ACP-AdvanceDirective
type: StructureDefinition
node role: treeRoot
id:
  v: ACP-AdvanceDirective
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ACP-AdvanceDirective Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Consent 0..* Zib AdvanceDirective(2.1.5) LivingWill #xD; Slices for extension Content/Rules for all slices #xD; extension:disorder 0..* Zib AdvanceDirective Disorder(2.0.2) Optional Extensions Element #xD; extension:comment 0..1 Comment(1.0.3) Comment #xD; Slices for category Content/Rules for all slices #xD; category:typeOfLivingWill 1..1 CodeableConcept TypeOfLivingWill #xD; patient 1..1 Reference(ACP Patient(1.0.0-rc1)) Who the consent applies to #xD; dateTime 1..1 dateTime LivingWillDate #xD; consentingParty 0..1 Reference(nl-core-relatedperson(2.0.5)) Representative #xD; source[x] 0..1 Attachment LivingWillDocument #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-AdvanceDirective
  l: ACP-AdvanceDirective
version:
  v: 1.0.0-rc1
name:
  v: ACPAdvanceDirective
title:
  v: ACP AdvanceDirective
status:
  v: draft
experimental:
  v: false
date:
  v: 2026-02-12T08:39:48+00:00
publisher:
  v: IKNL
contact:
  telecom:
    system:
      v: url
    value:
      v: https://www.iknl.nl
description:
  v: 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.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
copyright:
  v: 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.
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  uri:
    v: https://decor.nictiz.nl/exist/apps/api/dataset/2.16.840.1.113883.2.4.3.11.60.117.1.1/2020-07-29T10%3A37%3A48/$view
    l: https://decor.nictiz.nl/exist/apps/api/dataset/2.16.840.1.113883.2.4.3.11.60.117.1.1/2020-07-29T10%3A37%3A48/$view
  name:
    v: ACP zib2017 dataset
mapping:
  identity:
    v: hcim-advancedirective-v3.1-2017EN
  uri:
    v: https://zibs.nl/wiki/AdvanceDirective-v3.1(2017EN)
    l: AdvanceDirective-v3.1(2017EN)
  name:
    v: HCIM AdvanceDirective-v3.1(2017EN)
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  uri:
    v: https://zibs.nl/wiki/BasicElements-v1.0(2017EN)
    l: BasicElements-v1.0(2017EN)
  name:
    v: HCIM BasicElements-v1.0(2017EN)
mapping:
  identity:
    v: hcim-advancedirective-v3.0-2016EN
  uri:
    v: https://zibs.nl/wiki/AdvanceDirective-v3.0(2016EN)
    l: AdvanceDirective-v3.0(2016EN)
  name:
    v: HCIM AdvanceDirective-v3.0(2016EN)
mapping:
  identity:
    v: hcim-advancedirective-v1.0-2015EN
  uri:
    v: https://zibs.nl/wiki/AdvanceDirective-v1.0(2015EN)
    l: AdvanceDirective-v1.0(2015EN)
  name:
    v: HCIM AdvanceDirective-v1.0(2015EN)
kind:
  v: resource
abstract:
  v: false
type:
  v: Consent
base definition:
  v: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective|2.1.5
  l: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 2.1.5
  element:
    id:
      v: Consent
    path:
      v: Consent
    short:
      v: LivingWill
    definition:
      v: A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.
    comment:
      v: Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.
    alias:
      v: Wilsverklaring
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Resource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      expression:
        v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: ppc-1
      severity:
        v: error
      human:
        v: Either a Policy or PolicyRule
      expression:
        v: policy.exists() or policyRule.exists()
      xpath:
        v: exists(f:policy) or exists(f:policyRule)
      source:
        v: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective|2.1.5
        l: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective
    mapping:
      identity:
        v: pall-izppz-zib2017v2025-03-11
      map:
        v: 66
      comment:
        v: Wilsverklaring

identity:
  v: pall-izppz-zibs2017-v2025-03-11
map:
  v: 102
comment:
  v: Wilsverklaring

identity:
  v: pall-izppz-zibs2017-v2025-03-11
map:
  v: 123
comment:
  v: Keuze orgaandonatie vastgelegd (Wilsverklaring)

identity:
  v: pall-izppz-zibs2017-v2025-03-11
map:
  v: 139
comment:
  v: Eerder vastgelegde behandelafspraken (Wilsverklaring)

identity:
  v: pall-izppz-zibs2017-v2025-03-11
map:
  v: 166
comment:
  v: Euthanasieverklaring (Wilsverklaring)

