AdvanceDirective - RIVO-Noord Zorgviewer Implementation Guide v1.27.0

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.27.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

Resource Profile: AdvanceDirective

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/AdvanceDirective				Version: 1.27.0
Active as of 2026-10-22				Computable Name: AdvanceDirective

Wilsverklaring (Consent)

Dit profiel is het resultaat van de vergelijking tussen de zib2017 STU3 en zibs2020 R4 FHIR Profiel, relevante informatiestandarden en de implementaties in de ontsloten systemen en instellingen. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Wilsverklaring

View Definition

ViewDefinition voor Wilsbeschikkingen

UI Wireframe

Wilsbeschikkingen

	Bron	Datum	Type	Toelichting
▼	CGM	15-1-2026	niet-reanimerenbeschikking	Niet reanimeren conform vastgelegde wens patiënt.

▼	Epic	30-6-2022	Niet reanimeren verklaring	Wilsverklaring

▼	Epic	12-10-2021	Niet reanimeren verklaring	Definitieve versie handreiking rechtmatigheidscontroles MSZ 2014 versie 2.0.pdf

▼	Chipsoft	28-6-2019	Patiëntinformatie - Wilsbeschikkingen

▼	Chipsoft	9-4-2018	Patiëntinformatie - Wilsbeschikkingen	Niet-reanimerenpenning

▼	Nexus	9-4-2018	volmacht	Niet-reanimerenpenning

Bron

Datum

Type

Toelichting

▼

CGM

15-1-2026

niet-reanimerenbeschikking

Niet reanimeren conform vastgelegde wens patiënt.

▼

Epic

30-6-2022

Niet reanimeren verklaring

Wilsverklaring

▼

Epic

12-10-2021

Niet reanimeren verklaring

Definitieve versie handreiking rechtmatigheidscontroles MSZ 2014 versie 2.0.pdf

▼

Chipsoft

28-6-2019

Patiëntinformatie - Wilsbeschikkingen

▼

Chipsoft

9-4-2018

Patiëntinformatie - Wilsbeschikkingen

Niet-reanimerenpenning

▼

Nexus

9-4-2018

volmacht

Niet-reanimerenpenning

Gegevensherkomst

Label FHIR Path Expression FHIR Type Zib element Toelichting of regels

Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name

Datum dateTime dateTime WilsverklaringDatum Kunnen vage datums zijn

Type category[1].text | category[1].coding.display string WilsverklaringType

Toelichting extension('http://nictiz.nl/fhir/StructureDefinition/Comment').valueString string Toelichting

DETAILS

+Document sourceAttachement.data base64Binary WilsverklaringDocument

Label	FHIR Path Expression	FHIR Type	Zib element	Toelichting of regels
Bron	`meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri`	`string`	nvt	Lookup adhv uri (AGB-Z of OID) `<adressering-base>/Organization?identifier=<.meta.tag.code>` en gebruik dan `Organization.name`
Datum	`dateTime`	`dateTime`	WilsverklaringDatum	Kunnen vage datums zijn
Type	`category[1].text \| category[1].coding.display`	`string`	WilsverklaringType
Toelichting	`extension('http://nictiz.nl/fhir/StructureDefinition/Comment').valueString`	`string`	Toelichting
DETAILS
+Document	`sourceAttachement.data`	`base64Binary`	WilsverklaringDocument

Request

Opvragen (search) wilsbeschikkingen

GET <ontsluiten-bronsysteem-base>/Consent?patient=<fhir_patient_id>&category=http://snomed.info/sct|11341000146107

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usages:

