Advance Care Planning (PZP)
1.0.0-rc1 - trial-use

Advance Care Planning (PZP) - Downloaded Version 1.0.0-rc1 See the Directory of published versions

## Resource Profile: ACPTreatmentDirective - XML Profile

Draft as of 2025-10-30

XML representation of the ACP-TreatmentDirective resource profile.

Raw xml | Download

    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="ACP-TreatmentDirective"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition ACP-TreatmentDirective</b></p><a name="ACP-TreatmentDirective"> </a><a name="hcACP-TreatmentDirective"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent">Consent</a><a name="Consent"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentDirective2">NlcoreTreatmentDirective2</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">TreatmentDirective</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for extension<a name="Consent.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:comment" title="Slice comment">extension:comment</a><a name="Consent.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/ext-Comment" title="Extension">ExtComment</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through">extension</span><a name="Consent.extension.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:comment.value[x]">value[x]</a><a name="Consent.extension.value_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Comment</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:additionalAdvanceDirective" title="Slice additionalAdvanceDirective">extension:additionalAdvanceDirective</a><a name="Consent.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective" title="Extension">ExtTreatmentDirective2AdvanceDirective</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through">extension</span><a name="Consent.extension.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:additionalAdvanceDirective.value[x]">value[x]</a><a name="Consent.extension.value_x_.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ACP-AdvanceDirective.html">AdvanceDirective(1.0.0-rc1)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">AdvanceDirective</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:encounter" title="Extension URL = https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference">extension:encounter</a><a name="Consent.extension.4"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">ext Encounter Reference</span><br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-EncounterReference.html">https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference</a><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.extension:encounter.value[x]">value[x]</a><a name="Consent.extension.value_x_.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ACP-Encounter.html">Encounter(1.0.0-rc1)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Encounter</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for modifierExtension<a name="Consent.modifierExtension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.modifierExtension:specificationOther" title="Slice specificationOther">modifierExtension:specificationOther</a><a name="Consent.modifierExtension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther" title="Extension">ExtTreatmentDirective2SpecificationOther</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.modifierExtension:specificationOther.value[x]">value[x]</a><a name="Consent.modifierExtension.value_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">SpecificationOther</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.patient">patient</a><a name="Consent.patient"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ACP-Patient.html">Patient(1.0.0-rc1)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who the consent applies to</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.dateTime">dateTime</a><a name="Consent.dateTime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">MostRecentReviewDate</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for source[x]<a name="Consent.source_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.source[x]:sourceReference" title="Slice sourceReference">source[x]:sourceReference</a><a name="Consent.source_x_.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ACP-AdvanceDirective.html">AdvanceDirective(1.0.0-rc1)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">AdvanceDirective</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision">provision</a><a name="Consent.provision"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck013.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for extension<a name="Consent.provision.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.extension:reasonForEnding" title="Slice reasonForEnding">extension:reasonForEnding</a><a name="Consent.provision.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding" title="Extension">ExtTreatmentDirective2ReasonForEnding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.extension:reasonForEnding.value[x]">value[x]</a><a name="Consent.provision.extension.value_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">ReasonForEnding</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.type">type</a><a name="Consent.provision.type"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">TreatmentDecision</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.period">period</a><a name="Consent.provision.period"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.period.end">end</a><a name="Consent.provision.period.end"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">DateExpired</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck013.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for actor<a name="Consent.provision.actor"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.actor:agreementParty" title="Slice agreementParty">actor:agreementParty</a><a name="Consent.provision.actor.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">AgreementParty</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.actor:agreementParty.reference">reference</a><a name="Consent.provision.actor.reference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ACP-Patient.html">Patient(1.0.0-rc1)</a> | <a href="StructureDefinition-ACP-HealthProfessional-PractitionerRole.html">HealthProfessional PractitionerRole(1.0.0-rc1)</a> | <a href="StructureDefinition-ACP-ContactPerson.html">ContactPerson(1.0.0-rc1)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Patient / Representative / HealthProfessional</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.code">code</a><a name="Consent.provision.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Treatment</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ACP-TreatmentDirective-definitions.html#Consent.provision.code.text">text</a><a name="Consent.provision.code.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Plain text representation of the concept</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-populate-if-known" title="Obligation Codes: populate if known">populate-if-known</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorProvider.html">ACP Actor Provider</a></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-no-error" title="Obligation Codes: not error if present">no-error</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-ACPActorConsulter.html">ACP Actor Consulter</a></td></tr></table></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url
           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective"/>
      <version value="1.0.0-rc1"/>
      <name value="ACPTreatmentDirective"/>
      <title value="TreatmentDirective"/>
      <status value="draft"/>
      <experimental value="false"/>
      <date value="2025-10-30T18:55:05+01:00"/>
      <publisher value="IKNL"/>
      <contact>
        <name value="IKNL"/>
        <telecom>
          <system value="url"/>
          <value value="https://iknl.nl/"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="info@iknl.nl"/>
        </telecom>
      </contact>
      <description
                   value="A joint decision between a health professional (for example a general practitioner) and a patient or his representative(s) about the desirability of performing a certain treatment, such as resuscitation, before this treatment becomes (acute) necessary. Based on nl-core-TreatmentDirective2 and HCIM TreatmentDirective2."/>
      <copyright
                 value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise."/>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="pall-izppz-zib2020v2025-03-11"/>
        <uri
             value="https://decor.nictiz.nl/exist/apps/api/dataset/2.16.840.1.113883.2.4.3.11.60.117.1.1/2020-07-29T10%3A37%3A48/$view?language=nl-NL&amp;ui=nl-NL&amp;format=html&amp;hidecolumns=3456gh&amp;release=2025-10-29T13%3A09%3A23"/>
        <name value="ACP dataset"/>
      </mapping>
      <mapping>
