diff --git a/rX/snapshot-generation/manifest.xml b/rX/snapshot-generation/manifest.xml index 5075ed89..24e7ea16 100644 --- a/rX/snapshot-generation/manifest.xml +++ b/rX/snapshot-generation/manifest.xml @@ -7,5 +7,6 @@ + diff --git a/rX/snapshot-generation/nl-core-NursingIntervention-input.xml b/rX/snapshot-generation/nl-core-NursingIntervention-input.xml new file mode 100644 index 00000000..a2e85655 --- /dev/null +++ b/rX/snapshot-generation/nl-core-NursingIntervention-input.xml @@ -0,0 +1,112 @@ + + + + + +
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
+
+ + + + <status value="draft" /> + <publisher value="Nictiz" /> + <contact> + <name value="Nictiz" /> + <telecom> + <system value="url" /> + <value value="https://www.nictiz.nl" /> + <use value="work" /> + </telecom> + </contact> + <description value="A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. Following the NEN-EN-ISO 18104 norm, it is possible to structure nursing interventions (or actions) in a hierarchy, where one intervention can be part of another intervention. In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction." /> + <purpose value="A derived profile from [zib-NursingIntervention](http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." /> + <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="zib-nursingintervention-v3.2-2020EN" /> + <uri value="https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)" /> + <name value="zib NursingIntervention-v3.2(2020EN)" /> + </mapping> + <kind value="resource" /> + <abstract value="false" /> + <type value="CarePlan" /> + <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention" /> + <derivation value="constraint" /> + <differential> + <element id="CarePlan"> + <path value="CarePlan" /> + <alias value="nl-core-NursingIntervention" /> + </element> + <element id="CarePlan.subject"> + <path value="CarePlan.subject" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> + </type> + </element> + <element id="CarePlan.contributor:requester"> + <path value="CarePlan.contributor" /> + <sliceName value="requester" /> + <type> + <code value="Reference" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" /> + </type> + </element> + <element id="CarePlan.addresses"> + <path value="CarePlan.addresses" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" /> + </type> + </element> + <element id="CarePlan.goal"> + <path value="CarePlan.goal" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentObjective" /> + </type> + </element> + <element id="CarePlan.activity.detail.extension:medicalDevice"> + <path value="CarePlan.activity.detail.extension" /> + <sliceName value="medicalDevice" /> + </element> + <element id="CarePlan.activity.detail.extension:medicalDevice.value[x]"> + <path value="CarePlan.activity.detail.extension.value[x]" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice" /> + </type> + </element> + <element id="CarePlan.activity.detail.performer:healthcareProvider"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="healthcareProvider" /> + <type> + <code value="Reference" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" /> + </type> + </element> + <element id="CarePlan.activity.detail.performer:caregiver"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="caregiver" /> + <type> + <code value="Reference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson" /> + </type> + </element> + <element id="CarePlan.activity.detail.performer:patient"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="patient" /> + <type> + <code value="Reference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> + </type> + </element> + </differential> +</StructureDefinition> \ No newline at end of file diff --git a/rX/snapshot-generation/nl-core-NursingIntervention-output.json b/rX/snapshot-generation/nl-core-NursingIntervention-output.json new file mode 100644 index 00000000..31327b80 --- /dev/null +++ b/rX/snapshot-generation/nl-core-NursingIntervention-output.json @@ -0,0 +1,4713 @@ +{ + "resourceType" : "StructureDefinition", + "id" : "nl-core-NursingIntervention", + "text" : { + "status" : "empty", + "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>" + }, + "url" : "http://nictiz.nl/fhir/StructureDefinition/nl-core-NursingIntervention", + "name" : "NlcoreNursingIntervention", + "title" : "nl core NursingIntervention", + "status" : "draft", + "publisher" : "Nictiz", + "contact" : [{ + "name" : "Nictiz", + "telecom" : [{ + "system" : "url", + "value" : "https://www.nictiz.nl", + "use" : "work" + }] + }], + "description" : "A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. Following the NEN-EN-ISO 18104 norm, it is possible to structure nursing interventions (or actions) in a hierarchy, where one intervention can be part of another intervention.\r\n\r\nIn a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.", + "purpose" : "A derived profile from [zib-NursingIntervention](http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib.", + "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" : "4.0.1", + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "uri" : "https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)", + "name" : "zib NursingIntervention-v3.2(2020EN)" + }, + { + "identity" : "workflow", + "uri" : "http://hl7.org/fhir/workflow", + "name" : "Workflow Pattern" + }, + { + "identity" : "rim", + "uri" : "http://hl7.org/v3", + "name" : "RIM Mapping" + }, + { + "identity" : "w5", + "uri" : "http://hl7.org/fhir/fivews", + "name" : "FiveWs Pattern Mapping" + }, + { + "identity" : "v2", + "uri" : "http://hl7.org/v2", + "name" : "HL7 v2 Mapping" + }], + "kind" : "resource", + "abstract" : false, + "type" : "CarePlan", + "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention", + "derivation" : "constraint", + "snapshot" : { + "element" : [{ + "id" : "CarePlan", + "path" : "CarePlan", + "short" : "NursingIntervention", + "definition" : "Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.", + "alias" : ["Care Team", + "VerpleegkundigeInterventie", + "nl-core-NursingIntervention"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan", + "min" : 0, + "max" : "*" + }, + "constraint" : [{ + "key" : "dom-2", + "severity" : "error", + "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", + "expression" : "contained.contained.empty()", + "xpath" : "not(parent::f:contained and f:contained)", + "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" + }, + { + "key" : "dom-3", + "severity" : "error", + "human" : "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" : "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" : "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" : "http://hl7.org/fhir/StructureDefinition/DomainResource" + }, + { + "key" : "dom-4", + "severity" : "error", + "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", + "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", + "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", + "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" + }, + { + "key" : "dom-5", + "severity" : "error", + "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", + "expression" : "contained.meta.security.empty()", + "xpath" : "not(exists(f:contained/*/f:meta/f:security))", + "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" + }, + { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", + "valueBoolean" : true + }, + { + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", + "valueMarkdown" : "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." + }], + "key" : "dom-6", + "severity" : "warning", + "human" : "A resource should have narrative for robust management", + "expression" : "text.