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: rim
map:
  v: FinancialConsent

identity:
  v: w5
map:
  v: infrastructure.information

identity:
  v: hcim-advancedirective-v1.0-2015EN
map:
  v: NL-CM:7.15.1
comment:
  v: LivingWill

identity:
  v: hcim-advancedirective-v3.0-2016EN
map:
  v: NL-CM:7.15.1
comment:
  v: LivingWill

identity:
  v: hcim-advancedirective-v3.1-2017EN
map:
  v: NL-CM:7.15.1
comment:
  v: AdvanceDirective

id:
  v: Consent.id
path:
  v: Consent.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: Consent.meta
path:
  v: Consent.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: Consent.implicitRules
path:
  v: Consent.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: Consent.language
path:
  v: Consent.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: Consent.text
path:
  v: Consent.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Consent.contained
path:
  v: Consent.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.extension
path:
  v: Consent.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.extension:disorder
path:
  v: Consent.extension
slice name:
  v: disorder
short:
  v: Optional Extensions Element
definition:
  v: Optional Extension Element - found in all resources.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder|2.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder|2.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 126
  comment:
    v: Aandoening
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 142
  comment:
    v: Aandoening
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.extension:comment
path:
  v: Consent.extension
slice name:
  v: comment
short:
  v: Comment
definition:
  v: Optional Extension Element - found in all resources.
alias:
  v: Toelichting
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/Comment|1.0.3
    l: http://nictiz.nl/fhir/StructureDefinition/Comment
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/Comment|1.0.3
    l: http://nictiz.nl/fhir/StructureDefinition/Comment
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 131
  comment:
    v: Toelichting
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 147
  comment:
    v: Toelichting
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.modifierExtension
path:
  v: Consent.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.identifier
path:
  v: Consent.identifier
short:
  v: Identifier for this record (external references)
definition:
  v: Unique identifier for this copy of the Consent Statement.
comment:
  v: This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
example:
  label:
    v: General
  value: Identifier
    system:
      v: urn:ietf:rfc:3986
      l: 3986
    value:
      v: Local eCMS identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: w5
  map:
    v: id
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.6
  comment:
    v: IdentificationNumber