        <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
        <uri value="https://zibs.nl/wiki/TreatmentDirective2-v1.0(2020EN)"/>
        <name value="zib TreatmentDirective2-v1.0(2020EN)"/>
      </mapping>
      <kind value="resource"/>
      <abstract value="false"/>
      <type value="Consent"/>
      <baseDefinition
                      value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentDirective2"/>
      <derivation value="constraint"/>
      <snapshot>
        <element id="Consent">
          <path value="Consent"/>
          <short value="TreatmentDirective"/>
          <definition
                      value="A record of a healthcare consumer’s  choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time."/>
          <comment
                   value="A straightforward and accurate mapping of zib TreatmentDirective2 to FHIR is not possible. The main consideration is to choose between the Consent and CarePlan resource. Unfortunately, the Consent resource does not have full support for treatment directives yet as its main focus is to model Patient's privacy consents. Regardless, it seems to be the best match to represent the intention of the zib, as both the resource and the zib cover a mutual agreement about treatments and not per se the resulting actions or policy for treatments, which would better be handled using the CarePlan resource. Future migration to a later version of FHIR or the zib will result in the reevaluation of the mapping."/>
          <alias value="BehandelAanwijzing"/>
          <alias value="nl-core-TreatmentDirective2"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
          </constraint>
          <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression
                        value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath
                   value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
          </constraint>
          <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
            <expression
                        value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
            <xpath
                   value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
          </constraint>
          <constraint>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
              <valueBoolean value="true"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
              <valueMarkdown
                             value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
            </extension>
            <key value="dom-6"/>
            <severity value="warning"/>
            <human
                   value="A resource should have narrative for robust management"/>
            <expression value="text.`div`.exists()"/>
            <xpath value="exists(f:text/h:div)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
          </constraint>
          <constraint>
            <key value="dom-5"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
            <expression value="contained.meta.security.empty()"/>
            <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ppc-4"/>
            <severity value="error"/>
            <human value="IF Scope=adr, there must be a patient"/>
            <expression
                        value="patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()"/>
            <xpath
                   value="exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ppc-5"/>
            <severity value="error"/>
            <human value="IF Scope=treatment, there must be a patient"/>
            <expression
                        value="patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()"/>
            <xpath
                   value="exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ppc-2"/>
            <severity value="error"/>
            <human value="IF Scope=privacy, there must be a patient"/>
            <expression
                        value="patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()"/>
            <xpath
                   value="exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ppc-3"/>
            <severity value="error"/>
            <human value="IF Scope=research, there must be a patient"/>
            <expression
                        value="patient.exists() or scope.coding.where(system='something' and code='research').exists().not()"/>
            <xpath
                   value="exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ppc-1"/>
            <severity value="error"/>
            <human value="Either a Policy or PolicyRule"/>
            <expression value="policy.exists() or policyRule.exists()"/>
            <xpath value="exists(f:policy) or exists(f:policyRule)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
          </constraint>
          <constraint>
            <key value="zib-TreatmentDirective2-1"/>
            <severity value="error"/>
            <human
                   value="`extension.additionalAdvanceDirective` may only be used for AdvanceDirective references in addition to first reference in `.source[x]`."/>
            <expression
                        value="extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective').empty() or source.exists()"/>
            <source
                    value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective2"/>
          </constraint>
          <constraint>
            <key value="zib-TreatmentDirective2-2"/>
            <severity value="error"/>
            <human
                   value="If the specificationOther extension is used, `.provision.type` MUST be absent and vice versa"/>
            <expression
                        value="(extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificitionOther').exists() and provision.type.exists()).not()"/>
            <source
                    value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective2"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="602"/>
            <comment value="Behandelgrens (BehandelAanwijzing)"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="637"/>
            <comment value="Afspraak uitzetten ICD (BehandelAanwijzing)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CON"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="FinancialConsent"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.1"/>
            <comment value="TreatmentDirective"/>
          </mapping>
        </element>
        <element id="Consent.id">
          <path value="Consent.id"/>
          <short value="Logical id of this artifact"/>
          <definition
                      value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
          <comment
                   value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="id"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isSummary value="true"/>
        </element>
        <element id="Consent.meta">
          <path value="Consent.meta"/>
          <short value="Metadata about the resource"/>
          <definition
                      value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Meta"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.implicitRules">
          <path value="Consent.implicitRules"/>
          <short value="A set of rules under which this content was created"/>
          <definition
                      value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
          <comment
                   value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.language">
          <path value="Consent.language"/>
          <short value="Language of the resource content"/>
          <definition
                      value="The base language in which the resource is written."/>
          <comment
                   value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueCanonical
                              value="http://hl7.org/fhir/ValueSet/all-languages|4.0.1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="preferred"/>
            <description value="A human language."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.text">
          <path value="Consent.text"/>
          <short value="Text summary of the resource, for human interpretation"/>
          <definition
                      value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
          <comment
                   value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
          <alias value="narrative"/>
          <alias value="html"/>
          <alias value="xhtml"/>
          <alias value="display"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Narrative"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
          </mapping>
        </element>
        <element id="Consent.contained">
          <path value="Consent.contained"/>
          <short value="Contained, inline Resources"/>
          <definition
                      value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
          <comment