`div`.exists()", + "xpath" : "exists(f:text/h:div)", + "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" + }, + { + "key" : "zib-NursingIntervention-1", + "severity" : "error", + "human" : "The start and/or end date of a repeating schedule should be communicated in CarePlan.encounter as well.", + "expression" : "activity.detail.scheduled.ofType(Timing).repeat.bounds.ofType(Period).exists() implies (period = activity.detail.scheduled.ofType(Timing).repeat.bounds.ofType(Period))", + "source" : "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.1", + "comment" : "NursingIntervention" + }, + { + "identity" : "rim", + "map" : "Entity. Role, or Act" + }, + { + "identity" : "workflow", + "map" : "Request" + }, + { + "identity" : "rim", + "map" : "Act[classCode=PCPR, moodCode=INT]" + }] + }, + { + "id" : "CarePlan.id", + "path" : "CarePlan.id", + "short" : "Logical id of this artifact", + "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", + "comment" : "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" : 0, + "max" : "1", + "base" : { + "path" : "Resource.id", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "id" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : true + }, + { + "id" : "CarePlan.meta", + "path" : "CarePlan.meta", + "short" : "Metadata about the resource", + "definition" : "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" : 0, + "max" : "1", + "base" : { + "path" : "Resource.meta", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Meta" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true + }, + { + "id" : "CarePlan.implicitRules", + "path" : "CarePlan.implicitRules", + "short" : "A set of rules under which this content was created", + "definition" : "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" : "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" : 0, + "max" : "1", + "base" : { + "path" : "Resource.implicitRules", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "uri" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : true, + "isModifierReason" : "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" : true + }, + { + "id" : "CarePlan.language", + "path" : "CarePlan.language", + "short" : "Language of the resource content", + "definition" : "The base language in which the resource is written.", + "comment" : "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" : 0, + "max" : "1", + "base" : { + "path" : "Resource.language", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", + "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" + }, + { + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "Language" + }], + "strength" : "preferred", + "description" : "A human language.", + "valueSet" : "http://hl7.org/fhir/ValueSet/languages" + } + }, + { + "id" : "CarePlan.text", + "path" : "CarePlan.text", + "short" : "Text summary of the resource, for human interpretation", + "definition" : "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 \"clinically safe\" 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" : "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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", + "alias" : ["narrative", + "html", + "xhtml", + "display"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "DomainResource.text", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Narrative" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "Act.text?" + }] + }, + { + "id" : "CarePlan.contained", + "path" : "CarePlan.contained", + "short" : "Contained, inline Resources", + "definition" : "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" : "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" : ["inline resources", + "anonymous resources", + "contained resources"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "DomainResource.contained", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Resource" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.extension", + "path" : "CarePlan.extension", + "short" : "Additional content defined by implementations", + "definition" : "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" : "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" : "DomainResource.extension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.modifierExtension", + "path" : "CarePlan.modifierExtension", + "short" : "Extensions that cannot be ignored", + "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", + "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.", + "requirements" : "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" : ["extensions", + "user content"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "DomainResource.modifierExtension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : true, + "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.identifier", + "path" : "CarePlan.identifier", + "short" : "External Ids for this plan", + "definition" : "Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.", + "comment" : "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", + "requirements" : "Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.identifier", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Identifier" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.identifier" + }, + { + "identity" : "w5", + "map" : "FiveWs.identifier" + }, + { + "identity" : "v2", + "map" : "PTH-3" + }, + { + "identity" : "rim", + "map" : ".id" + }] + }, + { + "id" : "CarePlan.instantiatesCanonical", + "path" : "CarePlan.instantiatesCanonical", + "short" : "Instantiates FHIR protocol or definition", + "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.instantiatesCanonical", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "canonical", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition", + "http://hl7.org/fhir/StructureDefinition/Questionnaire", + "http://hl7.org/fhir/StructureDefinition/Measure", + "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", + "http://hl7.org/fhir/StructureDefinition/OperationDefinition"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.instantiatesCanonical" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=DEFN].target" + }] + }, + { + "id" : "CarePlan.instantiatesUri", + "path" : "CarePlan.instantiatesUri", + "short" : "Instantiates