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class|4.0.1
From the FHIR Standard
Consent.provision.coderequiredBehandelingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.2.1--20200901000000|2020-09-01T00:00:00
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorConsent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.extension:comment, Consent.extension:comment.extension, Consent.extension:comment.value[x], Consent.extension:additionalAdvanceDirective, Consent.extension:additionalAdvanceDirective.value[x], Consent.extension:encounter, Consent.extension:encounter.value[x], Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.extension, Consent.modifierExtension:specificationOther.value[x], Consent.identifier, Consent.status, Consent.scope, Consent.category, Consent.category:treatmentDirectiveCode, Consent.patient, Consent.dateTime, Consent.performer, Consent.organization, Consent.source[x], Consent.source[x]:sourceReference, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.extension:reasonForEnding, Consent.provision.extension:reasonForEnding.extension, Consent.provision.extension:reasonForEnding.value[x], Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.period.extension, Consent.provision.period.start, Consent.provision.period.end, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.actor:agreementParty, Consent.provision.actor:agreementParty.extension, Consent.provision.actor:agreementParty.modifierExtension, Consent.provision.actor:agreementParty.role, Consent.provision.actor:agreementParty.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.class, Consent.provision.code, Consent.provision.code.extension, Consent.provision.code.coding, Consent.provision.code.text, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provisionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorConsent.extension, Consent.extension:comment, Consent.extension:comment.extension, Consent.extension:additionalAdvanceDirective, Consent.extension:encounter, Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.extension, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.extension:reasonForEnding, Consent.provision.extension:reasonForEnding.extension, Consent.provision.modifierExtension, Consent.provision.period.extension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor:agreementParty.extension, Consent.provision.actor:agreementParty.modifierExtension, Consent.provision.code.extension, Consent.provision.data.extension, Consent.provision.data.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
zib-TreatmentDirective2-1errorConsent`extension.additionalAdvanceDirective` may only be used for AdvanceDirective references in addition to first reference in `.source[x]`.
: extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective').empty() or source.exists()
zib-TreatmentDirective2-2errorConsentIf the specificationOther extension is used, `.provision.type` MUST be absent and vice versa
: (extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificitionOther').exists() and provision.type.exists()).not()

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* NlcoreTreatmentDirective2 TreatmentDirective
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, zib-TreatmentDirective2-1, zib-TreatmentDirective2-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:comment 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective C 0..* (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"
..... value[x] C 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference"
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... modifierExtension:specificationOther ?!C 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"
..... value[x] C 0..1 string SpecificationOther
... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: treatment
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices voor category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... category:treatmentDirectiveCode Σ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.

Verplicht patroon: Tenminste de volgende
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 129125009
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 0..1 dateTime MostRecentReviewDate
... Slices voor source[x] ΣC 0..1 Source from which this consent is taken
Slice: Zonder volgorde, Gesloten op type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference ΣC 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
From the FHIR Standard
Consent.scopeextensiblePattern Value: treatment
http://hl7.org/fhir/ValueSet/consent-scope|4.0.1
From the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.category:treatmentDirectiveCodeextensiblePattern Value: SNOMED CT code 129125009
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorConsent.implicitRules, Consent.extension:comment, Consent.extension:comment.value[x], Consent.extension:additionalAdvanceDirective, Consent.extension:additionalAdvanceDirective.value[x], Consent.extension:encounter, Consent.extension:encounter.value[x], Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.value[x], Consent.status, Consent.scope, Consent.category, Consent.category:treatmentDirectiveCode, Consent.patient, Consent.dateTime, Consent.source[x], Consent.source[x]:sourceReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorConsent.extension:comment, Consent.extension:additionalAdvanceDirective, Consent.extension:encounter, Consent.modifierExtension, Consent.modifierExtension:specificationOtherMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
zib-TreatmentDirective2-1errorConsent`extension.additionalAdvanceDirective` may only be used for AdvanceDirective references in addition to first reference in `.source[x]`.
: extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective').empty() or source.exists()
zib-TreatmentDirective2-2errorConsentIf the specificationOther extension is used, `.provision.type` MUST be absent and vice versa
: (extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificitionOther').exists() and provision.type.exists()).not()

Differential View

This structure is derived from NlcoreTreatmentDirective2

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent 0..* NlcoreTreatmentDirective2 TreatmentDirective
... Slices voor extension Content/regels voor alle slices
.... extension:comment 0..1 ExtComment Optional Extensions Element
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective 0..* ExtTreatmentDirective2AdvanceDirective Optional Extensions Element
..... extension 0..0
..... value[x] 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension Content/regels voor alle slices
.... modifierExtension:specificationOther 0..1 ExtTreatmentDirective2SpecificationOther Optional Extensions Element
..... value[x] 0..1 string SpecificationOther
... patient 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceReference 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
... provision
.... Slices voor extension Content/regels voor alle slices
..... extension:reasonForEnding 0..1 ExtTreatmentDirective2ReasonForEnding Optional Extensions Element
...... value[x] 0..1 string ReasonForEnding
.... type 0..1 code TreatmentDecision
.... period
..... end 0..1 dateTime DateExpired
.... Slices voor actor Content/regels voor alle slices
..... actor:agreementParty 0..* BackboneElement AgreementParty
...... reference 1..1 Reference(Patient(0.1.3-beta3) | HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3)) Patient / Representative / HealthProfessional
.... code 0..1 CodeableConcept Treatment
..... text 0..1 string Plain text representation of the concept

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* NlcoreTreatmentDirective2 TreatmentDirective
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, zib-TreatmentDirective2-1, zib-TreatmentDirective2-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... extension:comment 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:additionalAdvanceDirective C 0..* (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"
..... value[x] C 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference"
..... value[x] 0..1 Reference(Encounter(0.1.3-beta3)) Encounter
... Slices voor modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... modifierExtension:specificationOther ?!C 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"
..... value[x] C 0..1 string SpecificationOther
... identifier Σ 0..* Identifier Identifier for this record (external references)

Voorbeeld General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"}
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: treatment
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices voor category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... category:treatmentDirectiveCode Σ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.