                   value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
          <alias value="inline resources"/>
          <alias value="anonymous resources"/>
          <alias value="contained resources"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Resource"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension">
          <path value="Consent.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:comment">
          <path value="Consent.extension"/>
          <sliceName value="comment"/>
          <short value="Optional Extensions Element"/>
          <definition
                      value="Optional Extension Element - found in all resources."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/ext-Comment"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:comment.id">
          <path value="Consent.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.extension:comment.extension">
          <path value="Consent.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
        </element>
        <element id="Consent.extension:comment.url">
          <path value="Consent.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/ext-Comment"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:comment.value[x]">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension.value[x]"/>
          <short value="Comment"/>
          <definition
                      value="The comment may include further information such as the reason why a treatment directive has been drawn up, persons who assisted the patient in agreeing the treatment directive but who are not otherwise involved in the agreement as a representative, etc."/>
          <alias value="Toelichting"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="618"/>
            <comment value="Toelichting"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="653"/>
            <comment value="Toelichting"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.13"/>
            <comment value="Comment"/>
          </mapping>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension"/>
          <sliceName value="additionalAdvanceDirective"/>
          <short value="Optional Extensions Element"/>
          <definition
                      value="Optional Extension Element - found in all resources."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.id">
          <path value="Consent.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.extension">
          <path value="Consent.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.url">
          <path value="Consent.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.AdvanceDirective"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.value[x]">
          <path value="Consent.extension.value[x]"/>
          <short value="AdvanceDirective"/>
          <definition
                      value="A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter."/>
          <comment
                   value="`Consent.source:sourceReference` is the primary target for referencing zib AdvanceDirective (zib concept NL-CM:2.2.8). However, the cardinality of `Consent.source[x]` is restricted to `0..1`. If more than one AdvanceDirective needs to be referenced, the _additional_ references can be communicated using this extension. If this extension is used, `Consent.source:sourceReference` SHALL be populated and it SHALL not contain the same reference as this extension."/>
          <alias value="Wilsverklaring"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-AdvanceDirective|1.0.0-rc1"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="644"/>
            <comment value="Wilsverklaring"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.8"/>
            <comment value="AdvanceDirective"/>
          </mapping>
        </element>
        <element id="Consent.extension:encounter">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension"/>
          <sliceName value="encounter"/>
          <short value="ext Encounter Reference"/>
          <definition
                      value="An extension to link the Encounter during which the Consent, Goal or DeviceUseStatement was created or to which the creation is tightly associated."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference|1.0.0-rc1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
        </element>
        <element id="Consent.extension:encounter.id">
          <path value="Consent.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.extension:encounter.extension">
          <path value="Consent.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Consent.extension:encounter.url">
          <path value="Consent.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.extension:encounter.value[x]">
          <path value="Consent.extension.value[x]"/>
          <short value="Encounter"/>
          <definition
                      value="The Encounter during which this resource was created or to which the creation is tightly associated."/>
          <comment
                   value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. completing the administrative registration after the encounter)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter|1.0.0-rc1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension">
          <path value="Consent.modifierExtension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension:specificationOther">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.modifierExtension"/>
          <sliceName value="specificationOther"/>
          <short value="Optional Extensions Element"/>
          <definition
                      value="Optional Extension Element - found in all resources."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-2"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This extension extends the options of _deny_ and _permit_ of `Consent.provision.type` with the opportunity to provide free text. The `Consent.provision` cannot be safely interpreted if the free text in this extension is omitted, hence the reason for labeling this extension as a modifier."/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension:specificationOther.id">
          <path value="Consent.modifierExtension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension:specificationOther.extension">
          <path value="Consent.modifierExtension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension:specificationOther.url">
          <path value="Consent.modifierExtension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.SpecificationOther"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.modifierExtension:specificationOther.value[x]">
          <path value="Consent.modifierExtension.value[x]"/>
          <short value="SpecificationOther"/>
          <definition
                      value="Specification of the treatment decision when the decision is 'Other'."/>
          <comment
                   value="In addition to the default zib/nl-core guidance, this extension is used to communicate further details about agreements concerning ICD."/>
          <alias value="SpecificatieAnders"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-2"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="605"/>
            <comment value="SpecificatieAnders"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="638"/>
            <comment value="Afspraak uitzetten ICD (BehandelBesluit)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.4"/>
            <comment value="SpecificationOther"/>
          </mapping>
        </element>
        <element id="Consent.identifier">
          <path value="Consent.identifier"/>
          <short value="Identifier for this record (external references)"/>
          <definition
                      value="Unique identifier for this copy of the Consent Statement."/>
          <comment
                   value="This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <example>
            <label value="General"/>
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="Local eCMS identifier"/>
            </valueIdentifier>
          </example>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
          </mapping>
          <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id"/>
          </mapping>
        </element>
        <element id="Consent.status">
          <path value="Consent.status"/>
          <short
                 value="draft | proposed | active | rejected | inactive | entered-in-error"/>
          <definition value="Indicates the current state of this consent."/>
          <comment
                   value="This element is implicitly mapped to the zib concepts NL-CM:2.2.5 (MostRecentReviewDate) and NL-CM:2.2.6 (DateExpired). Unless the status is explicitly recorded, the following guidance applies:

    * When MostRecentReviewDate is in the past and DateExpired is absent or in the future, `.status` will usually be set to _active_.