external protocol or definition", + "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.", + "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.instantiatesUri", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "uri" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.instantiatesUri" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=DEFN].target" + }] + }, + { + "id" : "CarePlan.basedOn", + "path" : "CarePlan.basedOn", + "short" : "Fulfills CarePlan", + "definition" : "A care plan that is fulfilled in whole or in part by this care plan.", + "requirements" : "Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.", + "alias" : ["fulfills"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.basedOn", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", + "valueBoolean" : true + }], + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.basedOn" + }] + }, + { + "id" : "CarePlan.replaces", + "path" : "CarePlan.replaces", + "short" : "CarePlan replaced by this CarePlan", + "definition" : "Completed or terminated care plan whose function is taken by this new care plan.", + "comment" : "The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.", + "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.", + "alias" : ["supersedes"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.replaces", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", + "valueBoolean" : true + }], + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.replaces" + }] + }, + { + "id" : "CarePlan.partOf", + "path" : "CarePlan.partOf", + "short" : "Part of referenced CarePlan", + "definition" : "A larger care plan of which this particular care plan is a component or step.", + "comment" : "Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.partOf", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", + "valueBoolean" : true + }], + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true + }, + { + "id" : "CarePlan.status", + "path" : "CarePlan.status", + "short" : "draft | active | on-hold | revoked | completed | entered-in-error | unknown", + "definition" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.", + "comment" : "Sending systems that don't record an explicit status can use the following guidance to infer a value from the zib:\r\n\r\n* ProcedureEndTime present:\r\n * and in the future: _active_\r\n * and in the past: _completed_\r\n* ProcedureEndTime absent:\r\n * ProcedureStartTime present: _active_\r\n * ProcedureStartTime absent: _unknown_", + "requirements" : "Allows clinicians to determine whether the plan is actionable or not.", + "min" : 1, + "max" : "1", + "base" : { + "path" : "CarePlan.status", + "min" : 1, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : true, + "isModifierReason" : "This element is labeled 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" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanStatus" + }], + "strength" : "required", + "description" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.", + "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.1" + }, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.11", + "comment" : "ProcedureStartDateTime (implicit, main mapping is on CarePlan.period.start and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start)" + }, + { + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.12", + "comment" : "ProcedureEndDateTime (implicit, main mapping is on CarePlan.period.end and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end)" + }, + { + "identity" : "workflow", + "map" : "Request.status {uses different ValueSet}" + }, + { + "identity" : "w5", + "map" : "FiveWs.status" + }, + { + "identity" : "v2", + "map" : "PTH-5" + }, + { + "identity" : "rim", + "map" : ".statusCode planned = new active = active completed = completed" + }] + }, + { + "id" : "CarePlan.intent", + "path" : "CarePlan.intent", + "short" : "proposal | plan | order | option", + "definition" : "Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.", + "comment" : "For zib NursingIntervention, this will normally be _plan_, but the context may specify a more suitable intent.", + "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.", + "min" : 1, + "max" : "1", + "base" : { + "path" : "CarePlan.intent", + "min" : 1, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : true, + "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"", + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanIntent" + }], + "strength" : "required", + "description" : "Codes indicating the degree of authority/intentionality associated with a care plan.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1" + }, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.intent" + }] + }, + { + "id" : "CarePlan.category", + "path" : "CarePlan.category", + "slicing" : { + "discriminator" : [{ + "type" : "value", + "path" : "coding" + }], + "rules" : "open" + }, + "short" : "Type of plan", + "definition" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.", + "comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.", + "requirements" : "Used for filtering what plan(s) are retrieved and displayed to different types of users.", + "min" : 1, + "max" : "*", + "base" : { + "path" : "CarePlan.category", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanCategory" + }], + "strength" : "example", + "description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category" + }, + "mapping" : [{ + "identity" : "w5", + "map" : "FiveWs.class" + }] + }, + { + "id" : "CarePlan.category:nursingInterventionCode", + "path" : "CarePlan.category", + "sliceName" : "nursingInterventionCode", + "short" : "Type of plan", + "definition" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.", + "comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.", + "requirements" : "Used for filtering what plan(s) are retrieved and displayed to different types of users.", + "min" : 1, + "max" : "1", + "base" : { + "path" : "CarePlan.category", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "patternCodeableConcept" : { + "coding" : [{ + "system" : "http://snomed.info/sct", + "code" : "9632001" + }] + }, + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanCategory" + }], + "strength" : "example", + "description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category" + }, + "mapping" : [{ + "identity" : "w5", + "map" : "FiveWs.class" + }] + }, + { + "id" : "CarePlan.title", + "path" : "CarePlan.title", + "short" : "Human-friendly name for the care plan", + "definition" : "Human-friendly name for the care plan.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.title", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true + }, + { + "id" : "CarePlan.description", + "path" : "CarePlan.description", + "short" : "Summary of nature of plan", + "definition" : "A description of the scope and nature of the plan.", + "requirements" : "Provides more detail than conveyed by category.