IKNL PZP STU3
0.1.3-beta3 - consultation International flag

IKNL PZP STU3 - Local Development build (v0.1.3-beta3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AdvanceDirective

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

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 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.

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..* Zib AdvanceDirective(2.1.5) LivingWill
Constraints: ppc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:disorder 0..* Reference(HCIM Problem) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
.... extension:comment 0..1 string Comment
Url: http://nictiz.nl/fhir/StructureDefinition/Comment
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices voor category Σ 2..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
.... category:livingWill Σ 1..1 CodeableConcept Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Verplicht patroon: Tenminste de volgende
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... 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: 11341000146107
...... 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
.... category:typeOfLivingWill Σ 1..1 CodeableConcept TypeOfLivingWill
Binding: WilsverklaringTypeCodelijst (2017-12-31T00:00:00) (required): List of the different types of living wills.
..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... patient Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 1..1 dateTime LivingWillDate
... consentingParty Σ 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment Σ 0..1 Attachment LivingWillDocument

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2
From the FHIR Standard
Consent.categoryexampleConsent Category Codes
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:livingWillexamplePattern Value: SNOMED CT code 11341000146107
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:typeOfLivingWillrequiredWilsverklaringTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000|2017-12-31T00:00:00

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorConsentIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
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
: contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()

This structure is derived from Zib AdvanceDirective

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent 0..* Zib AdvanceDirective(2.1.5) LivingWill
... Slices voor extension Content/regels voor alle slices
.... extension:disorder 0..* Zib AdvanceDirective Disorder(2.0.1) Optional Extensions Element
.... extension:comment 0..1 Comment(1.0.2) Comment
.... 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 category Content/regels voor alle slices
.... category:typeOfLivingWill 1..1 CodeableConcept TypeOfLivingWill
... patient 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... consentingParty 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment 0..1 Attachment LivingWillDocument

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* Zib AdvanceDirective(2.1.5) LivingWill
Constraints: ppc-1
... 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 Extension
Slice: Zonder volgorde, Open op value:url
.... extension:disorder 0..* Reference(HCIM Problem) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
.... extension:comment 0..1 string Comment
Url: http://nictiz.nl/fhir/StructureDefinition/Comment
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... id 0..1 string xml:id (or equivalent in JSON)
..... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 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
... Slices voor category Σ 2..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
.... category:livingWill Σ 1..1 CodeableConcept Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Verplicht patroon: Tenminste de volgende
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... 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: 11341000146107
...... 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
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:typeOfLivingWill Σ 1..1 CodeableConcept TypeOfLivingWill
Binding: WilsverklaringTypeCodelijst (2017-12-31T00:00:00) (required): List of the different types of living wills.
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... period Σ 0..1 Period Period that this consent applies
... dateTime Σ 1..1 dateTime LivingWillDate
... consentingParty Σ 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... actor Σ 0..* BackboneElement Who|what controlled by this consent (or group, by role)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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 | nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Resource for the actor (or group, by role)
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
...... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... action Σ 0..* CodeableConcept Actions controlled by this consent
Binding: Consent Action Codes (example): Detailed codes for the consent action.
... organization Σ 0..* Reference(nl-core-organization(2.0.6)) Custodian of the consent
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment Σ 0..1 Attachment LivingWillDocument
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
Voorbeeld General Dutch Law: http://wetten.overheid.nl/
... policyRule ΣC 0..1 uri Policy that this consents to
... 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 for which the agreement is made
Binding: PurposeOfUse|2014-03-26 (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels
... dataPeriod Σ 0..1 Period Timeframe for data controlled by this consent
... data Σ 0..* BackboneElement Data controlled by this consent
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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
... except Σ 0..* BackboneElement Additional rule - addition or removal of permissions
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type Σ 1..1 code deny | permit
Binding: ConsentExceptType (required): How an exception statement is applied, such as adding additional consent or removing consent
.... period Σ 0..1 Period Timeframe for this exception
.... actor Σ 0..* BackboneElement Who|what controlled by this exception (or group, by role)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... 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 | nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Resource for the actor (or group, by role)
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... action Σ 0..* CodeableConcept Actions controlled by this exception
Binding: Consent Action Codes (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 exception
Binding: PurposeOfUse|2014-03-26 (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, or CDA etc
Binding: Consent Content Class (extensible): The class (type) of information a consent rule covers
.... code Σ 0..* Coding e.g. LOINC or SNOMED CT code, etc in the content
Binding: Consent Content Codes (example): If this code is found in an instance, then the exception applies
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this exception
.... data Σ 0..* BackboneElement Data controlled by this exception
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... 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