    * When DateExpired is in the past, `.status` will usually be set to _inactive_.
    * When MostRecentReviewDate is absent or in the future,  which is not possible following the zib, `.status` will usually be set to _draft_."/>
          <requirements
                        value="The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.status"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentState"/>
            </extension>
            <strength value="required"/>
            <description value="Indicates the state of the consent."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.status"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.status"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="HL7 Table 0498 - Consent Status"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".statusCode"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.5"/>
            <comment
                     value="MostRecentReviewDate (implicit, main mapping is on `Consent.dateTime`)"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.6"/>
            <comment
                     value="DateExpired (implicit, main mapping is on `Consent.provision.period.end`)"/>
          </mapping>
        </element>
        <element id="Consent.scope">
          <path value="Consent.scope"/>
          <short
                 value="Which of the four areas this resource covers (extensible)"/>
          <definition
                      value="A selector of the type of consent being presented: ADR, Privacy, Treatment, Research.  This list is now extensible."/>
          <comment
                   value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.scope"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <patternCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
              <code value="treatment"/>
            </coding>
          </patternCodeableConcept>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Allows changes to codes based on scope selection"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentScope"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="The four anticipated uses for the Consent Resource."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/consent-scope|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
        </element>
        <element id="Consent.category">
          <path value="Consent.category"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="$this"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short
                 value="Classification of the consent statement - for indexing/retrieval"/>
          <definition
                      value="A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements."/>
          <comment
                   value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
          <min value="1"/>
          <max value="*"/>
          <base>
            <path value="Consent.category"/>
            <min value="1"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentCategory"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="A classification of the type of consents found in a consent statement."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-category|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.class"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="HL7 Table 0497 - Consent Type"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CNTRCT"/>
          </mapping>
        </element>
        <element id="Consent.category:treatmentDirectiveCode">
          <path value="Consent.category"/>
          <sliceName value="treatmentDirectiveCode"/>
          <short
                 value="Classification of the consent statement - for indexing/retrieval"/>
          <definition
                      value="A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements."/>
          <comment
                   value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.category"/>
            <min value="1"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <patternCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="129125009"/>
            </coding>
          </patternCodeableConcept>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentCategory"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="A classification of the type of consents found in a consent statement."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-category|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.class"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="HL7 Table 0497 - Consent Type"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CNTRCT"/>
          </mapping>
        </element>
        <element id="Consent.patient">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.patient"/>
          <short value="Who the consent applies to"/>
          <definition
                      value="The patient/healthcare consumer to whom this consent applies."/>
          <comment
                   value="Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.patient"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.subject"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject[x]"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Role"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject"/>
          </mapping>
        </element>
        <element id="Consent.dateTime">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.dateTime"/>
          <short value="MostRecentReviewDate"/>
          <definition
                      value="The date on which the treatment directive has been agreed with the patient and / or his representative (s). This can be the first time that the treatment directive have been discussed, but an existing treatment directive may also have been discussed again. The content of the treatment directive may have changed or remained the same."/>
          <comment
                   value="This is not the time of the original consent, but the time that this statement was made or derived."/>
          <alias value="MeestRecenteBespreekdatum"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.dateTime"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="606"/>
            <comment value="MeestRecenteBespreekdatum"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="641"/>
            <comment value="MeestRecenteBespreekdatum"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.occurrence[x]"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.recorded"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="Field 13/ Consent Decision Date"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="FinancialConsent effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.5"/>
            <comment value="MostRecentReviewDate"/>
          </mapping>
        </element>
        <element id="Consent.performer">
          <path value="Consent.performer"/>
          <short value="Who is agreeing to the policy and rules"/>
          <definition
                      value="Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions."/>
          <comment
                   value="Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian."/>
          <alias value="consentor"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.actor"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="Field 24/ ConsenterID"/>
          </mapping>
        </element>
        <element id="Consent.organization">
          <path value="Consent.organization"/>
          <short value="Custodian of the consent"/>
          <definition
                      value="The organization that manages the consent, and the framework within which it is executed."/>
          <comment
                   value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
          <alias value="custodian"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.organization"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.witness"/>
          </mapping>
        </element>
        <element id="Consent.source[x]">
          <path value="Consent.source[x]"/>
          <slicing>
            <discriminator>
              <type value="type"/>
              <path value="$this"/>
            </discriminator>
            <ordered value="false"/>
            <rules value="closed"/>
          </slicing>
          <short value="Source from which this consent is taken"/>
          <definition
                      value="The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document."/>
          <comment
                   value="The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.source[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Attachment"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Consent|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Contract|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="Field 19 Informational Material Supplied Indicator"/>
          </mapping>
        </element>
        <element id="Consent.source[x]:sourceReference">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.source[x]"/>
          <sliceName value="sourceReference"/>
          <short value="AdvanceDirective"/>
          <definition
                      value="A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter."/>
          <comment
                   value="The cardinality of this `Consent.source[x]` element is restricted to `0..1`, which is narrower than the AdvanceDirective concept (NL-CM:2.2.8) specified in the HCIM TreatmentDirective2. If additional AdvanceDirective references are needed, the additionalAdvanceDirective extension can be used _in addition to_ this element. If the additionalAdvanceDirective extension is used, this element SHALL be populated and it SHALL not contain a reference that is also present in the extension."/>
          <alias value="Wilsverklaring"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.source[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-AdvanceDirective|1.0.0-rc1"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="609"/>