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.description", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "w5", + "map" : "FiveWs.what[x]" + }] + }, + { + "id" : "CarePlan.subject", + "path" : "CarePlan.subject", + "short" : "Who the care plan is for", + "definition" : "Identifies the patient or group whose intended care is described by the plan.", + "alias" : ["patient"], + "min" : 1, + "max" : "1", + "base" : { + "path" : "CarePlan.subject", + "min" : 1, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/Group", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.subject" + }, + { + "identity" : "w5", + "map" : "FiveWs.subject[x]" + }, + { + "identity" : "v2", + "map" : "PID-3" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=PAT].role[classCode=PAT]" + }, + { + "identity" : "w5", + "map" : "FiveWs.subject" + }] + }, + { + "id" : "CarePlan.encounter", + "path" : "CarePlan.encounter", + "short" : "Encounter created as part of", + "definition" : "The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.", + "comment" : "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. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.encounter", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.context" + }, + { + "identity" : "w5", + "map" : "FiveWs.context" + }, + { + "identity" : "v2", + "map" : "Associated PV1" + }, + { + "identity" : "rim", + "map" : "." + }] + }, + { + "id" : "CarePlan.period", + "path" : "CarePlan.period", + "short" : "Time period plan covers", + "definition" : "Indicates when the plan did (or is intended to) come into effect and end.", + "comment" : "Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).", + "requirements" : "Allows tracking what plan(s) are in effect at a particular time.", + "alias" : ["timing"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.period", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Period" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.occurrence[x]" + }, + { + "identity" : "w5", + "map" : "FiveWs.planned" + }, + { + "identity" : "v2", + "map" : "GOL-7 / GOL-8" + }, + { + "identity" : "rim", + "map" : ".effectiveTime" + }] + }, + { + "id" : "CarePlan.period.id", + "path" : "CarePlan.period.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.period.extension", + "path" : "CarePlan.period.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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.period.start", + "path" : "CarePlan.period.start", + "short" : "ProcedureStartDateTime", + "definition" : "The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start`.", + "comment" : "If the low element is missing, the meaning is that the low boundary is not known.", + "alias" : ["ActieStartDatumTijd"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Period.start", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "condition" : ["per-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.11", + "comment" : "ProcedureStartDateTime" + }, + { + "identity" : "v2", + "map" : "DR.1" + }, + { + "identity" : "rim", + "map" : "./low" + }] + }, + { + "id" : "CarePlan.period.end", + "path" : "CarePlan.period.end", + "short" : "ProcedureEndDateTime", + "definition" : "The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end`.", + "comment" : "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" : ["ActieEindDatumTijd"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Period.end", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "meaningWhenMissing" : "If the end of the period is missing, it means that the period is ongoing", + "condition" : ["per-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.12", + "comment" : "ProcedureEndDateTime" + }, + { + "identity" : "v2", + "map" : "DR.2" + }, + { + "identity" : "rim", + "map" : "./high" + }] + }, + { + "id" : "CarePlan.created", + "path" : "CarePlan.created", + "short" : "Date record was first recorded", + "definition" : "Represents when this particular CarePlan record was created in the system, which is often a system-generated date.", + "alias" : ["authoredOn"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.created", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.authoredOn" + }, + { + "identity" : "w5", + "map" : "FiveWs.recorded" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=AUT].time" + }] + }, + { + "id" : "CarePlan.author", + "path" : "CarePlan.author", + "short" : "Who is the designated responsible party", + "definition" : "When populated, the author is responsible for the care plan. The care plan is attributed to the author.", + "comment" : "The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.author", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/Practitioner", + "http://hl7.org/fhir/StructureDefinition/PractitionerRole", + "http://hl7.org/fhir/StructureDefinition/Device", + "http://hl7.org/fhir/StructureDefinition/RelatedPerson", + "http://hl7.org/fhir/StructureDefinition/Organization", + "http://hl7.org/fhir/StructureDefinition/CareTeam"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.requester" + }, + { + "identity" : "w5", + "map" : "FiveWs.author" + }] + }, + { + "id" : "CarePlan.contributor", + "path" : "CarePlan.contributor", + "slicing" : { + "discriminator" : [{ + "type" : "exists", + "path" : "extension(url='http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester')" + }], + "rules" : "open" + }, + "short" : "Who provided the content of the care plan", + "definition" : "Identifies the individual(s) or organization who provided the contents of the care plan.", + "comment" : "Collaborative care plans may have multiple contributors.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.contributor", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/Practitioner", + "http://hl7.org/fhir/StructureDefinition/PractitionerRole", + "http://hl7.org/fhir/StructureDefinition/Device", + "http://hl7.org/fhir/StructureDefinition/RelatedPerson", + "http://hl7.org/fhir/StructureDefinition/Organization", + "http://hl7.org/fhir/StructureDefinition/CareTeam"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false + }, + { + "id" : "CarePlan.contributor:requester", + "path" : "CarePlan.contributor", + "sliceName" : "requester", + "short" : "A reference from one resource to another", + "definition" : "A reference from one resource to another.", + "comment" : "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.\r\n\r\nIn 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.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.contributor", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"], + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }, + { + "identity" : "rim", + "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" + }] + }, + { + "id" : "CarePlan.contributor:requester.id", + "path" : "CarePlan.contributor.