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.

• N.B. "Geverifieerd" en "Geverifieerd bij" wel gewenst vanuit FMS, maar niet beschikbaar in alle huidige configuraties en "echte" voorbeeld data.
• Op dit moment zijn alleen de ACP Behandelwensen deel (de BehandelAanwijzing zib) in scope. Deze specificering van de zib BehandelAanwijzing is te vinden in dit profile.

Zorginformatiebouwsteen

ZIB BehandelAanwijzing

FMS Adequate Registratie

Als bron voor de must-support flags is gebruikt: Fit-gap analyse behandelaanwijzing

Behandelgrenzen van de Advance Care Planning (ACP)

Synoniem = Proactieve zorgplanning

Eerder in datasets onder het kopje Advanced Care Planning (ACP) is uitgelegd waar het formulier en de dataset uit bestaat. Vanuit de landelijke organisatie rondom palliatieve zorg en uit de RIVO regio is er een aanvulling nodig van de BehandelingCodelijst, komende uit de zib BehandelAanwijzing. Toegevoegd zijn deze (4) nieuwe categorieen met SNOMED CT codering. Deze lijst kun je vinden op ACP TreatmentCodelist pagina.

View Definition

ViewDefinition voor Behandelaanwijzingen

UI Wireframe

Behandelaanwijzingen

Gegevensherkomst

User-Interface Mockup

Een schets van het scherm met labels en sortering informatie:

Gerelateerde Mapping

Voor implementatie in VIPLive, die zib 2020 gebasseerd is, zijn mappings gedefinieerd tussen de 2017 zib versie en de 2020 zib versie. Deze mappings zijn voorgelegd aan het Nictiz zib-centrum en zij hebben deze voorlopig geaccepteerd terwijl zij verder werken aan de officiele transformaties.

• equal betekent 100% gelijk
• equivalent betekent ongeveer gelijk

• ConceptMap Behandelaanwijzing 2017 en Behandelaanwijzing2 2020

Request

1. Opvragen (search) behandelaanwijzingen

   GET <ontsluiten-bronsysteem-base>/Consent?patient=<fhir_patient_id>&category=http://snomed.info/sct|11291000146105

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib TreatmentDirective	TreatmentDirective Constraints: ppc-1, hcim-treatmentdirective-1
Consent.implicitRules	?! This element is a modifier element. Σ 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:verification	S This element must be supported.	0..1	(Complex)	Verification URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification Constraints: ext-1
Consent.Slices for extension.extension:verification.Slices for extension		1..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified		1..1	Extension	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.url		1..1	uri	"Verified"
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean.valueBoolean:valueBoolean		0..1	boolean	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.url		1..1	uri	"VerifiedWith"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension Binding: GeverifieerdBijCodelijst (extensible): The person with whom the treatment instruction was discussed and verified.
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate		0..1	Extension	VerificationDate
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.url		1..1	uri	"VerificationDate"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime.valueDateTime:valueDateTime		0..1	dateTime	VerificationDate
Consent.Slices for extension.extension:verification.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment Constraints: ext-1
Consent.Slices for extension.extension:treatment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:treatment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].Slices for value[x]:valueCodeableConcept		0..1	CodeableConcept	Treatment Slice: Unordered, Closed by type:$this Binding: BehandelingCodelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:additionalSources		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources Constraints: ext-1
Consent.Slices for extension.extension:additionalSources.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:additionalSources.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources"
Consent.Slices for modifierExtension	?! This element is a modifier element.	1..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	?! This element is a modifier element. S This element must be supported.	1..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x]				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	TreatmentPermitted Binding: BehandelingToegestaanCodelijst (extensible): Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
Consent.status	?! This element is a modifier element. Σ 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.category	Σ This element is included in summaries.	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
Consent.category.Slices for coding.coding:treatmentDirective	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Consent.category.Slices for coding.coding:treatmentDirective.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 11291000146105 (no extensions allowed)
Consent.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Period that this consent applies
Consent.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	StartDate
Consent.except	Σ This element is included in summaries.	0..*	BackboneElement	Additional rule - addition or removal of permissions
Consent.except.Slices for extension				Content/Rules for all slices
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions Constraints: ext-1
Consent.except.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.type	Σ 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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.extension:verification.​extension:VerifiedWith.​valueCodeableConcept:valueCodeableConcept	Base	extensible	GeverifieerdBijCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.modifierExtension:treatmentPermitted.​value[x]:valueCodeableConcept	Base	extensible	BehandelingToegestaanCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.except.type	Base	required	ConsentExceptType	📦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:verification, Consent.extension:comment, Consent.extension:treatment, Consent.extension:additionalSources, Consent.modifierExtension:treatmentPermitted, Consent.except.extension:restrictions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hcim-treatmentdirective-1	error	Consent	extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x]	extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()