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additionele bindings Doel
All Languages Max binding
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2
From the FHIR Standard
Consent.categoryexampleConsent Category Codes
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:livingWillexamplePattern Value: SNOMED CT code 11341000146107
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:typeOfLivingWillrequiredWilsverklaringTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000|2017-12-31T00:00:00
Consent.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|1.8.0
From the FHIR Standard
Consent.actionexampleConsent Action Codes
http://hl7.org/fhir/ValueSet/consent-action|3.0.2
From the FHIR Standard
Consent.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|3.0.2
From the FHIR Standard
Consent.purposeextensiblePurposeOfUse
http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26
From the FHIR Standard
Consent.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2
From the FHIR Standard
Consent.except.typerequiredConsentExceptType
http://hl7.org/fhir/ValueSet/consent-except-type|3.0.2
From the FHIR Standard
Consent.except.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|1.8.0
From the FHIR Standard
Consent.except.actionexampleConsent Action Codes
http://hl7.org/fhir/ValueSet/consent-action|3.0.2
From the FHIR Standard
Consent.except.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|3.0.2
From the FHIR Standard
Consent.except.purposeextensiblePurposeOfUse
http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26
From the FHIR Standard
Consent.except.classextensibleConsent Content Class
http://hl7.org/fhir/ValueSet/consent-content-class|3.0.2
From the FHIR Standard
Consent.except.codeexampleConsent Content Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code|3.0.2
From the FHIR Standard
Consent.except.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorConsentIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
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
: contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* Zib AdvanceDirective(2.1.5) LivingWill
Constraints: ppc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:disorder 0..* Reference(HCIM Problem) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
.... extension:comment 0..1 string Comment
Url: http://nictiz.nl/fhir/StructureDefinition/Comment
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices voor category Σ 2..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
.... category:livingWill Σ 1..1 CodeableConcept Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Verplicht patroon: Tenminste de volgende
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... 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: 11341000146107
...... 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
.... category:typeOfLivingWill Σ 1..1 CodeableConcept TypeOfLivingWill
Binding: WilsverklaringTypeCodelijst (2017-12-31T00:00:00) (required): List of the different types of living wills.
..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... patient Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... dateTime Σ 1..1 dateTime LivingWillDate
... consentingParty Σ 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment Σ 0..1 Attachment LivingWillDocument

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2
From the FHIR Standard
Consent.categoryexampleConsent Category Codes
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:livingWillexamplePattern Value: SNOMED CT code 11341000146107
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:typeOfLivingWillrequiredWilsverklaringTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000|2017-12-31T00:00:00

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorConsentIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
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
: contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()

Differential View

This structure is derived from Zib AdvanceDirective

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent 0..* Zib AdvanceDirective(2.1.5) LivingWill
... Slices voor extension Content/regels voor alle slices
.... extension:disorder 0..* Zib AdvanceDirective Disorder(2.0.1) Optional Extensions Element
.... extension:comment 0..1 Comment(1.0.2) Comment
.... 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 category Content/regels voor alle slices
.... category:typeOfLivingWill 1..1 CodeableConcept TypeOfLivingWill
... patient 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... consentingParty 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment 0..1 Attachment LivingWillDocument