            <comment value="Wilsverklaring"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="644"/>
            <comment value="Wilsverklaring"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="Field 19 Informational Material Supplied Indicator"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.8"/>
            <comment value="AdvanceDirective"/>
          </mapping>
        </element>
        <element id="Consent.policy">
          <path value="Consent.policy"/>
          <short value="Policies covered by this consent"/>
          <definition
                      value="The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.policy"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.policy.id">
          <path value="Consent.policy.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.policy.extension">
          <path value="Consent.policy.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.policy.modifierExtension">
          <path value="Consent.policy.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.policy.authority">
          <path value="Consent.policy.authority"/>
          <short value="Enforcement source for policy"/>
          <definition
                      value="Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives."/>
          <comment
                   value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.policy.authority"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <condition value="ele-1"/>
          <condition value="ppc-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.policy.uri">
          <path value="Consent.policy.uri"/>
          <short value="Specific policy covered by this consent"/>
          <definition
                      value="The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law."/>
          <comment
                   value="Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with &lt;https://wetten.overheid.nl/&gt; if the treatment directive is recorded following Dutch law and regulations."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.policy.uri"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <condition value="ele-1"/>
          <condition value="ppc-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.policyRule">
          <path value="Consent.policyRule"/>
          <short value="Regulation that this consents to"/>
          <definition
                      value="A reference to the specific base computable regulation or policy."/>
          <comment
                   value="If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource."/>
          <requirements
                        value="Might be a unique identifier of a policy set in XACML, or other rules engine."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.policyRule"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <condition value="ele-1"/>
          <condition value="ppc-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentPolicyRule"/>
            </extension>
            <strength value="extensible"/>
            <description value="Regulatory policy examples."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/consent-policy|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
        </element>
        <element id="Consent.verification">
          <path value="Consent.verification"/>
          <short value="Consent Verified by patient or family"/>
          <definition
                      value="Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.verification"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.verification.id">
          <path value="Consent.verification.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.verification.extension">
          <path value="Consent.verification.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.verification.modifierExtension">
          <path value="Consent.verification.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.verification.verified">
          <path value="Consent.verification.verified"/>
          <short value="Has been verified"/>
          <definition value="Has the instruction been verified."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.verification.verified"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.verification.verifiedWith">
          <path value="Consent.verification.verifiedWith"/>
          <short value="Person who verified"/>
          <definition
                      value="Who verified the instruction (Patient, Relative or other Authorized Person)."/>
          <comment
                   value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.verification.verifiedWith"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
        </element>
        <element id="Consent.verification.verificationDate">
          <path value="Consent.verification.verificationDate"/>
          <short value="When consent verified"/>
          <definition value="Date verification was collected."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.verification.verificationDate"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision">
          <path value="Consent.provision"/>
          <short value="Constraints to the base Consent.policyRule"/>
          <definition
                      value="An exception to the base policy of this consent. An exception can be an addition or removal of access permissions."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.id">
          <path value="Consent.provision.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension">
          <path value="Consent.provision.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.extension"/>
          <sliceName value="reasonForEnding"/>
          <short value="Optional Extensions Element"/>
          <definition
                      value="Optional Extension Element - found in all resources."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="643"/>
            <comment value="RedenBeeindigd"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding.id">
          <path value="Consent.provision.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding.extension">
          <path value="Consent.provision.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding.url">
          <path value="Consent.provision.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/ext-TreatmentDirective2.ReasonForEnding"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding.value[x]">
          <path value="Consent.provision.extension.value[x]"/>
          <short value="ReasonForEnding"/>
          <definition
                      value="Reason why the agreement on a treatment directive no longer applies."/>
          <alias value="RedenBeeindigd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="608"/>
            <comment value="RedenBeeindigd"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.7"/>
            <comment value="ReasonForEnding"/>
          </mapping>
        </element>
        <element id="Consent.provision.modifierExtension">
          <path value="Consent.provision.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.type">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.type"/>
          <short value="TreatmentDecision"/>
          <definition
                      value="The joint decision taken with regard to the desirability of performing the indicated treatment. If the agreement is 'Other', 'Specification Other' shall contain the instructions for whether or not to carry out the treatment. Implementers SHALL support the specificationOther modifier extension for this."/>
          <comment
                   value="Additional terminology mapping guidance, in addition to the default zib/nl-core guidance:
    - BehandelBesluit (dataset id 603) values:
        - _Wel uitvoeren_ -&gt; _permit_
        - _Niet uitvoeren_ -&gt; _deny_
        - _Anders_ or _Onbekend_ -&gt; do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].value[x]` element.
    - Afspraak uitzetten ICD (dataset id 638) values:
        - _Wel uitvoeren_ -&gt; _permit_
        - No value is mapped to _deny_
        - _Nee, nog geen besluit genomen_ or _Niet besproken_ -&gt; do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].value[x]` element."/>
          <alias value="BehandelBesluit"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <condition value="ele-1"/>
          <condition value="zib-TreatmentDirective2-2"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentProvisionType"/>
            </extension>
            <strength value="required"/>
            <description
                         value="Use ConceptMap TreatmentDecisionCodelist-to-ConsentProvisionType to translate terminology from the functional model to profile terminology in ValueSet ConsentProvisionType."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1">🔗
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap">
                <valueCanonical
                                value="http://nictiz.nl/fhir/ConceptMap/TreatmentDecisionCodelist-to-ConsentProvisionType"/>
              </extension>
            </valueSet>
          </binding>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="603"/>
            <comment value="BehandelBesluit"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="638"/>
            <comment value="Afspraak uitzetten ICD (BehandelBesluit)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.2"/>
            <comment value="TreatmentDecision"/>
          </mapping>
        </element>
        <element id="Consent.provision.period">
          <path value="Consent.provision.period"/>
          <short value="Timeframe for this rule"/>
          <definition value="The timeframe in this rule is valid."/>
          <comment
                   value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;).

    Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.period"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Period"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="per-1"/>
            <severity value="error"/>
            <human value="If present, start SHALL have a lower value than end"/>
            <expression
                        value="start.hasValue().not() or end.hasValue().not() or (start &lt;= end)"/>
            <xpath
                   value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) &lt;= xs:dateTime(f:end/@value))"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Period|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]"/>
          </mapping>
        </element>
        <element id="Consent.provision.period.id">
          <path value="Consent.provision.period.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.period.extension">
          <path value="Consent.provision.period.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.period.start">
          <path value="Consent.provision.period.start"/>
          <short value="Starting time with inclusive boundary"/>
          <definition
                      value="The start of the period. The boundary is inclusive."/>
          <comment
                   value="If the low element is missing, the meaning is that the low boundary is not known."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.start"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <condition value="ele-1"/>
          <condition value="per-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./low"/>
          </mapping>
        </element>
        <element id="Consent.provision.period.end">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.period.end"/>
          <short value="DateExpired"/>
          <definition
                      value="The date on which the treatment directive has been withdrawn and therefore no longer applies. An explicit decision must be taken about the 'date expired', in consultation between the responsible care provider and the patient or his representative(s).Any future termination can only be entered as a condition. Often this will be linked to 1 or more events."/>
          <comment
                   value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03."/>
          <alias value="DatumBeeindigd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.end"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <meaningWhenMissing
                              value="If the end of the period is missing, it means that the period is ongoing"/>
          <condition value="ele-1"/>
          <condition value="per-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="607"/>
            <comment value="DatumBeeindigd"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="642"/>
            <comment value="DatumBeeindigd"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR.2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./high"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.6"/>
            <comment value="DateExpired"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
            <valueString value="provisionActor"/>
          </extension>
          <path value="Consent.provision.actor"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="role"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Who|what controlled by this rule (or group, by role)"/>
          <definition
                      value="Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers')."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.actor"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <meaningWhenMissing
                              value="There is no specific actor associated with the exception"/>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor.id">
          <path value="Consent.provision.actor.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor.extension">
          <path value="Consent.provision.actor.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor.modifierExtension">
          <path value="Consent.provision.actor.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor.role">
          <path value="Consent.provision.actor.role"/>
          <short value="How the actor is involved"/>
          <definition
                      value="How the individual is involved in the resources content that is described in the exception."/>
          <comment
                   value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.actor.role"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentActorRole"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="How an actor is involved in the consent considerations."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/security-role-type|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor.reference">
          <path value="Consent.provision.actor.reference"/>
          <short value="Resource for the actor (or group, by role)"/>
          <definition
                      value="The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers')."/>
          <comment
                   value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.actor.reference"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Group|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
            <valueString value="provisionActor"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.actor"/>
          <sliceName value="agreementParty"/>
          <short value="AgreementParty"/>
          <definition
                      value="Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers')."/>
          <alias value="AfspraakPartij"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.actor"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <meaningWhenMissing
                              value="There is no specific actor associated with the exception"/>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="611"/>
            <comment value="AfspraakPartij"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="646"/>
            <comment value="AfspraakPartij"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.9"/>
            <comment value="AgreementParty"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.id">
          <path value="Consent.provision.actor.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.extension">
          <path value="Consent.provision.actor.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.modifierExtension">
          <path value="Consent.provision.actor.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.role">
          <path value="Consent.provision.actor.role"/>
          <short value="How the actor is involved"/>
          <definition
                      value="How the individual is involved in the resources content that is described in the exception."/>
          <comment
                   value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.actor.role"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <patternCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="CONSENTER"/>
            </coding>
          </patternCodeableConcept>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentActorRole"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="How an actor is involved in the consent considerations."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/security-role-type|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.reference">
          <path value="Consent.provision.actor.reference"/>
          <short value="Patient / Representative / HealthProfessional"/>
          <definition
                      value="* Patient as the person with whom the agreement was made.
    * Person who represents the patient in health care matters and with whom the agreement has been made (too).
    * HealthProfessional who has made the agreement regarding the treatment directive."/>
          <comment
                   value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.