This structure is derived from Zib TreatmentDirective

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Zib TreatmentDirective	TreatmentDirective
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification	S This element must be supported.	0..1	Zib TreatmentDirective Verification	Verification
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	Comment	Comment
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	Zib TreatmentDirective Treatment	Optional Extensions Element
Consent.Slices for extension.extension:treatment.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for modifierExtension				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	S This element must be supported.	1..1	Zib TreatmentDirective TreatmentPermitted	Optional Extensions Element
Consent.period	S This element must be supported.	0..1	Period	Period that this consent applies
Consent.period.start	S This element must be supported.	0..1	dateTime	StartDate
Consent.except
Consent.except.Slices for extension				Content/Rules for all slices
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	Zib TreatmentDirective Restrictions	Optional Extensions Element
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.extension:treatment.​valueCodeableConcept:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib TreatmentDirective	TreatmentDirective Constraints: ppc-1, hcim-treatmentdirective-1
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.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:verification	S This element must be supported.	0..1	(Complex)	Verification URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification Constraints: ext-1
Consent.Slices for extension.extension:verification.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension		1..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified		1..1	Extension	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.url		1..1	uri	"Verified"
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean.valueBoolean:valueBoolean		0..1	boolean	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.url		1..1	uri	"VerifiedWith"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension Binding: GeverifieerdBijCodelijst (extensible): The person with whom the treatment instruction was discussed and verified.
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate		0..1	Extension	VerificationDate
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.url		1..1	uri	"VerificationDate"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime.valueDateTime:valueDateTime		0..1	dateTime	VerificationDate
Consent.Slices for extension.extension:verification.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment Constraints: ext-1
Consent.Slices for extension.extension:treatment.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:treatment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:treatment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].Slices for value[x]:valueCodeableConcept		0..1	CodeableConcept	Treatment Slice: Unordered, Closed by type:$this Binding: BehandelingCodelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:additionalSources		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources Constraints: ext-1
Consent.Slices for extension.extension:additionalSources.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:additionalSources.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:additionalSources.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources"
Consent.Slices for extension.extension:additionalSources.value[x]		0..1		AdvanceDirective
Consent.Slices for extension.extension:additionalSources.value[x].valueAttachment			Attachment
Consent.Slices for extension.extension:additionalSources.value[x].valueIdentifier			Identifier
Consent.Slices for extension.extension:additionalSources.value[x].valueReference			Reference(HCIM AdvanceDirective | DocumentReference | Contract | QuestionnaireResponse)
Consent.Slices for modifierExtension	?! This element is a modifier element.	1..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	?! This element is a modifier element. S This element must be supported.	1..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x]				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	TreatmentPermitted Binding: BehandelingToegestaanCodelijst (extensible): Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
Consent.identifier	Σ 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.status	?! This element is a modifier element. Σ 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.category	Σ This element is included in summaries.	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.category.id		0..1	string	xml:id (or equivalent in JSON)
Consent.category.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
Consent.category.Slices for coding.coding:treatmentDirective	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Consent.category.Slices for coding.coding:treatmentDirective.id		0..1	string	xml:id (or equivalent in JSON)
Consent.category.Slices for coding.coding:treatmentDirective.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.category.Slices for coding.coding:treatmentDirective.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Consent.category.Slices for coding.coding:treatmentDirective.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 11291000146105 (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Consent.category.Slices for coding.coding:treatmentDirective.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Consent.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Consent.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Period that this consent applies
Consent.period.id		0..1	string	xml:id (or equivalent in JSON)
Consent.period.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	StartDate
Consent.period.end	Σ This element is included in summaries. C	0..1	dateTime	EndDate
Consent.dateTime	Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.consentingParty	Σ This element is included in summaries.	0..*	Reference(nl-core-relatedperson | nl-core-organization | nl-core-patient | nl-core-practitioner)	Who is agreeing to the policy and exceptions
Consent.consentingParty.id		0..1	string	xml:id (or equivalent in JSON)
Consent.consentingParty.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.consentingParty.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.consentingParty.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.consentingParty.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.consentingParty.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.actor	Σ 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. Σ 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		1..1	Reference(Device | Group | CareTeam | nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson)	Resource for the actor (or group, by role)
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	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.actor.reference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.actor.reference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.action	Σ 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	Σ This element is included in summaries.	0..*	Reference(nl-core-organization)	Custodian of the consent
Consent.source[x]	Σ This element is included in summaries.	0..1		AdvanceDirective
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceIdentifier			Identifier