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Consent C 0..* Zib AdvanceDirective(2.1.5) LivingWill
Constraints: ppc-1
... 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 Extension
Slice: Zonder volgorde, Open op value:url
.... extension:disorder 0..* Reference(HCIM Problem) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
.... extension:comment 0..1 string Comment
Url: http://nictiz.nl/fhir/StructureDefinition/Comment
.... extension:encounter 0..1 (Complex) ext Encounter Reference
Url: https://fhir.iknl.nl/fhir/StructureDefinition/ext-EncounterReference
..... id 0..1 string xml:id (or equivalent in JSON)
..... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 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
... Slices voor category Σ 2..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Zonder volgorde, Open op value:$this
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
.... category:livingWill Σ 1..1 CodeableConcept Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Verplicht patroon: Tenminste de volgende
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
...... id 0..1 string xml:id (or equivalent in JSON)
...... 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: 11341000146107
...... 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
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:typeOfLivingWill Σ 1..1 CodeableConcept TypeOfLivingWill
Binding: WilsverklaringTypeCodelijst (2017-12-31T00:00:00) (required): List of the different types of living wills.
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the consent applies to
... period Σ 0..1 Period Period that this consent applies
... dateTime Σ 1..1 dateTime LivingWillDate
... consentingParty Σ 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative
... actor Σ 0..* BackboneElement Who|what controlled by this consent (or group, by role)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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 | nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Resource for the actor (or group, by role)
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
...... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... action Σ 0..* CodeableConcept Actions controlled by this consent
Binding: Consent Action Codes (example): Detailed codes for the consent action.
... organization Σ 0..* Reference(nl-core-organization(2.0.6)) Custodian of the consent
... Slices voor source[x] Content/regels voor alle slices
.... source[x]:sourceAttachment Σ 0..1 Attachment LivingWillDocument
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
Voorbeeld General Dutch Law: http://wetten.overheid.nl/
... policyRule ΣC 0..1 uri Policy that this consents to
... 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 for which the agreement is made
Binding: PurposeOfUse|2014-03-26 (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels
... dataPeriod Σ 0..1 Period Timeframe for data controlled by this consent
... data Σ 0..* BackboneElement Data controlled by this consent
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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
... except Σ 0..* BackboneElement Additional rule - addition or removal of permissions
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type Σ 1..1 code deny | permit
Binding: ConsentExceptType (required): How an exception statement is applied, such as adding additional consent or removing consent
.... period Σ 0..1 Period Timeframe for this exception
.... actor Σ 0..* BackboneElement Who|what controlled by this exception (or group, by role)
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... 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 | nl-core-organization(2.0.6) | nl-core-patient(2.2.4) | nl-core-practitioner(2.0.7) | nl-core-relatedperson(2.0.5)) Resource for the actor (or group, by role)
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
....... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... action Σ 0..* CodeableConcept Actions controlled by this exception
Binding: Consent Action Codes (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 exception
Binding: PurposeOfUse|2014-03-26 (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, or CDA etc
Binding: Consent Content Class (extensible): The class (type) of information a consent rule covers
.... code Σ 0..* Coding e.g. LOINC or SNOMED CT code, etc in the content
Binding: Consent Content Codes (example): If this code is found in an instance, then the exception applies
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this exception
.... data Σ 0..* BackboneElement Data controlled by this exception
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... 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

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Consent.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additionele bindings Doel
All Languages Max binding
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2
From the FHIR Standard
Consent.categoryexampleConsent Category Codes
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:livingWillexamplePattern Value: SNOMED CT code 11341000146107
http://hl7.org/fhir/ValueSet/consent-category|3.0.2
From the FHIR Standard
Consent.category:typeOfLivingWillrequiredWilsverklaringTypeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000|2017-12-31T00:00:00
Consent.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|1.8.0
From the FHIR Standard
Consent.actionexampleConsent Action Codes
http://hl7.org/fhir/ValueSet/consent-action|3.0.2
From the FHIR Standard
Consent.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|3.0.2
From the FHIR Standard
Consent.purposeextensiblePurposeOfUse
http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26
From the FHIR Standard
Consent.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2
From the FHIR Standard
Consent.except.typerequiredConsentExceptType
http://hl7.org/fhir/ValueSet/consent-except-type|3.0.2
From the FHIR Standard
Consent.except.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type|1.8.0
From the FHIR Standard
Consent.except.actionexampleConsent Action Codes
http://hl7.org/fhir/ValueSet/consent-action|3.0.2
From the FHIR Standard
Consent.except.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|3.0.2
From the FHIR Standard
Consent.except.purposeextensiblePurposeOfUse
http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26
From the FHIR Standard
Consent.except.classextensibleConsent Content Class
http://hl7.org/fhir/ValueSet/consent-content-class|3.0.2
From the FHIR Standard
Consent.except.codeexampleConsent Content Codes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code|3.0.2
From the FHIR Standard
Consent.except.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-1errorConsentIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
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
: contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()

 

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