CapabilityStatements using this Profile: Bronsysteem: Epic, Bronsysteem: NedapONS, Bronsysteem: Nexus, Bronsysteem: Zorgplatform and Ontsluiten Bronsysteem
This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib AdvanceDirective	LivingWill Constraints: ppc-1
Consent.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:disorder		0..*	Reference(HCIM Problem)	Disorder URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder Constraints: ext-1
Consent.Slices for extension.extension:comment	This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	This element is a modifier element. This element is included in summaries.	1..1	code	draft \| proposed \| active \| rejected \| inactive \| entered-in-error Binding: ConsentState (required): Indicates the state of the consent
Consent.Slices for category	This element is included in summaries.	2..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by value:$this Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.Slices for category.category:livingWill	This element is included in summaries.	1..1	CodeableConcept	Living will and advance directive record Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement Required Pattern: `{ "coding" : [ { "system" : "http://snomed.info/sct", "code" : "11341000146107" } ] }`
Consent.Slices for category.category:typeOfLivingWill	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	TypeOfLivingWill Binding: WilsverklaringTypeCodelijst (required): List of the different types of living wills.
Consent.Slices for category.category:typeOfLivingWill.coding	This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Consent.Slices for category.category:typeOfLivingWill.coding.system	This element is included in summaries.	1..1	uri	Identity of the terminology system
Consent.Slices for category.category:typeOfLivingWill.coding.code	This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Consent.patient	This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.dateTime	This element must be supported. This element is included in summaries.	1..1	dateTime	LivingWillDate
Consent.consentingParty	This element is included in summaries.	0..1	Reference(nl-core-relatedperson)	Representative
Consent.Slices for source[x]	This element is included in summaries.	0..1	Attachment	LivingWillDocument Slice: Unordered, Closed by type:$this
Consent.Slices for source[x].source[x]:sourceAttachment	This element must be supported. This element is included in summaries.	0..1	Attachment	LivingWillDocument
Consent.Slices for source[x].source[x]:sourceAttachment.data	This element must be supported.	0..1	base64Binary	Data inline, base64ed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:livingWill	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:typeOfLivingWill	Base	required	WilsverklaringTypeCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Consent	If the resource is contained in another resource, it SHALL NOT contain any narrative	`contained.text.empty()`
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() \| (children().count() > id.count())`
ext-1	error	Consent.extension:disorder, Consent.extension:comment	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
ppc-1	error	Consent	Either a Policy or PolicyRule	`policy.exists() or policyRule.exists()`

This structure is derived from Zib AdvanceDirective

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent		0..*	Zib AdvanceDirective	LivingWill
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:comment	This element must be supported.	0..1	Comment	Comment
Consent.Slices for category				Content/Rules for all slices
Consent.Slices for category.category:typeOfLivingWill	This element must be supported.	1..1	CodeableConcept	TypeOfLivingWill
Consent.dateTime	This element must be supported.	1..1	dateTime	LivingWillDate
Consent.sourceAttachment	This element must be supported.	0..1	Attachment	LivingWillDocument
Consent.sourceAttachment.data	This element must be supported.	0..1	base64Binary	Data inline, base64ed
Documentation for this format

Description & Constraints Filter:

Consent C 0..* Zib AdvanceDirective LivingWill
Constraints: ppc-1

Consent.id This element is included in summaries. 0..1 id Logical id of this artifact

Consent.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Consent.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional Bindings

Purpose

All Languages

Max Binding

Consent.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Consent.contained 0..* Resource Contained, inline Resources

Consent.Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for extension.extension:disorder 0..* Reference(HCIM Problem) Disorder
URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
Constraints: ext-1

Consent.Slices for extension.extension:comment This element must be supported. 0..1 string Comment
URL: http://nictiz.nl/fhir/StructureDefinition/Comment
Constraints: ext-1

Consent.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Consent.identifier This element is included in summaries. 0..1 Identifier Identifier for this record (external references)
Example General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"}

Consent.Slices for category This element is included in summaries. 2..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:$this
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

category:livingWill

1..1

CodeableConcept

Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "11341000146107"
    }
  ]
}

Consent.Slices for category.category:livingWill.id 0..1 string xml:id (or equivalent in JSON)

Consent.Slices for category.category:livingWill.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for category.category:livingWill.coding This element is included in summaries. 0..* Coding Code defined by a terminology system

Consent.Slices for category.category:livingWill.coding.id 0..1 string xml:id (or equivalent in JSON)

Consent.Slices for category.category:livingWill.coding.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for category.category:livingWill.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system

Consent.Slices for category.category:livingWill.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant

Consent.Slices for category.category:livingWill.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system

Consent.Slices for category.category:livingWill.coding.display This element is included in summaries. 0..1 string Representation defined by the system

Consent.Slices for category.category:livingWill.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user

Consent.Slices for category.category:livingWill.text This element is included in summaries. 0..1 string Plain text representation of the concept

Consent.Slices for category.category:typeOfLivingWill This element must be supported. This element is included in summaries. 1..1 CodeableConcept TypeOfLivingWill
Binding: WilsverklaringTypeCodelijst (required): List of the different types of living wills.