id:
  v: Consent.status
path:
  v: Consent.status
short:
  v: draft | proposed | active | rejected | inactive | entered-in-error
definition:
  v: Indicates the current state of this consent.
comment:
  v: This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.
requirements:
  v: The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentState
  strength:
    v: required
  description:
    v: Indicates the state of the consent
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: HL7 Table 0498 - Consent Status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: Consent.category
path:
  v: Consent.category
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  rules:
    v: open
short:
  v: Classification of the consent statement - for indexing/retrieval
definition:
  v: A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.
min:
  v: 2
max:
  v: *
base:
  path:
    v: Consent.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentCategory
  strength:
    v: example
  description:
    v: A classification of the type of consents found in a consent statement
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-category|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: CNTRCT
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: Consent.category:livingWill
path:
  v: Consent.category
slice name:
  v: livingWill
short:
  v: Living will and advance directive record
definition:
  v: Category SNOMED code used for indexing/retrieval of the HCIM AdvanceDirective.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding: http://snomed.info/id/11341000146107
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 11341000146107
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentCategory
  strength:
    v: example
  description:
    v: A classification of the type of consents found in a consent statement
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-category|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: CNTRCT
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: Consent.category:livingWill.id
path:
  v: Consent.category.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:livingWill.extension
path:
  v: Consent.category.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:livingWill.coding
path:
  v: Consent.category.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Consent.category:livingWill.coding.id
path:
  v: Consent.category.coding.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:livingWill.coding.extension
path:
  v: Consent.category.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:livingWill.coding.system
path:
  v: Consent.category.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Consent.category:livingWill.coding.version
path:
  v: Consent.category.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Consent.category:livingWill.coding.code
path:
  v: Consent.category.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Consent.category:livingWill.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.category.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
default value: String
  v: Living will and advance directive record (record artifact)
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Consent.category:livingWill.coding.userSelected
path:
  v: Consent.category.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Consent.category:livingWill.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.category.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Consent.category:typeOfLivingWill
path:
  v: Consent.category
slice name:
  v: typeOfLivingWill
short:
  v: TypeOfLivingWill
definition:
  v: List of the different types of living wills.
alias:
  v: WilsverklaringType
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentCategory
  strength:
    v: required
  description:
    v: List of the different types of living wills.
  value set: Reference
    l: 2.16
    l: .840
    l: .1
    l: .113883
    l: .2
    l: .4
    l: .3
    l: .11
    l: .60
    l: .40
    l: .7
    l: .15
    l: -20171231000000
    l: 2017
    l: -12
    l: -31
    l: 00
    reference:
      v: 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
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 124
  comment:
    v: Orgaandonatie (WilsverklaringType)
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 140
  comment:
    v: WilsverklaringType
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 175
  comment:
    v: Euthanasieverklaring (WilsverklaringType)
mapping:
  identity:
    v: rim
  map:
    v: CNTRCT
mapping:
  identity:
    v: w5
  map:
    v: class
mapping:
  identity:
    v: hcim-advancedirective-v1.0-2015EN
  map:
    v: NL-CM:7.15.2
  comment:
    v: TypeOfLivingWill
mapping:
  identity:
    v: hcim-advancedirective-v3.0-2016EN
  map:
    v: NL-CM:7.15.2
  comment:
    v: TypeOfLivingWill
mapping:
  identity:
    v: hcim-advancedirective-v3.1-2017EN
  map:
    v: NL-CM:7.15.2
  comment:
    v: LivingWillType

id:
  v: Consent.category:typeOfLivingWill.id
path:
  v: Consent.category.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:typeOfLivingWill.extension
path:
  v: Consent.category.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:typeOfLivingWill.coding
path:
  v: Consent.category.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
min:
  v: 1
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Consent.category:typeOfLivingWill.coding.id
path:
  v: Consent.category.coding.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:typeOfLivingWill.coding.extension
path:
  v: Consent.category.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.category:typeOfLivingWill.coding.system
path:
  v: Consent.category.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Consent.category:typeOfLivingWill.coding.version
path:
  v: Consent.category.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Consent.category:typeOfLivingWill.coding.code
path:
  v: Consent.category.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Consent.category:typeOfLivingWill.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.category.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Consent.category:typeOfLivingWill.coding.userSelected
path:
  v: Consent.category.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Consent.category:typeOfLivingWill.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.category.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Consent.patient
path:
  v: Consent.patient
short:
  v: Who the consent applies to
definition:
  v: The patient/healthcare consumer to whom this consent applies.
comment:
  v: Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.patient
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient|1.0.0-rc1
    l: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Role
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: Consent.period
path:
  v: Consent.period
short:
  v: Period that this consent applies
definition:
  v: Relevant time or time-period when this Consent is applicable.
comment:
  v: This can be a subset of the period of the original statement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
meaning when missing:
  v: all date ranges included
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: FinancialConsent activityTime
mapping:
  identity:
    v: w5
  map:
    v: when.done

id:
  v: Consent.dateTime
path:
  v: Consent.dateTime
short:
  v: LivingWillDate
definition:
  v: The date on which the living will was recorded.
comment:
  v: This is not the time of the original consent, but the time that this statement was made or derived.
alias:
  v: WilsverklaringDatum
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.dateTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 125
  comment:
    v: WilsverklaringDatum
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 141
  comment:
    v: WilsverklaringDatum
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 176
  comment:
    v: WilsverklaringDatum
mapping:
  identity:
    v: rim
  map:
    v: FinancialConsent effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.recorded
mapping:
  identity:
    v: hcim-advancedirective-v1.0-2015EN
  map:
    v: NL-CM:7.15.7
  comment:
    v: LivingWillDate
mapping:
  identity:
    v: hcim-advancedirective-v3.0-2016EN
  map:
    v: NL-CM:7.15.7
  comment:
    v: LivingWillDate
mapping:
  identity:
    v: hcim-advancedirective-v3.1-2017EN
  map:
    v: NL-CM:7.15.7
  comment:
    v: LivingWillDate
mapping:
  identity:
    v: hcim-basicelements-v1.0-2017EN
  map:
    v: NL-CM:0.0.14
  comment:
    v: DateTime