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.contributor:requester.extension", + "path" : "CarePlan.contributor.extension", + "slicing" : { + "discriminator" : [{ + "type" : "value", + "path" : "url" + }], + "description" : "Extensions are always sliced by (at least) url", + "rules" : "open" + }, + "short" : "Extension", + "definition" : "An Extension", + "min" : 1, + "max" : "*", + "base" : { + "path" : "Element.extension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false + }, + { + "id" : "CarePlan.contributor:requester.extension:contributorIsRequester", + "path" : "CarePlan.contributor.extension", + "sliceName" : "contributorIsRequester", + "short" : "Optional Extensions Element", + "definition" : "Optional Extension Element - found in all resources.", + "min" : 1, + "max" : "1", + "base" : { + "path" : "Element.extension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }, + { + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.contributor:requester.reference", + "path" : "CarePlan.contributor.reference", + "short" : "Literal reference, Relative, internal or absolute URL", + "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", + "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Reference.reference", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "string" + }], + "condition" : ["ref-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.contributor:requester.type", + "path" : "CarePlan.contributor.type", + "short" : "Type the reference refers to (e.g. \"Patient\")", + "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", + "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Reference.type", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "uri" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "FHIRResourceTypeExt" + }], + "strength" : "extensible", + "description" : "Aa resource (or, for logical models, the URI of the logical model).", + "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" + }, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.contributor:requester.identifier", + "path" : "CarePlan.contributor.identifier", + "short" : "Logical reference, when literal reference is not known", + "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", + "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Reference.identifier", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Identifier" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : ".identifier" + }] + }, + { + "id" : "CarePlan.contributor:requester.display", + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", + "valueBoolean" : true + }], + "path" : "CarePlan.contributor.display", + "short" : "Text alternative for the resource", + "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", + "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Reference.display", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.careTeam", + "path" : "CarePlan.careTeam", + "short" : "Who's involved in plan?", + "definition" : "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.", + "requirements" : "Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.careTeam", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.performer {similar but does not entail CareTeam}" + }, + { + "identity" : "w5", + "map" : "FiveWs.actor" + }] + }, + { + "id" : "CarePlan.addresses", + "path" : "CarePlan.addresses", + "short" : "Indication", + "definition" : "The nursing-related problem (indication) providing cause for the intervention.", + "comment" : "When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.", + "requirements" : "Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".) Also scopes plans - multiple plans may exist addressing different concerns.", + "alias" : ["Indicatie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.addresses", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.6", + "comment" : "Indication" + }, + { + "identity" : "workflow", + "map" : "Request.reasonReference" + }, + { + "identity" : "w5", + "map" : "FiveWs.why[x]" + }, + { + "identity" : "v2", + "map" : "PRB-4" + }, + { + "identity" : "rim", + "map" : ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]" + }] + }, + { + "id" : "CarePlan.supportingInfo", + "path" : "CarePlan.supportingInfo", + "short" : "Information considered as part of plan", + "definition" : "Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc.", + "comment" : "Use \"concern\" to identify specific conditions addressed by the care plan.", + "requirements" : "Identifies barriers and other considerations associated with the care plan.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.supportingInfo", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.supportingInfo" + }] + }, + { + "id" : "CarePlan.goal", + "path" : "CarePlan.goal", + "short" : "TreatmentObjective", + "definition" : "The description of the treatment goal that the intervention decision is based on.", + "comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.", + "requirements" : "Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.", + "alias" : ["Behandeldoel"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.goal", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentObjective"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.14", + "comment" : "TreatmentObjective" + }, + { + "identity" : "v2", + "map" : "GOL.1" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode<=OBJ]." + }] + }, + { + "id" : "CarePlan.activity", + "path" : "CarePlan.activity", + "short" : "Action to occur as part of plan", + "definition" : "Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.", + "comment" : "A nursing intervention in the Dutch realm always consists of a single activity. For this reason, the cardinality of `.activity` is restricted to `0..1`.", + "requirements" : "Allows systems to prompt for performance of planned activities, and validate plans against best practice.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "BackboneElement" + }], + "constraint" : [{ + "key" : "cpl-3", + "severity" : "error", + "human" : "Provide a reference or detail, not both", + "expression" : "detail.empty() or reference.empty()", + "xpath" : "not(exists(f:detail)) or not(exists(f:reference))", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "{no mapping\nNOTE: This is a list of contained Request-Event tuples!}" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=COMP].target" + }] + }, + { + "id" : "CarePlan.activity.id", + "path" : "CarePlan.activity.