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Narrative

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Source1

{
  "resourceType": "Consent",
  "id": "P2-ACP-TreatmentDirective-other",
  "meta": {
    "profile": [
      "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-TreatmentDirective"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/Comment",
      "valueString": "wanneer door complicaties peritoneaal dialyse niet meer mogelijk is en de patiënt elke week in het ziekenhuis gedialyseerd zou moeten worden dan wil ze dat de dialyse stopt."
    },
    {
      "url": "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ext-EncounterReference",
      "valueReference": {
        "reference": "Encounter/P2-ACP-Encounter-07-08-2025",
        "display": "Encounter, 2025-08-07"
      }
    },
    {
      "extension": [
        {
          "url": "Verified",
          "valueBoolean": true
        },
        {
          "url": "VerificationDate",
          "valueDateTime": "2025-08-07"
        },
        {
          "url": "VerifiedWith",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "116154003",
                "display": "Patient"
              }
            ]
          }
        }
      ],
      "url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
    },
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "code": "OTH"
          }
        ],
        "text": "Dialyse in het ziekenhuis"
      }
    }
  ],
  "modifierExtension": [
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4",
            "code": "NEE",
            "display": "Nee"
          }
        ]
      }
    }
  ],
  "identifier": {
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code": "RI",
          "display": "Resource identifier"
        }
      ]
    },
    "system": "https://acme.com/fhir/NamingSystem/resource-business-identifier",
    "value": "e3419bc6-ba15-4d29-ad32-a384d1846747"
  },
  "status": "active",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "11291000146105",
          "display": "Treatment instructions (record artifact)"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/P2-ACP-Patient-SamiraVanDerSluijs",
    "display": "Patient, Samira van der Sluijs"
  },
  "dateTime": "2025-08-07",
  "policy": [
    {
      "uri": "https://wetten.overheid.nl/"
    }
  ],
  "except": [
    {
      "type": "deny"
    }
  ]
}