id:
  v: Consent.consentingParty
path:
  v: Consent.consentingParty
short:
  v: Representative
definition:
  v: The person who is the legal representative or is appointed as the authorized representative in the signed authorization.
comment:
  v: Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.
alias:
  v: consentor
alias:
  v: Vertegenwoordiger
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.consentingParty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|2.0.5
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson
is summary:
  v: true
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 128
  comment:
    v: Vertegenwoordiger
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 144
  comment:
    v: Vertegenwoordiger
mapping:
  identity:
    v: w5
  map:
    v: who.actor
mapping:
  identity:
    v: hcim-advancedirective-v1.0-2015EN
  map:
    v: NL-CM:7.15.3
  comment:
    v: Representative
mapping:
  identity:
    v: hcim-advancedirective-v3.0-2016EN
  map:
    v: NL-CM:7.15.3
  comment:
    v: Representative
mapping:
  identity:
    v: hcim-advancedirective-v3.1-2017EN
  map:
    v: NL-CM:7.15.3
  comment:
    v: Representative

id:
  v: Consent.actor
path:
  v: Consent.actor
short:
  v: Who|what controlled by this consent (or group, by role)
definition:
  v: Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.actor
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
meaning when missing:
  v: There is no specific actor associated with the consent
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: who.actor

id:
  v: Consent.actor.id
path:
  v: Consent.actor.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.actor.extension
path:
  v: Consent.actor.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.actor.modifierExtension
path:
  v: Consent.actor.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.actor.role
path:
  v: Consent.actor.role
short:
  v: How the actor is involved
definition:
  v: How the individual is involved in the resources content that is described in the consent.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.actor.role
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentActorRole
  strength:
    v: extensible
  description:
    v: How an actor is involved in the consent considerations
  value set: Reference
    l: 1.8
    l: .0
    reference:
      v: http://hl7.org/fhir/ValueSet/security-role-type|1.8.0

id:
  v: Consent.actor.reference
path:
  v: Consent.actor.reference
short:
  v: Resource for the actor (or group, by role)
definition:
  v: The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.actor.reference
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-organization|2.0.6
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-organization
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-patient|2.2.5
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|2.0.7
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|2.0.5
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson

id:
  v: Consent.actor.reference.id
path:
  v: Consent.actor.reference.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.actor.reference.extension
path:
  v: Consent.actor.reference.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.actor.reference.extension:practitionerRole
path:
  v: Consent.actor.reference.extension
slice name:
  v: practitionerRole
short:
  v: Optional Extensions Element
definition:
  v: Optional Extension Element - found in all resources.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.actor.reference.reference
path:
  v: Consent.actor.reference.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.actor.reference.identifier
path:
  v: Consent.actor.reference.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Consent.actor.reference.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.actor.reference.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.action
path:
  v: Consent.action
short:
  v: Actions controlled by this consent
definition:
  v: Actions controlled by this consent.
comment:
  v: Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.action
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
meaning when missing:
  v: all actions
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentAction
  strength:
    v: example
  description:
    v: Detailed codes for the consent action.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-action|3.0.2

id:
  v: Consent.organization
path:
  v: Consent.organization
short:
  v: Custodian of the consent
definition:
  v: The organization that manages the consent, and the framework within which it is executed.
alias:
  v: custodian
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.organization
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-organization|2.0.6
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-organization
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: who.witness