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.extension", + "path" : "CarePlan.activity.extension", + "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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.modifierExtension", + "path" : "CarePlan.activity.modifierExtension", + "short" : "Extensions that cannot be ignored even if unrecognized", + "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", + "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.", + "requirements" : "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" : ["extensions", + "user content", + "modifiers"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "BackboneElement.modifierExtension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : true, + "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.outcomeCodeableConcept", + "path" : "CarePlan.activity.outcomeCodeableConcept", + "short" : "Results of the activity", + "definition" : "Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).", + "comment" : "Note that this should not duplicate the activity status (e.g. completed or in progress).", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.outcomeCodeableConcept", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanActivityOutcome" + }], + "strength" : "example", + "description" : "Identifies the results of the activity.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-outcome" + } + }, + { + "id" : "CarePlan.activity.outcomeReference", + "path" : "CarePlan.activity.outcomeReference", + "short" : "Appointment, Encounter, Procedure, etc.", + "definition" : "Details of the outcome or action resulting from the activity. The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).", + "comment" : "The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.", + "requirements" : "Links plan to resulting actions.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.outcomeReference", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "{Event that is outcome of Request in activity.reference}" + }, + { + "identity" : "rim", + "map" : ".inboundRelationship[typeCode=FLFS].source" + }] + }, + { + "id" : "CarePlan.activity.progress", + "path" : "CarePlan.activity.progress", + "short" : "Comments about the activity status/progress", + "definition" : "Notes about the adherence/status/progress of the activity.", + "comment" : "This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.", + "requirements" : "Can be used to capture information about adherence, progress, concerns, etc.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.progress", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Annotation" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "v2", + "map" : "NTE?" + }, + { + "identity" : "rim", + "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" + }] + }, + { + "id" : "CarePlan.activity.reference", + "path" : "CarePlan.activity.reference", + "short" : "Activity details defined in specific resource", + "definition" : "The details of the proposed activity represented in a specific resource.", + "comment" : "Standard extension exists ([resource-pertainsToGoal](http://hl7.org/fhir/R4/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference. \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element. i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.", + "requirements" : "Details in a form consistent with other applications and contexts of use.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.reference", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment", + "http://hl7.org/fhir/StructureDefinition/CommunicationRequest", + "http://hl7.org/fhir/StructureDefinition/DeviceRequest", + "http://hl7.org/fhir/StructureDefinition/MedicationRequest", + "http://hl7.org/fhir/StructureDefinition/NutritionOrder", + "http://hl7.org/fhir/StructureDefinition/Task", + "http://hl7.org/fhir/StructureDefinition/ServiceRequest", + "http://hl7.org/fhir/StructureDefinition/VisionPrescription", + "http://hl7.org/fhir/StructureDefinition/RequestGroup"] + }], + "condition" : ["cpl-3"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "{Request that resulted in Event in activity.actionResulting}" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=COMP].target" + }] + }, + { + "id" : "CarePlan.activity.detail", + "path" : "CarePlan.activity.detail", + "short" : "In-line definition of activity", + "definition" : "A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.", + "requirements" : "Details in a simple form for generic care plan systems.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "BackboneElement" + }], + "condition" : ["cpl-3"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target" + }] + }, + { + "id" : "CarePlan.activity.detail.id", + "path" : "CarePlan.activity.detail.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.extension", + "path" : "CarePlan.activity.detail.extension", + "slicing" : { + "discriminator" : [{ + "type" : "value", + "path" : "url" + }], + "ordered" : false, + "rules" : "open" + }, + "short" : "Extension", + "definition" : "An Extension", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Element.extension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice", + "path" : "CarePlan.activity.detail.extension", + "sliceName" : "medicalDevice", + "short" : "Optional Extensions Element", + "definition" : "Optional Extension Element - found in all resources.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Element.extension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed"] + }], + "condition" : ["ele-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }, + { + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice.id", + "path" : "CarePlan.activity.detail.extension.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice.extension", + "path" : "CarePlan.activity.detail.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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice.url", + "path" : "CarePlan.activity.detail.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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "uri" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "fixedUri" : "http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed", + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice.value[x]", + "path" : "CarePlan.activity.detail.extension.value[x]", + "short" : "MedicalDevice", + "definition" : "Description of the materials used for the nursing procedure, such as bandages.", + "alias" : ["MedischHulpmiddel"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Extension.value[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceUseStatement", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.13", + "comment" : "MedicalDevice" + }, + { + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.detail.modifierExtension", + "path" : "CarePlan.activity.detail.modifierExtension", + "short" : "Extensions that cannot be ignored even if unrecognized", + "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", + "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.", + "requirements" : "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" : ["extensions", + "user content", + "modifiers"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "BackboneElement.modifierExtension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : true, + "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.detail.kind", + "path" : "CarePlan.activity.detail.kind", + "short" : "Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription", + "definition" : "A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.", + "requirements" : "May determine what types of extensions are permitted.