FHIR IG Statistics: StructureDefinition/be-patientwill

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Narrative

Note: links and images are rebased to the (stated) source

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
identifier	S	0..*	Identifier	Identifier for this record (external references)
status	S	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error
scope	S	1..1	CodeableConcept	Which of the four areas this resource covers (extensible)
category	S	1..*	CodeableConcept	The category or the patient will directive Binding: Patient Will Category (required)
patient	S	1..1	Reference(BePatient)	The subject of the patient will.
dateTime	S	1..1	dateTime	The dateTime when the patient will has been recorded
performer	S	1..*	Reference(https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization | BePatient | BePractitioner | BePractitionerRole | RelatedPerson)	Who is agreeing to the policy and rules
source[x]	S	0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	The evidence used to support the patient will.
policyRule	S	1..1	CodeableConcept	Regulation that this consents to
text	S	0..1	string	Plain text representation of the concept Fixed Value: Belgian policy
provision	S	1..1	BackboneElement	Constraints to the base Consent.policyRule
type	S	0..1	code	deny | permit
period	S	1..1	Period	Timeframe for this rule
securityLabel		0..0
purpose		0..0
class		0..0
code	S	0..*	CodeableConcept	The actual directive in the will Binding: Patient Will directives Value Set (required)
data		0..0
Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "be-patientwill",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patientwill",
  "version": "1.0.0",
  "name": "BePatientWill",
  "title": "BePatientWill",
  "status": "active",
  "date": "2021-01-10T10:59:49+00:00",
  "publisher": "eHealth Platform",
  "contact": [
    {
      "name": "eHealth Platform",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ehealth.fgov.be"
        }
      ]
    },
    {
      "name": "Message structure",
      "telecom": [
        {
          "system": "email",
          "value": "message-structure@ehealth.fgov.be"
        }
      ]
    }
  ],
  "description": "Belgian federal profile for a patient will ONLY in the context of the patient will in the context of limitations to treatment, DNR etc. Initially based on the functional description of the NIHDI. This profile will in the future be also used to record agreement to participate in clinical trials etc. Any usecase around informed consent is out of scope for this profile.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "056"
        },
        {
          "system": "urn:iso:std:iso:3166",
          "code": "BE"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Consent",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Consent.identifier",
        "path": "Consent.identifier",
        "mustSupport": true
      },
      {
        "id": "Consent.status",
        "path": "Consent.status",
        "mustSupport": true
      },
      {
        "id": "Consent.scope",
        "path": "Consent.scope",
        "mustSupport": true
      },
      {
        "id": "Consent.category",
        "path": "Consent.category",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.ehealth.fgov.be/standards/fhir/ValueSet/be-vs-patientwill-category"
        }
      },
      {
        "id": "Consent.patient",
        "path": "Consent.patient",
        "short": "The subject of the patient will.",
        "definition": "The subject of the patient will.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Consent.dateTime",
        "path": "Consent.dateTime",
        "short": "The dateTime when the patient will has been recorded",
        "definition": "The date and/or time when the patient will has been recorded",
        "comment": "This is not the time the patient expressed their will, but the time that this patient was recorded.&#xD;&#xA;",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Consent.performer",
        "path": "Consent.performer",
        "comment": "Commonly, the patient will is expressed by the patient, but for some cases it may be some other person.&#xD;&#xA;",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization",
              "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient",
              "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner",
              "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Consent.source[x]",
        "path": "Consent.source[x]",
        "short": "The evidence used to support the patient will.",
        "definition": "Supporting evidence for the patient will (e.g. a paper signed by the patient to refuse a specific treatment)",
        "comment": "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.&#xD;&#xA;It is at the discretion of the practitioner whether to include this when available. A consumer SHALL NOT ignore it when available.",
        "mustSupport": true
      },
      {
        "id": "Consent.policyRule",
        "path": "Consent.policyRule",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Consent.policyRule.text",
        "path": "Consent.policyRule.text",
        "comment": "This field is added as a fixed value because in FHIR 4.0.1 this is technically required. It has no functional purpose in Belgium.",
        "fixedString": "Belgian policy",
        "mustSupport": true
      },
      {
        "id": "Consent.provision",
        "path": "Consent.provision",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Consent.provision.type",
        "path": "Consent.provision.type",
        "mustSupport": true
      },
      {
        "id": "Consent.provision.period",
        "path": "Consent.provision.period",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Consent.provision.securityLabel",
        "path": "Consent.provision.securityLabel",
        "max": "0"
      },
      {
        "id": "Consent.provision.purpose",
        "path": "Consent.provision.purpose",
        "max": "0"
      },
      {
        "id": "Consent.provision.class",
        "path": "Consent.provision.class",
        "max": "0"
      },
      {
        "id": "Consent.provision.code",
        "path": "Consent.provision.code",
        "short": "The actual directive in the will",
        "definition": "The detailed patient will directive (e.g. no hospitalization, bloodtransfusion refusal) (Valueset will be delivered by a working group of NIHDI)",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.ehealth.fgov.be/standards/fhir/ValueSet/be-vs-patientwill-code"
        }
      },
      {
        "id": "Consent.provision.data",
        "path": "Consent.provision.data",
        "max": "0"
      }
    ]
  }
}