    In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile."/>
          <alias value="Patient"/>
          <alias value="Vertegenwoordiger"/>
          <alias value="Zorgverlener"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.actor.reference"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-ContactPerson|1.0.0-rc1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="612"/>
            <comment value="Patient"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="614"/>
            <comment value="Vertegenwoordiger"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="616"/>
            <comment value="Zorgverlener"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="647"/>
            <comment value="Patient"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="649"/>
            <comment value="Vertegenwoordiger"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="651"/>
            <comment value="Zorgverlener"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.10"/>
            <comment value="Patient"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.11"/>
            <comment value="Representative"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.12"/>
            <comment value="HealthProfessional"/>
          </mapping>
        </element>
        <element id="Consent.provision.action">
          <path value="Consent.provision.action"/>
          <short value="Actions controlled by this rule"/>
          <definition value="Actions controlled by this Rule."/>
          <comment
                   value="Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.action"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <meaningWhenMissing value="all actions"/>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentAction"/>
            </extension>
            <strength value="example"/>
            <description value="Detailed codes for the consent action."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/consent-action|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
        </element>
        <element id="Consent.provision.securityLabel">
          <path value="Consent.provision.securityLabel"/>
          <short value="Security Labels that define affected resources"/>
          <definition
                      value="A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception."/>
          <comment
                   value="If the consent specifies a security label of &quot;R&quot; then it applies to all resources that are labeled &quot;R&quot; or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.securityLabel"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SecurityLabels"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Security Labels from the Healthcare Privacy and Security Classification System."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/security-labels|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
          </mapping>
        </element>
        <element id="Consent.provision.purpose">
          <path value="Consent.provision.purpose"/>
          <short value="Context of activities covered by this rule"/>
          <definition
                      value="The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule."/>
          <comment
                   value="When the purpose of use tag is on the data, access request purpose of use shall not conflict."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.purpose"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="PurposeOfUse"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels."/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
          </mapping>
        </element>
        <element id="Consent.provision.class">
          <path value="Consent.provision.class"/>
          <short value="e.g. Resource Type, Profile, CDA, etc."/>
          <definition
                      value="The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to."/>
          <comment
                   value="Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.class"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentContentClass"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="The class (type) of information a consent rule covers."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-content-class|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
          </mapping>
        </element>
        <element id="Consent.provision.code">
          <path value="Consent.provision.code"/>
          <short value="Treatment"/>
          <definition
                      value="The medical treatment to which the treatment instruction applies."/>
          <comment
                   value="Typical use of this is a Document code with class = CDA."/>
          <alias value="Behandeling"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.code"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentContentCode"/>
            </extension>
            <strength value="required"/>
            <description
                         value="If this code is found in an instance, then the exception applies."/>
            <valueSet
                      value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.2.1--20200901000000|2020-09-01T00:00:00"/>
          </binding>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="604"/>
            <comment value="Behandeling"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
          </mapping>
          <mapping>
            <identity value="zib-treatmentdirective2-v1.0-2020EN"/>
            <map value="NL-CM:2.2.3"/>
            <comment value="Treatment"/>
          </mapping>
        </element>
        <element id="Consent.provision.code.id">
          <path value="Consent.provision.code.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.code.extension">
          <path value="Consent.provision.code.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.code.coding">
          <path value="Consent.provision.code.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Consent.provision.code.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.code.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="`.provision.type` has a required binding. Therefore, only codes in the bound ValueSet are permitted. For concepts not present in the ValueSet, such as SNOMED CT code 400231000146108 (Uitzetten van cardioverter-defibrillator in laatste levensfase), use the `.text` field as per FHIR guidance."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="639"/>
            <comment value="Behandeling van ICD (Behandeling)"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="Consent.provision.dataPeriod">
          <path value="Consent.provision.dataPeriod"/>
          <short value="Timeframe for data controlled by this rule"/>
          <definition
                      value="Clinical or Operational Relevant period of time that bounds the data controlled by this rule."/>
          <comment
                   value="This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.dataPeriod"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Period"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="per-1"/>
            <severity value="error"/>
            <human value="If present, start SHALL have a lower value than end"/>
            <expression
                        value="start.hasValue().not() or end.hasValue().not() or (start &lt;= end)"/>
            <xpath
                   value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) &lt;= xs:dateTime(f:end/@value))"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Period|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]"/>
          </mapping>
        </element>
        <element id="Consent.provision.data">
          <path value="Consent.provision.data"/>
          <short value="Data controlled by this rule"/>
          <definition
                      value="The resources controlled by this rule if specific resources are referenced."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.data"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <meaningWhenMissing value="all data"/>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Role"/>
          </mapping>
        </element>
        <element id="Consent.provision.data.id">
          <path value="Consent.provision.data.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.data.extension">
          <path value="Consent.provision.data.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.data.modifierExtension">
          <path value="Consent.provision.data.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Consent.provision.data.meaning">
          <path value="Consent.provision.data.meaning"/>
          <short value="instance | related | dependents | authoredby"/>
          <definition
                      value="How the resource reference is interpreted when testing consent restrictions."/>
          <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.data.meaning"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ConsentDataMeaning"/>
            </extension>
            <strength value="required"/>
            <description
                         value="How a resource reference is interpreted when testing consent restrictions."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Consent.provision.data.reference">
          <path value="Consent.provision.data.reference"/>
          <short value="The actual data reference"/>
          <definition
                      value="A reference to a specific resource that defines which resources are covered by this consent."/>
          <comment
                   value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Consent.provision.data.reference"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/>
          </constraint>
          <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human
