FHIR IG analytics
| Package | iknl.fhir.stu3.pzp |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-Patient.LegallyCapableMedicalTreatmentDecisions.json |
| FHIR Version | R3 |
| Source | https://build.fhir.org/ig/IKNL/PZP-FHIR-STU3/StructureDefinition-ext-Patient.LegallyCapableMedicalTreatmentDecisions.html |
| URL | https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ext-Patient.LegallyCapableMedicalTreatmentDecisions |
| Version | 1.0.0-rc2 |
| Status | draft |
| Date | 2026-03-03T13:15:33+00:00 |
| Name | ExtPatientLegallyCapableMedicalTreatmentDecisions |
| Title | ext Patient.LegallyCapableMedicalTreatmentDecisions |
| Realm | uv |
| Description | An extension to indicate the patient's legal capability regarding medical treatment decisions, and to provide a comment on this capability. |
| Purpose | This extension is based on the [extension FreedomRestrictingIntervention.LegallyCapable](http://nictiz.nl/fhir/StructureDefinition/ext-FreedomRestrictingIntervention.LegallyCapable), but is adapted for the ACP context by allowing its use on the Patient resource and specifying its application to treatment decisions. |
| Copyright | 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. |
| Type | Extension |
| Kind | complex-type |
Resources that use this resource
| StructureDefinition |
| iknl.fhir.stu3.pzp#current | ACP-Patient | ACP Patient |
Resources that this resource uses
No resources found
Examples of Use for Extension
Narrative
Note: links and images are rebased to the (stated) source
Source1
{
"resourceType": "StructureDefinition",
"id": "ext-Patient.LegallyCapableMedicalTreatmentDecisions",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ext-Patient.LegallyCapableMedicalTreatmentDecisions",
"version": "1.0.0-rc2",
"name": "ExtPatientLegallyCapableMedicalTreatmentDecisions",
"title": "ext Patient.LegallyCapableMedicalTreatmentDecisions",
"status": "draft",
"experimental": false,
"date": "2026-03-03T13:15:33+00:00",
"publisher": "IKNL",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.iknl.nl"
}
]
}
],
"description": "An extension to indicate the patient's legal capability regarding medical treatment decisions, and to provide a comment on this capability.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001"
}
]
}
],
"purpose": "This extension is based on the [extension FreedomRestrictingIntervention.LegallyCapable](http://nictiz.nl/fhir/StructureDefinition/ext-FreedomRestrictingIntervention.LegallyCapable), but is adapted for the ACP context by allowing its use on the Patient resource and specifying its application to treatment decisions.",
"copyright": "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": "3.0.2",
"kind": "complex-type",
"abstract": false,
"contextType": "resource",
"context": [
"Patient"
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "ext LegallyCapable regarding medical treatment decisions",
"definition": "An extension to indicate the patient's legal capability regarding medical treatment decisions, and to provide a comment on this capability.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
]
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
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},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:legallyCapable",
"path": "Extension.extension",
"sliceName": "legallyCapable",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:legallyCapable.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
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{
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],
"mapping": [
{
"identity": "rim",
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}
]
},
{
"id": "Extension.extension:legallyCapable.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "0",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:legallyCapable.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "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": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "legallyCapable",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:legallyCapable.value[x]",
"path": "Extension.extension.value[x]",
"short": "LegallyCapable",
"definition": "Indicates the patient's legal capacity (LegallyCapable) regarding medical treatment decisions.",
"alias": [
"Wilsbekwaam"
],
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:legallyCapableComment",
"path": "Extension.extension",
"sliceName": "legallyCapableComment",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:legallyCapableComment.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
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]
},
{
"id": "Extension.extension:legallyCapableComment.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "0",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:legallyCapableComment.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "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": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "legallyCapableComment",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:legallyCapableComment.value[x]",
"path": "Extension.extension.value[x]",
"short": "LegallyCapableComment",
"definition": "A comment regarding the patient's legal capacity regarding medical treatment decisions.",
"alias": [
"WilsbekwaamToelichting"
],
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "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": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ext-Patient.LegallyCapableMedicalTreatmentDecisions",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
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"type": [
{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
"code": "CodeableConcept"
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{
"code": "Coding"
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{
"code": "ContactPoint"
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{
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{
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{
"code": "Duration"
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{
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{
"code": "Identifier"
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{
"code": "Money"
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{
"code": "Period"
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{
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{
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{
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{
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{
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{
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{
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{
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]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "ext LegallyCapable regarding medical treatment decisions",
"definition": "An extension to indicate the patient's legal capability regarding medical treatment decisions, and to provide a comment on this capability."
},
{
"id": "Extension.extension:legallyCapable",
"path": "Extension.extension",
"sliceName": "legallyCapable",
"max": "1"
},
{
"id": "Extension.extension:legallyCapable.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:legallyCapable.url",
"path": "Extension.extension.url",
"fixedUri": "legallyCapable"
},
{
"id": "Extension.extension:legallyCapable.value[x]",
"path": "Extension.extension.value[x]",
"short": "LegallyCapable",
"definition": "Indicates the patient's legal capacity (LegallyCapable) regarding medical treatment decisions.",
"alias": [
"Wilsbekwaam"
],
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Extension.extension:legallyCapableComment",
"path": "Extension.extension",
"sliceName": "legallyCapableComment",
"max": "1"
},
{
"id": "Extension.extension:legallyCapableComment.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:legallyCapableComment.url",
"path": "Extension.extension.url",
"fixedUri": "legallyCapableComment"
},
{
"id": "Extension.extension:legallyCapableComment.value[x]",
"path": "Extension.extension.value[x]",
"short": "LegallyCapableComment",
"definition": "A comment regarding the patient's legal capacity regarding medical treatment decisions.",
"alias": [
"WilsbekwaamToelichting"
],
"type": [
{
"code": "string"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ext-Patient.LegallyCapableMedicalTreatmentDecisions"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"max": "0"
}
]
}
}
Extension 
Slices for extension 
extension:legallyCapable 
extension 
value[x] 
FHIR
FHIRsmith