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.kind", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanActivityKind" + }], + "strength" : "required", + "description" : "Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1" + }, + "mapping" : [{ + "identity" : "rim", + "map" : ".inboundRelationship[typeCode=COMP].source[classCode=LIST].code" + }] + }, + { + "id" : "CarePlan.activity.detail.instantiatesCanonical", + "path" : "CarePlan.activity.detail.instantiatesCanonical", + "short" : "Instantiates FHIR protocol or definition", + "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.", + "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.detail.instantiatesCanonical", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "canonical", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition", + "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", + "http://hl7.org/fhir/StructureDefinition/Questionnaire", + "http://hl7.org/fhir/StructureDefinition/Measure", + "http://hl7.org/fhir/StructureDefinition/OperationDefinition"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.instantiatesCanonical" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=DEFN].target" + }] + }, + { + "id" : "CarePlan.activity.detail.instantiatesUri", + "path" : "CarePlan.activity.detail.instantiatesUri", + "short" : "Instantiates external protocol or definition", + "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.", + "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", + "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.detail.instantiatesUri", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "uri" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.instantiatesUri" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=DEFN].target" + }] + }, + { + "id" : "CarePlan.activity.detail.code", + "path" : "CarePlan.activity.detail.code", + "short" : "Intervention", + "definition" : "A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. It is possible to build a hierarchy of nursing interventions (where one intervention is part of another).", + "comment" : "Tends to be less relevant for activities involving particular products. Codes should not convey negation - use \"prohibited\" instead.", + "requirements" : "Allows matching performed to planned as well as validation against protocols.", + "alias" : ["Interventie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.code", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "strength" : "required", + "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.18--20200901000000" + }, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.2", + "comment" : "Intervention" + }, + { + "identity" : "workflow", + "map" : "Request.code" + }, + { + "identity" : "v2", + "map" : "OBR-4 / RXE-2 / RXO-1 / RXD-2" + }, + { + "identity" : "rim", + "map" : ".code" + }] + }, + { + "id" : "CarePlan.activity.detail.reasonCode", + "path" : "CarePlan.activity.detail.reasonCode", + "short" : "Why activity should be done or why activity was prohibited", + "definition" : "Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.", + "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.detail.reasonCode", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanActivityReason" + }], + "strength" : "example", + "description" : "Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as \"general wellness\", prophylaxis, surgical preparation, etc.", + "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings" + }, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.reasonCode" + }] + }, + { + "id" : "CarePlan.activity.detail.reasonReference", + "path" : "CarePlan.activity.detail.reasonReference", + "short" : "Why activity is needed", + "definition" : "Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.", + "comment" : "Conditions can be identified at the activity level that are not identified as reasons for the overall plan.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.detail.reasonReference", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition", + "http://hl7.org/fhir/StructureDefinition/Observation", + "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", + "http://hl7.org/fhir/StructureDefinition/DocumentReference"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.reasonReference" + }] + }, + { + "id" : "CarePlan.activity.detail.goal", + "path" : "CarePlan.activity.detail.goal", + "short" : "Goals this activity relates to", + "definition" : "Internal reference that identifies the goals that this activity is intended to contribute towards meeting.", + "requirements" : "So that participants know the link explicitly.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "CarePlan.activity.detail.goal", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : ".outboundRelationship[typeCode<=OBJ]." + }] + }, + { + "id" : "CarePlan.activity.detail.status", + "path" : "CarePlan.activity.detail.status", + "short" : "not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error", + "definition" : "Identifies what progress is being made for the specific activity.", + "comment" : "Some aspects of status can be inferred based on the resources linked in actionTaken. Note that \"status\" is only as current as the plan was most recently updated. \nThe unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.", + "requirements" : "Indicates progress against the plan, whether the activity is still relevant for the plan.", + "min" : 1, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.status", + "min" : 1, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : true, + "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid", + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanActivityStatus" + }], + "strength" : "required", + "description" : "Codes that reflect the current state of a care plan activity within its overall life cycle.", + "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1" + }, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.status" + }, + { + "identity" : "v2", + "map" : "ORC-5?" + }, + { + "identity" : "rim", + "map" : ".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted" + }] + }, + { + "id" : "CarePlan.activity.detail.statusReason", + "path" : "CarePlan.activity.detail.statusReason", + "short" : "Reason for current status", + "definition" : "Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.", + "comment" : "Will generally not be present if status is \"complete\". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.statusReason", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.statusReason" + }] + }, + { + "id" : "CarePlan.activity.detail.doNotPerform", + "path" : "CarePlan.activity.detail.doNotPerform", + "short" : "If true, activity is prohibiting action", + "definition" : "If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.", + "comment" : "This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.", + "requirements" : "Captures intention to not do something that may have been previously typical.