id:
  v: Consent.source[x]
path:
  v: Consent.source[x]
short:
  v: LivingWillDocument
definition:
  v: The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
comment:
  v: The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
alias:
  v: WilsverklaringDocument
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.source[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Attachment
    l: Attachment
is summary:
  v: true
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 130
  comment:
    v: WilsverklaringDocument
mapping:
  identity:
    v: pall-izppz-zibs2017-v2025-03-11
  map:
    v: 146
  comment:
    v: WilsverklaringDocument
mapping:
  identity:
    v: pall-izppz-zib2017v2025-03-11
  map:
    v: 181
  comment:
    v: WilsverklaringDocument
mapping:
  identity:
    v: hcim-advancedirective-v1.0-2015EN
  map:
    v: NL-CM:7.15.5
  comment:
    v: LivingWillDocument
mapping:
  identity:
    v: hcim-advancedirective-v3.0-2016EN
  map:
    v: NL-CM:7.15.5
  comment:
    v: LivingWillDocument
mapping:
  identity:
    v: hcim-advancedirective-v3.1-2017EN
  map:
    v: NL-CM:7.15.5
  comment:
    v: LivingWillDocument

id:
  v: Consent.policy
path:
  v: Consent.policy
short:
  v: Policies covered by this consent
definition:
  v: The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.policy
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: Consent.policy.id
path:
  v: Consent.policy.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.policy.extension
path:
  v: Consent.policy.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.policy.modifierExtension
path:
  v: Consent.policy.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.policy.authority
path:
  v: Consent.policy.authority
short:
  v: Enforcement source for policy
definition:
  v: Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.policy.authority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ppc-1

id:
  v: Consent.policy.uri
path:
  v: Consent.policy.uri
short:
  v: Specific policy covered by this consent
definition:
  v: The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.
comment:
  v: Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with <https://wetten.overheid.nl/> if the advance directive is recorded following Dutch law and regulations.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.policy.uri
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General Dutch Law
  value: Uri
    v: http://wetten.overheid.nl/
    l: wetten.overheid.nl
condition:
  v: ppc-1

id:
  v: Consent.policyRule
path:
  v: Consent.policyRule
short:
  v: Policy that this consents to
definition:
  v: A referece to the specific computable policy.
comment:
  v: If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.
requirements:
  v: Might be a unique identifier of a policy set in XACML, or other rules engine.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.policyRule
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ppc-1
is summary:
  v: true

id:
  v: Consent.securityLabel
path:
  v: Consent.securityLabel
short:
  v: Security Labels that define affected resources
definition:
  v: A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.
comment:
  v: If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.securityLabel
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/security-labels|3.0.2

id:
  v: Consent.purpose
path:
  v: Consent.purpose
short:
  v: Context of activities for which the agreement is made
definition:
  v: The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.
comment:
  v: This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.purpose
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: PurposeOfUse
  strength:
    v: extensible
  description:
    v: What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels
  value set: Reference
    l: 2014
    l: -03
    l: -26
    reference:
      v: http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26

id:
  v: Consent.dataPeriod
path:
  v: Consent.dataPeriod
short:
  v: Timeframe for data controlled by this consent
definition:
  v: Clinical or Operational Relevant period of time that bounds the data controlled by this consent.
comment:
  v: This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.dataPeriod
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
is summary:
  v: true

id:
  v: Consent.data
path:
  v: Consent.data
short:
  v: Data controlled by this consent
definition:
  v: The resources controlled by this consent, if specific resources are referenced.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.data
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
meaning when missing:
  v: all data
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Role

id:
  v: Consent.data.id
path:
  v: Consent.data.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.data.extension
path:
  v: Consent.data.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.data.modifierExtension
path:
  v: Consent.data.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.data.meaning
path:
  v: Consent.data.meaning
short:
  v: instance | related | dependents | authoredby
definition:
  v: How the resource reference is interpreted when testing consent restrictions.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.data.meaning
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentDataMeaning
  strength:
    v: required
  description:
    v: How a resource reference is interpreted when testing consent restrictions
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2

id:
  v: Consent.data.reference
path:
  v: Consent.data.reference
short:
  v: The actual data reference
definition:
  v: A reference to a specific resource that defines which resources are covered by this consent.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.data.reference
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
is summary:
  v: true

id:
  v: Consent.except
path:
  v: Consent.except
short:
  v: Additional rule - addition or removal of permissions
definition:
  v: An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true