                   value="SHALL have a contained resource if a local reference is provided"/>
            <expression
                        value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/>
            <xpath
                   value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/Reference|4.0.1"/>
          </constraint>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
          </mapping>
        </element>
        <element id="Consent.provision.provision">
          <path value="Consent.provision.provision"/>
          <short value="Nested Exception Rules"/>
          <definition
                      value="Rules which provide exceptions to the base rule or subrules."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Consent.provision.provision"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <contentReference
                            value="http://hl7.org/fhir/StructureDefinition/Consent#Consent.provision"/>
        </element>
      </snapshot>
      <differential>
        <element id="Consent">
          <path value="Consent"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="602"/>
            <comment value="Behandelgrens (BehandelAanwijzing)"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="637"/>
            <comment value="Afspraak uitzetten ICD (BehandelAanwijzing)"/>
          </mapping>
        </element>
        <element id="Consent.extension:comment">
          <path value="Consent.extension"/>
          <sliceName value="comment"/>
        </element>
        <element id="Consent.extension:comment.extension">
          <path value="Consent.extension.extension"/>
          <max value="0"/>
        </element>
        <element id="Consent.extension:comment.value[x]">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension.value[x]"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="618"/>
            <comment value="Toelichting"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="653"/>
            <comment value="Toelichting"/>
          </mapping>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension"/>
          <sliceName value="additionalAdvanceDirective"/>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.extension">
          <path value="Consent.extension.extension"/>
          <max value="0"/>
        </element>
        <element id="Consent.extension:additionalAdvanceDirective.value[x]">
          <path value="Consent.extension.value[x]"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-AdvanceDirective|1.0.0-rc1"/>
          </type>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="644"/>
            <comment value="Wilsverklaring"/>
          </mapping>
        </element>
        <element id="Consent.extension:encounter">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.extension"/>
          <sliceName value="encounter"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="Extension"/>
            <profile
                     value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference|1.0.0-rc1"/>
          </type>
        </element>
        <element id="Consent.extension:encounter.value[x]">
          <path value="Consent.extension.value[x]"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter|1.0.0-rc1"/>
          </type>
        </element>
        <element id="Consent.modifierExtension:specificationOther">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.modifierExtension"/>
          <sliceName value="specificationOther"/>
        </element>
        <element id="Consent.modifierExtension:specificationOther.value[x]">
          <path value="Consent.modifierExtension.value[x]"/>
          <comment
                   value="In addition to the default zib/nl-core guidance, this extension is used to communicate further details about agreements concerning ICD."/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="605"/>
            <comment value="SpecificatieAnders"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="638"/>
            <comment value="Afspraak uitzetten ICD (BehandelBesluit)"/>
          </mapping>
        </element>
        <element id="Consent.patient">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.patient"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1"/>
          </type>
        </element>
        <element id="Consent.dateTime">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.dateTime"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="606"/>
            <comment value="MeestRecenteBespreekdatum"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="641"/>
            <comment value="MeestRecenteBespreekdatum"/>
          </mapping>
        </element>
        <element id="Consent.source[x]:sourceReference">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.source[x]"/>
          <sliceName value="sourceReference"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-AdvanceDirective|1.0.0-rc1"/>
          </type>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="609"/>
            <comment value="Wilsverklaring"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="644"/>
            <comment value="Wilsverklaring"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.extension"/>
          <sliceName value="reasonForEnding"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="643"/>
            <comment value="RedenBeeindigd"/>
          </mapping>
        </element>
        <element id="Consent.provision.extension:reasonForEnding.value[x]">
          <path value="Consent.provision.extension.value[x]"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="608"/>
            <comment value="RedenBeeindigd"/>
          </mapping>
        </element>
        <element id="Consent.provision.type">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.type"/>
          <comment
                   value="Additional terminology mapping guidance, in addition to the default zib/nl-core guidance:
    - BehandelBesluit (dataset id 603) values:
        - _Wel uitvoeren_ -&gt; _permit_
        - _Niet uitvoeren_ -&gt; _deny_
        - _Anders_ or _Onbekend_ -&gt; do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].value[x]` element.
    - Afspraak uitzetten ICD (dataset id 638) values:
        - _Wel uitvoeren_ -&gt; _permit_
        - No value is mapped to _deny_
        - _Nee, nog geen besluit genomen_ or _Niet besproken_ -&gt; do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].value[x]` element."/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="603"/>
            <comment value="BehandelBesluit"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="638"/>
            <comment value="Afspraak uitzetten ICD (BehandelBesluit)"/>
          </mapping>
        </element>
        <element id="Consent.provision.period.end">
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.period.end"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="607"/>
            <comment value="DatumBeeindigd"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="642"/>
            <comment value="DatumBeeindigd"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
            <valueString value="provisionActor"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.actor"/>
          <sliceName value="agreementParty"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="611"/>
            <comment value="AfspraakPartij"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="646"/>
            <comment value="AfspraakPartij"/>
          </mapping>
        </element>
        <element id="Consent.provision.actor:agreementParty.reference">
          <path value="Consent.provision.actor.reference"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1"/>
            <targetProfile
                           value="https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-ContactPerson|1.0.0-rc1"/>
          </type>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="612"/>
            <comment value="Patient"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="614"/>
            <comment value="Vertegenwoordiger"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="616"/>
            <comment value="Zorgverlener"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="647"/>
            <comment value="Patient"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="649"/>
            <comment value="Vertegenwoordiger"/>
          </mapping>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="651"/>
            <comment value="Zorgverlener"/>
          </mapping>
        </element>
        <element id="Consent.provision.code">
          <path value="Consent.provision.code"/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="604"/>
            <comment value="Behandeling"/>
          </mapping>
        </element>
        <element id="Consent.provision.code.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:populate-if-known"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc1"/>
            </extension>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
            <extension url="code">
              <valueCode value="SHALL:no-error"/>
            </extension>
            <extension url="actor">
              <valueCanonical
                              value="https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc1"/>
            </extension>
          </extension>
          <path value="Consent.provision.code.text"/>
          <comment
                   value="`.provision.type` has a required binding. Therefore, only codes in the bound ValueSet are permitted. For concepts not present in the ValueSet, such as SNOMED CT code 400231000146108 (Uitzetten van cardioverter-defibrillator in laatste levensfase), use the `.text` field as per FHIR guidance."/>
          <mapping>
            <identity value="pall-izppz-zib2020v2025-03-11"/>
            <map value="639"/>
            <comment value="Behandeling van ICD (Behandeling)"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>