Consent.Slices for category.category:typeOfLivingWill.id 0..1 string xml:id (or equivalent in JSON)

Consent.Slices for category.category:typeOfLivingWill.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for category.category:typeOfLivingWill.coding This element is included in summaries. 1..* Coding Code defined by a terminology system

Consent.Slices for category.category:typeOfLivingWill.coding.id 0..1 string xml:id (or equivalent in JSON)

Consent.Slices for category.category:typeOfLivingWill.coding.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for category.category:typeOfLivingWill.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system

Consent.Slices for category.category:typeOfLivingWill.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant

Consent.Slices for category.category:typeOfLivingWill.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system

Consent.Slices for category.category:typeOfLivingWill.coding.display This element is included in summaries. 0..1 string Representation defined by the system

Consent.Slices for category.category:typeOfLivingWill.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user

Consent.Slices for category.category:typeOfLivingWill.text This element is included in summaries. 0..1 string Plain text representation of the concept

Consent.patient This element is included in summaries. 1..1 Reference(nl-core-patient) Who the consent applies to

Consent.period This element is included in summaries. 0..1 Period Period that this consent applies

Consent.dateTime This element must be supported. This element is included in summaries. 1..1 dateTime LivingWillDate

Consent.consentingParty This element is included in summaries. 0..1 Reference(nl-core-relatedperson) Representative

Consent.actor This element is included in summaries. 0..* BackboneElement Who|what controlled by this consent (or group, by role)

Consent.actor.id 0..1 string xml:id (or equivalent in JSON)

Consent.actor.extension 0..* Extension Additional Content defined by implementations

Consent.actor.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.actor.role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations

Consent.actor.reference.id 0..1 string xml:id (or equivalent in JSON)

Consent.actor.reference.Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.actor.reference.Slices for extension.extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
Constraints: ext-1

Consent.actor.reference.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Consent.actor.reference.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Consent.actor.reference.display This element is included in summaries. 0..1 string Text alternative for the resource

Consent.action This element is included in summaries. 0..* CodeableConcept Actions controlled by this consent
Binding: Consent Action Codes (example): Detailed codes for the consent action.

Consent.organization This element is included in summaries. 0..* Reference(nl-core-organization) Custodian of the consent

Consent.Slices for source[x] This element is included in summaries. 0..1 Attachment LivingWillDocument
Slice: Unordered, Closed by type:$this

Consent.Slices for source[x].source[x]:sourceAttachment This element must be supported. This element is included in summaries. 0..1 Attachment LivingWillDocument

Consent.Slices for source[x].source[x]:sourceAttachment.id 0..1 string xml:id (or equivalent in JSON)

Consent.Slices for source[x].source[x]:sourceAttachment.extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for source[x].source[x]:sourceAttachment.contentType This element is included in summaries. 0..1 code Mime type of the content, with charset etc.
Binding: MimeTypes (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: Common Languages (extensible): A human language.

Additional Bindings

Purpose

All Languages

Max Binding

Example General: en-AU

Consent.Slices for source[x].source[x]:sourceAttachment.data This element must be supported. 0..1 base64Binary Data inline, base64ed

Consent.Slices for source[x].source[x]:sourceAttachment.url This element is included in summaries. 0..1 uri Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

Consent.Slices for source[x].source[x]:sourceAttachment.size This element is included in summaries. 0..1 unsignedInt Number of bytes of content (if url provided)

Consent.Slices for source[x].source[x]:sourceAttachment.hash This element is included in summaries. 0..1 base64Binary Hash of the data (sha-1, base64ed)

Consent.Slices for source[x].source[x]:sourceAttachment.title This element is included in summaries. 0..1 string Label to display in place of the data
Example General: Official Corporate Logo

Consent.Slices for source[x].source[x]:sourceAttachment.creation This element is included in summaries. 0..1 dateTime Date attachment was first created

Consent.policy 0..* BackboneElement Policies covered by this consent

Consent.policy.id 0..1 string xml:id (or equivalent in JSON)

Consent.policy.extension 0..* Extension Additional Content defined by implementations

Consent.policy.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.policy.authority C 0..1 uri Enforcement source for policy

Consent.policy.uri C 0..1 uri Specific policy covered by this consent
Example General Dutch Law: http://wetten.overheid.nl/

Consent.policyRule This element is included in summaries. C 0..1 uri Policy that this consents to

Consent.securityLabel This element is included in summaries. 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Consent.purpose This element is included in summaries. 0..* Coding Context of activities for which the agreement is made
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels

Consent.dataPeriod This element is included in summaries. 0..1 Period Timeframe for data controlled by this consent