Consent.source[x].sourceReference			Reference(HCIM AdvanceDirective | DocumentReference | Contract | QuestionnaireResponse)
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. Σ 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	Σ This element is included in summaries. C	0..1	uri	Policy that this consents to
Consent.securityLabel	Σ 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	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this consent
Consent.data	Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.data.meaning	Σ 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	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.except	Σ 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.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions Constraints: ext-1
Consent.except.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.type	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for this exception
Consent.except.actor	Σ 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. Σ 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		1..1	Reference(Device | Group | CareTeam | nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson)	Resource for the actor (or group, by role)
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	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.except.actor.reference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.except.actor.reference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.except.action	Σ 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	Σ 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	Σ 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	Σ 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	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this exception
Consent.except.data	Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.data.meaning	Σ 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	Σ 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.extension:verification.​extension:VerifiedWith.​valueCodeableConcept:valueCodeableConcept	Base	extensible	GeverifieerdBijCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.modifierExtension:treatmentPermitted.​value[x]:valueCodeableConcept	Base	extensible	BehandelingToegestaanCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.actor.role	Base	extensible	SecurityRoleType	📦1.8.0	FHIR Std.
Consent.action	Base	example	Consent Action Codes	📦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:verification, Consent.extension:comment, Consent.extension:treatment, Consent.extension:additionalSources, Consent.modifierExtension:treatmentPermitted, Consent.consentingParty.extension:practitionerRole, Consent.actor.reference.extension:practitionerRole, Consent.except.extension:restrictions, Consent.except.actor.reference.extension:practitionerRole	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hcim-treatmentdirective-1	error	Consent	extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x]	extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib TreatmentDirective	TreatmentDirective Constraints: ppc-1, hcim-treatmentdirective-1
Consent.implicitRules	?! This element is a modifier element. Σ 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:verification	S This element must be supported.	0..1	(Complex)	Verification URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification Constraints: ext-1
Consent.Slices for extension.extension:verification.Slices for extension		1..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified		1..1	Extension	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.url		1..1	uri	"Verified"
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean.valueBoolean:valueBoolean		0..1	boolean	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.url		1..1	uri	"VerifiedWith"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension Binding: GeverifieerdBijCodelijst (extensible): The person with whom the treatment instruction was discussed and verified.
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate		0..1	Extension	VerificationDate
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.url		1..1	uri	"VerificationDate"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime.valueDateTime:valueDateTime		0..1	dateTime	VerificationDate
Consent.Slices for extension.extension:verification.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment Constraints: ext-1
Consent.Slices for extension.extension:treatment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:treatment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].Slices for value[x]:valueCodeableConcept		0..1	CodeableConcept	Treatment Slice: Unordered, Closed by type:$this Binding: BehandelingCodelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:additionalSources		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources Constraints: ext-1
Consent.Slices for extension.extension:additionalSources.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:additionalSources.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources"
Consent.Slices for modifierExtension	?! This element is a modifier element.	1..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	?! This element is a modifier element. S This element must be supported.	1..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x]				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	TreatmentPermitted Binding: BehandelingToegestaanCodelijst (extensible): Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
Consent.status	?! This element is a modifier element. Σ 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.category	Σ This element is included in summaries.	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
Consent.category.Slices for coding.coding:treatmentDirective	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Consent.category.Slices for coding.coding:treatmentDirective.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 11291000146105 (no extensions allowed)
Consent.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Period that this consent applies
Consent.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	StartDate
Consent.except	Σ This element is included in summaries.	0..*	BackboneElement	Additional rule - addition or removal of permissions
Consent.except.Slices for extension				Content/Rules for all slices
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions Constraints: ext-1
Consent.except.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.type	Σ 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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.extension:verification.​extension:VerifiedWith.​valueCodeableConcept:valueCodeableConcept	Base	extensible	GeverifieerdBijCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.modifierExtension:treatmentPermitted.​value[x]:valueCodeableConcept	Base	extensible	BehandelingToegestaanCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.except.type	Base	required	ConsentExceptType	📦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:verification, Consent.extension:comment, Consent.extension:treatment, Consent.extension:additionalSources, Consent.modifierExtension:treatmentPermitted, Consent.except.extension:restrictions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hcim-treatmentdirective-1	error	Consent	extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x]	extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()