id:
  v: Consent.except.id
path:
  v: Consent.except.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.extension
path:
  v: Consent.except.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.modifierExtension
path:
  v: Consent.except.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.type
path:
  v: Consent.except.type
short:
  v: deny | permit
definition:
  v: Action to take - permit or deny - when the exception conditions are met.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.except.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentExceptType
  strength:
    v: required
  description:
    v: How an exception statement is applied, such as adding additional consent or removing consent
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-except-type|3.0.2

id:
  v: Consent.except.period
path:
  v: Consent.except.period
short:
  v: Timeframe for this exception
definition:
  v: The timeframe in this exception is valid.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.except.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
is summary:
  v: true

id:
  v: Consent.except.actor
path:
  v: Consent.except.actor
short:
  v: Who|what controlled by this exception (or group, by role)
definition:
  v: Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.actor
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
meaning when missing:
  v: There is no specific actor associated with the exception
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true

id:
  v: Consent.except.actor.id
path:
  v: Consent.except.actor.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.actor.extension
path:
  v: Consent.except.actor.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.actor.modifierExtension
path:
  v: Consent.except.actor.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.actor.role
path:
  v: Consent.except.actor.role
short:
  v: How the actor is involved
definition:
  v: How the individual is involved in the resources content that is described in the exception.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.except.actor.role
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentActorRole
  strength:
    v: extensible
  description:
    v: How an actor is involved in the consent considerations
  value set: Reference
    l: 1.8
    l: .0
    reference:
      v: http://hl7.org/fhir/ValueSet/security-role-type|1.8.0

id:
  v: Consent.except.actor.reference
path:
  v: Consent.except.actor.reference
short:
  v: Resource for the actor (or group, by role)
definition:
  v: The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.except.actor.reference
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-organization|2.0.6
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-organization
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-patient|2.2.5
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|2.0.7
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|2.0.5
    l: http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson

id:
  v: Consent.except.actor.reference.id
path:
  v: Consent.except.actor.reference.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.actor.reference.extension
path:
  v: Consent.except.actor.reference.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.actor.reference.extension:practitionerRole
path:
  v: Consent.except.actor.reference.extension
slice name:
  v: practitionerRole
short:
  v: Optional Extensions Element
definition:
  v: Optional Extension Element - found in all resources.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference|1.0.2
    l: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.actor.reference.reference
path:
  v: Consent.except.actor.reference.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.actor.reference.identifier
path:
  v: Consent.except.actor.reference.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Consent.except.actor.reference.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Consent.except.actor.reference.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.action
path:
  v: Consent.except.action
short:
  v: Actions controlled by this exception
definition:
  v: Actions controlled by this Exception.
comment:
  v: Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.action
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
meaning when missing:
  v: all actions
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentAction
  strength:
    v: example
  description:
    v: Detailed codes for the consent action.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-action|3.0.2

id:
  v: Consent.except.securityLabel
path:
  v: Consent.except.securityLabel
short:
  v: Security Labels that define affected resources
definition:
  v: A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.
comment:
  v: If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.securityLabel
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/security-labels|3.0.2

id:
  v: Consent.except.purpose
path:
  v: Consent.except.purpose
short:
  v: Context of activities covered by this exception
definition:
  v: The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.
comment:
  v: E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.purpose
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: PurposeOfUse
  strength:
    v: extensible
  description:
    v: What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels
  value set: Reference
    l: 2014
    l: -03
    l: -26
    reference:
      v: http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26

id:
  v: Consent.except.class
path:
  v: Consent.except.class
short:
  v: e.g. Resource Type, Profile, or CDA etc
definition:
  v: The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.
comment:
  v: Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.class
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentContentClass
  strength:
    v: extensible
  description:
    v: The class (type) of information a consent rule covers
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-content-class|3.0.2

id:
  v: Consent.except.code
path:
  v: Consent.except.code
short:
  v: e.g. LOINC or SNOMED CT code, etc in the content
definition:
  v: If this code is found in an instance, then the exception applies.
comment:
  v: Typical use of this is a Document code with class = CDA.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.code
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentContentCode
  strength:
    v: example
  description:
    v: If this code is found in an instance, then the exception applies
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-content-code|3.0.2