Consent.data This element is included in summaries. 0..* BackboneElement Data controlled by this consent

Consent.data.id 0..1 string xml:id (or equivalent in JSON)

Consent.data.extension 0..* Extension Additional Content defined by implementations

Consent.data.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.data.meaning This element is included in summaries. 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions

Consent.data.reference This element is included in summaries. 1..1 Reference(Resource) The actual data reference

Consent.except This element is included in summaries. 0..* BackboneElement Additional rule - addition or removal of permissions

Consent.except.id 0..1 string xml:id (or equivalent in JSON)

Consent.except.extension 0..* Extension Additional Content defined by implementations

Consent.except.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.except.type This element is included in summaries. 1..1 code deny | permit
Binding: ConsentExceptType (required): How an exception statement is applied, such as adding additional consent or removing consent

Consent.except.period This element is included in summaries. 0..1 Period Timeframe for this exception

Consent.except.actor This element is included in summaries. 0..* BackboneElement Who|what controlled by this exception (or group, by role)

Consent.except.actor.id 0..1 string xml:id (or equivalent in JSON)

Consent.except.actor.extension 0..* Extension Additional Content defined by implementations

Consent.except.actor.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.except.actor.role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations

Consent.except.actor.reference.id 0..1 string xml:id (or equivalent in JSON)

Consent.except.actor.reference.Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.except.actor.reference.Slices for extension.extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
Constraints: ext-1

Consent.except.actor.reference.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Consent.except.actor.reference.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Consent.except.actor.reference.display This element is included in summaries. 0..1 string Text alternative for the resource

Consent.except.action This element is included in summaries. 0..* CodeableConcept Actions controlled by this exception
Binding: Consent Action Codes (example): Detailed codes for the consent action.

Consent.except.securityLabel This element is included in summaries. 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Consent.except.purpose This element is included in summaries. 0..* Coding Context of activities covered by this exception
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels

Consent.except.class This element is included in summaries. 0..* Coding e.g. Resource Type, Profile, or CDA etc
Binding: Consent Content Class (extensible): The class (type) of information a consent rule covers

Consent.except.code This element is included in summaries. 0..* Coding e.g. LOINC or SNOMED CT code, etc in the content
Binding: Consent Content Codes (example): If this code is found in an instance, then the exception applies

Consent.except.dataPeriod This element is included in summaries. 0..1 Period Timeframe for data controlled by this exception

Consent.except.data This element is included in summaries. 0..* BackboneElement Data controlled by this exception

Consent.except.data.id 0..1 string xml:id (or equivalent in JSON)

Consent.except.data.extension 0..* Extension Additional Content defined by implementations

Consent.except.data.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored

Consent.except.data.meaning This element is included in summaries. 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions

Consent.except.data.reference This element is included in summaries. 1..1 Reference(Resource) The actual data reference

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:livingWill	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:typeOfLivingWill	Base	required	WilsverklaringTypeCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.actor.role	Base	extensible	SecurityRoleType	📦1.8.0	FHIR Std.
Consent.action	Base	example	Consent Action Codes	📦3.0.2	FHIR Std.
Consent.source[x]:sourceAttachment.contentType	Base	required	Mime Types	📦5.0.0	FHIR Extensions Pack v5.3
Consent.source[x]:sourceAttachment.language	Base	extensible	Common Languages	📍3.0.2	FHIR Std.
Consent.securityLabel	Base	extensible	All Security Labels	📦3.0.2	FHIR Std.
Consent.purpose	Base	extensible	PurposeOfUse	📦2014-03-26	FHIR Std.
Consent.data.meaning	Base	required	ConsentDataMeaning	📦3.0.2	FHIR Std.
Consent.except.type	Base	required	ConsentExceptType	📦3.0.2	FHIR Std.
Consent.except.actor.role	Base	extensible	SecurityRoleType	📦1.8.0	FHIR Std.
Consent.except.action	Base	example	Consent Action Codes	📦3.0.2	FHIR Std.
Consent.except.securityLabel	Base	extensible	All Security Labels	📦3.0.2	FHIR Std.
Consent.except.purpose	Base	extensible	PurposeOfUse	📦2014-03-26	FHIR Std.
Consent.except.class	Base	extensible	Consent Content Class	📦3.0.2	FHIR Std.
Consent.except.code	Base	example	Consent Content Codes	📦3.0.2	FHIR Std.
Consent.except.data.meaning	Base	required	ConsentDataMeaning	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Consent	If the resource is contained in another resource, it SHALL NOT contain any narrative	`contained.text.empty()`
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() \| (children().count() > id.count())`
ext-1	error	Consent.extension:disorder, Consent.extension:comment, Consent.actor.reference.extension:practitionerRole, Consent.except.actor.reference.extension:practitionerRole	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
ppc-1	error	Consent	Either a Policy or PolicyRule	`policy.exists() or policyRule.exists()`