Verplicht patroon: Tenminste de volgende
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 129125009
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 0..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 0..1 dateTime MostRecentReviewDate
... performer Σ 0..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... Slices voor source[x] ΣC 0..1 Source from which this consent is taken
Slice: Zonder volgorde, Gesloten op type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference ΣC 0..1 Reference(AdvanceDirective(0.1.3-beta3)) AdvanceDirective
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision Σ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... extension:reasonForEnding 0..1 (Complex) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding"
...... value[x] 0..1 string ReasonForEnding
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type ΣC 0..1 code TreatmentDecision
Binding: ConsentProvisionType (required): Use ConceptMap TreatmentDecisionCodelist-to-ConsentProvisionType to translate terminology from the functional model to profile terminology in ValueSet ConsentProvisionType.
.... period Σ 0..1 Period Timeframe for this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime DateExpired
.... Slices voor actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
Slice: Zonder volgorde, Open op value:role
..... actor:Alle slices Content/regels voor alle slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
...... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
..... actor:agreementParty 0..* BackboneElement AgreementParty
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
Verplicht patroon: Tenminste de volgende
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Vaste waarde: http://terminology.hl7.org/CodeSystem/v3-RoleCode
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Vaste waarde: CONSENTER
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
...... reference 1..1 Reference(Patient(0.1.3-beta3) | HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3)) Patient / Representative / HealthProfessional
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... purpose Σ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
.... code Σ 0..1 CodeableConcept Treatment
Binding: BehandelingCodelijst (2020-09-01T00:00:00) (required): If this code is found in an instance, then the exception applies.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* Zie provision (Consent) Nested Exception Rules

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additionele bindings Doel
AllLanguages Max binding
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
From the FHIR Standard
Consent.scopeextensiblePattern Value: treatment
http://hl7.org/fhir/ValueSet/consent-scope|4.0.1
From the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.category:treatmentDirectiveCodeextensiblePattern Value: SNOMED CT code 129125009
http://hl7.org/fhir/ValueSet/consent-category|4.0.1
From the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy|4.0.1
From the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
From the FHIR Standard
Consent.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|4.0.1
From the FHIR Standard
Consent.provision.actor:agreementParty.roleextensiblePattern Value: CONSENTER
http://hl7.org/fhir/ValueSet/security-role-type|4.0.1
From the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action|4.0.1
From the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class|4.0.1
From the FHIR Standard
Consent.provision.coderequiredBehandelingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.2.1--20200901000000|2020-09-01T00:00:00
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorConsent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.extension:comment, Consent.extension:comment.extension, Consent.extension:comment.value[x], Consent.extension:additionalAdvanceDirective, Consent.extension:additionalAdvanceDirective.value[x], Consent.extension:encounter, Consent.extension:encounter.value[x], Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.extension, Consent.modifierExtension:specificationOther.value[x], Consent.identifier, Consent.status, Consent.scope, Consent.category, Consent.category:treatmentDirectiveCode, Consent.patient, Consent.dateTime, Consent.performer, Consent.organization, Consent.source[x], Consent.source[x]:sourceReference, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.extension:reasonForEnding, Consent.provision.extension:reasonForEnding.extension, Consent.provision.extension:reasonForEnding.value[x], Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.period.extension, Consent.provision.period.start, Consent.provision.period.end, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.actor:agreementParty, Consent.provision.actor:agreementParty.extension, Consent.provision.actor:agreementParty.modifierExtension, Consent.provision.actor:agreementParty.role, Consent.provision.actor:agreementParty.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.class, Consent.provision.code, Consent.provision.code.extension, Consent.provision.code.coding, Consent.provision.code.text, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provisionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorConsent.extension, Consent.extension:comment, Consent.extension:comment.extension, Consent.extension:additionalAdvanceDirective, Consent.extension:encounter, Consent.modifierExtension, Consent.modifierExtension:specificationOther, Consent.modifierExtension:specificationOther.extension, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.extension:reasonForEnding, Consent.provision.extension:reasonForEnding.extension, Consent.provision.modifierExtension, Consent.provision.period.extension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor:agreementParty.extension, Consent.provision.actor:agreementParty.modifierExtension, Consent.provision.code.extension, Consent.provision.data.extension, Consent.provision.data.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
zib-TreatmentDirective2-1errorConsent`extension.additionalAdvanceDirective` may only be used for AdvanceDirective references in addition to first reference in `.source[x]`.
: extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective').empty() or source.exists()
zib-TreatmentDirective2-2errorConsentIf the specificationOther extension is used, `.provision.type` MUST be absent and vice versa
: (extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificitionOther').exists() and provision.type.exists()).not()

 

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