Differential View

This structure is derived from Zib TreatmentDirective

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Zib TreatmentDirective	TreatmentDirective
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification	S This element must be supported.	0..1	Zib TreatmentDirective Verification	Verification
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	Comment	Comment
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	Zib TreatmentDirective Treatment	Optional Extensions Element
Consent.Slices for extension.extension:treatment.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for modifierExtension				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	S This element must be supported.	1..1	Zib TreatmentDirective TreatmentPermitted	Optional Extensions Element
Consent.period	S This element must be supported.	0..1	Period	Period that this consent applies
Consent.period.start	S This element must be supported.	0..1	dateTime	StartDate
Consent.except
Consent.except.Slices for extension				Content/Rules for all slices
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	Zib TreatmentDirective Restrictions	Optional Extensions Element
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.extension:treatment.​valueCodeableConcept:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Zib TreatmentDirective	TreatmentDirective Constraints: ppc-1, hcim-treatmentdirective-1
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.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:verification	S This element must be supported.	0..1	(Complex)	Verification URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification Constraints: ext-1
Consent.Slices for extension.extension:verification.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension		1..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified		1..1	Extension	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.url		1..1	uri	"Verified"
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:Verified.Slices for valueBoolean.valueBoolean:valueBoolean		0..1	boolean	Verified
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith	S This element must be supported.	0..1	Extension	VerifiedWith
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.url		1..1	uri	"VerifiedWith"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerifiedWith.Slices for valueCodeableConcept.valueCodeableConcept:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Value of extension Binding: GeverifieerdBijCodelijst (extensible): The person with whom the treatment instruction was discussed and verified.
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate		0..1	Extension	VerificationDate
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.url		1..1	uri	"VerificationDate"
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime				Content/Rules for all slices
Consent.Slices for extension.extension:verification.Slices for extension.extension:VerificationDate.Slices for valueDateTime.valueDateTime:valueDateTime		0..1	dateTime	VerificationDate
Consent.Slices for extension.extension:verification.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
Consent.Slices for extension.extension:comment	S This element must be supported.	0..1	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment Constraints: ext-1
Consent.Slices for extension.extension:treatment	S This element must be supported.	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment Constraints: ext-1
Consent.Slices for extension.extension:treatment.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:treatment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:treatment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment"
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].Slices for value[x]:valueCodeableConcept		0..1	CodeableConcept	Treatment Slice: Unordered, Closed by type:$this Binding: BehandelingCodelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:treatment.Slices for value[x]				Content/Rules for all slices
Consent.Slices for extension.extension:treatment.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported.	0..1	CodeableConcept	Treatment Binding: ACP behandelingen waardelijst (extensible): The medical treatment to which the treatment instruction applies.
Consent.Slices for extension.extension:additionalSources		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources Constraints: ext-1
Consent.Slices for extension.extension:additionalSources.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for extension.extension:additionalSources.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for extension.extension:additionalSources.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources"
Consent.Slices for extension.extension:additionalSources.value[x]		0..1		AdvanceDirective
Consent.Slices for extension.extension:additionalSources.value[x].valueAttachment			Attachment
Consent.Slices for extension.extension:additionalSources.value[x].valueIdentifier			Identifier
Consent.Slices for extension.extension:additionalSources.value[x].valueReference			Reference(HCIM AdvanceDirective | DocumentReference | Contract | QuestionnaireResponse)
Consent.Slices for modifierExtension	?! This element is a modifier element.	1..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted	?! This element is a modifier element. S This element must be supported.	1..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.id		0..1	string	xml:id (or equivalent in JSON)
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted"
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x]				Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:treatmentPermitted.Slices for value[x].value[x]:valueCodeableConcept		0..1	CodeableConcept	TreatmentPermitted Binding: BehandelingToegestaanCodelijst (extensible): Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.
Consent.identifier	Σ 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.status	?! This element is a modifier element. Σ 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.category	Σ This element is included in summaries.	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: Consent Category Codes (example): A classification of the type of consents found in a consent statement
Consent.category.id		0..1	string	xml:id (or equivalent in JSON)
Consent.category.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