This structure is derived from Zib AdvanceDirective

Summary

Must-Support: 5 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib AdvanceDirective	LivingWill Constraints: ppc-1
Consent.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:disorder		0..*	Reference(HCIM Problem)	Disorder URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder Constraints: ext-1
Consent.Slices for extension.extension:comment	This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	This element is a modifier element. This element is included in summaries.	1..1	code	draft \| proposed \| active \| rejected \| inactive \| entered-in-error Binding: ConsentState (required): Indicates the state of the consent
Consent.Slices for category	This element is included in summaries.	2..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by value:$this Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.Slices for category.category:livingWill	This element is included in summaries.	1..1	CodeableConcept	Living will and advance directive record Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement Required Pattern: `{ "coding" : [ { "system" : "http://snomed.info/sct", "code" : "11341000146107" } ] }`
Consent.Slices for category.category:typeOfLivingWill	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	TypeOfLivingWill Binding: WilsverklaringTypeCodelijst (required): List of the different types of living wills.
Consent.Slices for category.category:typeOfLivingWill.coding	This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Consent.Slices for category.category:typeOfLivingWill.coding.system	This element is included in summaries.	1..1	uri	Identity of the terminology system
Consent.Slices for category.category:typeOfLivingWill.coding.code	This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Consent.patient	This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.dateTime	This element must be supported. This element is included in summaries.	1..1	dateTime	LivingWillDate
Consent.consentingParty	This element is included in summaries.	0..1	Reference(nl-core-relatedperson)	Representative
Consent.Slices for source[x]	This element is included in summaries.	0..1	Attachment	LivingWillDocument Slice: Unordered, Closed by type:$this
Consent.Slices for source[x].source[x]:sourceAttachment	This element must be supported. This element is included in summaries.	0..1	Attachment	LivingWillDocument
Consent.Slices for source[x].source[x]:sourceAttachment.data	This element must be supported.	0..1	base64Binary	Data inline, base64ed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:livingWill	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.category:typeOfLivingWill	Base	required	WilsverklaringTypeCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Consent	If the resource is contained in another resource, it SHALL NOT contain any narrative	`contained.text.empty()`
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() \| (children().count() > id.count())`
ext-1	error	Consent.extension:disorder, Consent.extension:comment	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
ppc-1	error	Consent	Either a Policy or PolicyRule	`policy.exists() or policyRule.exists()`

Differential View

This structure is derived from Zib AdvanceDirective

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent		0..*	Zib AdvanceDirective	LivingWill
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:comment	This element must be supported.	0..1	Comment	Comment
Consent.Slices for category				Content/Rules for all slices
Consent.Slices for category.category:typeOfLivingWill	This element must be supported.	1..1	CodeableConcept	TypeOfLivingWill
Consent.dateTime	This element must be supported.	1..1	dateTime	LivingWillDate
Consent.sourceAttachment	This element must be supported.	0..1	Attachment	LivingWillDocument
Consent.sourceAttachment.data	This element must be supported.	0..1	base64Binary	Data inline, base64ed
Documentation for this format

Snapshot View

Description & Constraints Filter:

Consent C 0..* Zib AdvanceDirective LivingWill
Constraints: ppc-1

Consent.id This element is included in summaries. 0..1 id Logical id of this artifact

Consent.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Consent.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional Bindings

Purpose

All Languages

Max Binding

Consent.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Consent.contained 0..* Resource Contained, inline Resources

Consent.Slices for extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url

Consent.Slices for extension.extension:disorder 0..* Reference(HCIM Problem) Disorder
URL: http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder
Constraints: ext-1

Consent.Slices for extension.extension:comment This element must be supported. 0..1 string Comment
URL: http://nictiz.nl/fhir/StructureDefinition/Comment
Constraints: ext-1

Consent.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

category:livingWill

1..1

CodeableConcept

Living will and advance directive record
Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://snomed.info/sct",
      "code" : "11341000146107"
    }
  ]
}