id:
  v: Consent.except.dataPeriod
path:
  v: Consent.except.dataPeriod
short:
  v: Timeframe for data controlled by this exception
definition:
  v: Clinical or Operational Relevant period of time that bounds the data controlled by this exception.
comment:
  v: This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Consent.except.dataPeriod
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
is summary:
  v: true

id:
  v: Consent.except.data
path:
  v: Consent.except.data
short:
  v: Data controlled by this exception
definition:
  v: The resources controlled by this exception, if specific resources are referenced.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Consent.except.data
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
meaning when missing:
  v: all data
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Role

id:
  v: Consent.except.data.id
path:
  v: Consent.except.data.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.data.extension
path:
  v: Consent.except.data.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Consent.except.data.modifierExtension
path:
  v: Consent.except.data.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Consent.except.data.meaning
path:
  v: Consent.except.data.meaning
short:
  v: instance | related | dependents | authoredby
definition:
  v: How the resource reference is interpreted when testing consent restrictions.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.except.data.meaning
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConsentDataMeaning
  strength:
    v: required
  description:
    v: How a resource reference is interpreted when testing consent restrictions
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2

id:
  v: Consent.except.data.reference
path:
  v: Consent.except.data.reference
short:
  v: The actual data reference
definition:
  v: A reference to a specific resource that defines which resources are covered by this consent.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Consent.except.data.reference
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
is summary:
  v: true

element:
  id:
    v: Consent
  path:
    v: Consent
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 66
    comment:
      v: Wilsverklaring
  mapping:
    identity:
      v: pall-izppz-zibs2017-v2025-03-11
    map:
      v: 102
    comment:
      v: Wilsverklaring
  mapping:
    identity:
      v: pall-izppz-zibs2017-v2025-03-11
    map:
      v: 123
    comment:
      v: Keuze orgaandonatie vastgelegd (Wilsverklaring)
  mapping:
    identity:
      v: pall-izppz-zibs2017-v2025-03-11
    map:
      v: 139
    comment:
      v: Eerder vastgelegde behandelafspraken (Wilsverklaring)
  mapping:
    identity:
      v: pall-izppz-zibs2017-v2025-03-11
    map:
      v: 166
    comment:
      v: Euthanasieverklaring (Wilsverklaring)
element:
  id:
    v: Consent.extension:disorder
  path:
    v: Consent.extension
  slice name:
    v: disorder
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 126
    comment:
      v: Aandoening
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 142
    comment:
      v: Aandoening
element:
  id:
    v: Consent.extension:comment
  path:
    v: Consent.extension
  slice name:
    v: comment
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 131
    comment:
      v: Toelichting
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 147
    comment:
      v: Toelichting
element:
  id:
    v: Consent.category:typeOfLivingWill
  path:
    v: Consent.category
  slice name:
    v: typeOfLivingWill
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 124
    comment:
      v: Orgaandonatie (WilsverklaringType)
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 140
    comment:
      v: WilsverklaringType
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 175
    comment:
      v: Euthanasieverklaring (WilsverklaringType)
element:
  id:
    v: Consent.patient
  path:
    v: Consent.patient
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient|1.0.0-rc1
      l: https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient
element:
  id:
    v: Consent.dateTime
  path:
    v: Consent.dateTime
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 125
    comment:
      v: WilsverklaringDatum
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 141
    comment:
      v: WilsverklaringDatum
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 176
    comment:
      v: WilsverklaringDatum
element:
  id:
    v: Consent.consentingParty
  path:
    v: Consent.consentingParty
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 128
    comment:
      v: Vertegenwoordiger
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 144
    comment:
      v: Vertegenwoordiger
element:
  id:
    v: Consent.source[x]
  path:
    v: Consent.source[x]
  type:
    code:
      v: Attachment
      l: Attachment
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 130
    comment:
      v: WilsverklaringDocument
  mapping:
    identity:
      v: pall-izppz-zibs2017-v2025-03-11
    map:
      v: 146
    comment:
      v: WilsverklaringDocument
  mapping:
    identity:
      v: pall-izppz-zib2017v2025-03-11
    map:
      v: 181
    comment:
      v: WilsverklaringDocument