Consent.category.Slices for coding.coding:treatmentDirective	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Consent.category.Slices for coding.coding:treatmentDirective.id		0..1	string	xml:id (or equivalent in JSON)
Consent.category.Slices for coding.coding:treatmentDirective.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.category.Slices for coding.coding:treatmentDirective.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Consent.category.Slices for coding.coding:treatmentDirective.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 11291000146105 (no extensions allowed)
Consent.category.Slices for coding.coding:treatmentDirective.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Consent.category.Slices for coding.coding:treatmentDirective.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Consent.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Consent.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	Who the consent applies to
Consent.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Period that this consent applies
Consent.period.id		0..1	string	xml:id (or equivalent in JSON)
Consent.period.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	StartDate
Consent.period.end	Σ This element is included in summaries. C	0..1	dateTime	EndDate
Consent.dateTime	Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.consentingParty	Σ This element is included in summaries.	0..*	Reference(nl-core-relatedperson | nl-core-organization | nl-core-patient | nl-core-practitioner)	Who is agreeing to the policy and exceptions
Consent.consentingParty.id		0..1	string	xml:id (or equivalent in JSON)
Consent.consentingParty.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.consentingParty.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.consentingParty.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.consentingParty.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.consentingParty.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.actor	Σ 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. Σ 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		1..1	Reference(Device | Group | CareTeam | nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson)	Resource for the actor (or group, by role)
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	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.actor.reference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.actor.reference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.action	Σ 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	Σ This element is included in summaries.	0..*	Reference(nl-core-organization)	Custodian of the consent
Consent.source[x]	Σ This element is included in summaries.	0..1		AdvanceDirective
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceIdentifier			Identifier
Consent.source[x].sourceReference			Reference(HCIM AdvanceDirective | DocumentReference | Contract | QuestionnaireResponse)
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. Σ 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	Σ This element is included in summaries. C	0..1	uri	Policy that this consents to
Consent.securityLabel	Σ 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	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this consent
Consent.data	Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.data.meaning	Σ 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	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.except	Σ 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.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Consent.except.Slices for extension.extension:restrictions	S This element must be supported.	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions Constraints: ext-1
Consent.except.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.type	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for this exception
Consent.except.actor	Σ 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. Σ 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		1..1	Reference(Device | Group | CareTeam | nl-core-organization | nl-core-patient | nl-core-practitioner | nl-core-relatedperson)	Resource for the actor (or group, by role)
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	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Consent.except.actor.reference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Consent.except.actor.reference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Consent.except.action	Σ 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	Σ 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	Σ 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	Σ 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	Σ 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	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this exception
Consent.except.data	Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
Consent.except.data.meaning	Σ 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	Σ 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.extension:verification.​extension:VerifiedWith.​valueCodeableConcept:valueCodeableConcept	Base	extensible	GeverifieerdBijCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.extension:treatment.​value[x]:valueCodeableConcept	Base	extensible	ACP behandelingen waardelijst	📦1.27.0	This IG
Consent.modifierExtension:treatmentPermitted.​value[x]:valueCodeableConcept	Base	extensible	BehandelingToegestaanCodelijst	📦2017-12-31T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Consent.status	Base	required	ConsentState	📦3.0.2	FHIR Std.
Consent.category	Base	example	Consent Category Codes	📦3.0.2	FHIR Std.
Consent.actor.role	Base	extensible	SecurityRoleType	📦1.8.0	FHIR Std.
Consent.action	Base	example	Consent Action Codes	📦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:verification, Consent.extension:comment, Consent.extension:treatment, Consent.extension:additionalSources, Consent.modifierExtension:treatmentPermitted, Consent.consentingParty.extension:practitionerRole, Consent.actor.reference.extension:practitionerRole, Consent.except.extension:restrictions, Consent.except.actor.reference.extension:practitionerRole	Must have either extensions or value[x], not both	extension.exists() != value.exists()
hcim-treatmentdirective-1	error	Consent	extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x]	extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()

This structure is derived from Zib TreatmentDirective

Summary

Must-Support: 10 elements