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.doNotPerform", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "boolean" + }], + "meaningWhenMissing" : "If missing indicates that the described activity is one that should be engaged in when following the plan.", + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : true, + "isModifierReason" : "If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.", + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.doNotPerform" + }, + { + "identity" : "rim", + "map" : "actionNegationInd" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]", + "path" : "CarePlan.activity.detail.scheduled[x]", + "slicing" : { + "discriminator" : [{ + "type" : "type", + "path" : "$this" + }], + "ordered" : false, + "rules" : "open" + }, + "short" : "When activity is to occur", + "definition" : "The period, timing or frequency upon which the described activity is to occur.", + "requirements" : "Allows prompting for activities and detection of missed planned activities.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.scheduled[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Timing" + }, + { + "code" : "Period" + }, + { + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.occurrence[x]" + }, + { + "identity" : "v2", + "map" : "TQ1" + }, + { + "identity" : "rim", + "map" : ".effectiveTime" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming", + "path" : "CarePlan.activity.detail.scheduled[x]", + "sliceName" : "scheduledTiming", + "short" : "When activity is to occur", + "definition" : "The period, timing or frequency upon which the described activity is to occur.", + "requirements" : "Allows prompting for activities and detection of missed planned activities.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.scheduled[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Timing" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.occurrence[x]" + }, + { + "identity" : "v2", + "map" : "TQ1" + }, + { + "identity" : "rim", + "map" : ".effectiveTime" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.id", + "path" : "CarePlan.activity.detail.scheduled[x].id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.extension", + "path" : "CarePlan.activity.detail.scheduled[x].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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.modifierExtension", + "path" : "CarePlan.activity.detail.scheduled[x].modifierExtension", + "short" : "Extensions that cannot be ignored even if unrecognized", + "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", + "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.", + "requirements" : "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" : ["extensions", + "user content", + "modifiers"], + "min" : 0, + "max" : "*", + "base" : { + "path" : "BackboneElement.modifierExtension", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Extension" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : true, + "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "N/A" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.event", + "path" : "CarePlan.activity.detail.scheduled[x].event", + "short" : "When the event occurs", + "definition" : "Identifies specific times when the event occurs.", + "requirements" : "In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Timing.event", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "dateTime" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "QLIST<TS>" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat", + "path" : "CarePlan.activity.detail.scheduled[x].repeat", + "short" : "When the event is to occur", + "definition" : "A set of rules that describe when the event is scheduled.", + "requirements" : "Many timing schedules are determined by regular repetitions.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Element" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }, + { + "key" : "tim-1", + "severity" : "error", + "human" : "if there's a duration, there needs to be duration units", + "expression" : "duration.empty() or durationUnit.exists()", + "xpath" : "not(exists(f:duration)) or exists(f:durationUnit)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-2", + "severity" : "error", + "human" : "if there's a period, there needs to be period units", + "expression" : "period.empty() or periodUnit.exists()", + "xpath" : "not(exists(f:period)) or exists(f:periodUnit)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-4", + "severity" : "error", + "human" : "duration SHALL be a non-negative value", + "expression" : "duration.exists() implies duration >= 0", + "xpath" : "f:duration/@value >= 0 or not(f:duration/@value)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-5", + "severity" : "error", + "human" : "period SHALL be a non-negative value", + "expression" : "period.exists() implies period >= 0", + "xpath" : "f:period/@value >= 0 or not(f:period/@value)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-6", + "severity" : "error", + "human" : "If there's a periodMax, there must be a period", + "expression" : "periodMax.empty() or period.exists()", + "xpath" : "not(exists(f:periodMax)) or exists(f:period)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-7", + "severity" : "error", + "human" : "If there's a durationMax, there must be a duration", + "expression" : "durationMax.empty() or duration.exists()", + "xpath" : "not(exists(f:durationMax)) or exists(f:duration)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-8", + "severity" : "error", + "human" : "If there's a countMax, there must be a count", + "expression" : "countMax.empty() or count.exists()", + "xpath" : "not(exists(f:countMax)) or exists(f:count)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-9", + "severity" : "error", + "human" : "If there's an offset, there must be a when (and not C, CM, CD, CV)", + "expression" : "offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))", + "xpath" : "not(exists(f:offset)) or exists(f:when)", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }, + { + "key" : "tim-10", + "severity" : "error", + "human" : "If there's a timeOfDay, there cannot be a when, or vice versa", + "expression" : "timeOfDay.empty() or when.empty()", + "xpath" : "not(exists(f:timeOfDay)) or not(exists(f:when))", + "source" : "http://hl7.org/fhir/StructureDefinition/CarePlan" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "Implies PIVL or EIVL" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.id", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.extension", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x]", + "slicing" : { + "discriminator" : [{ + "type" : "type", + "path" : "$this" + }], + "ordered" : false, + "rules" : "open" + }, + "short" : "Length/Range of lengths, or (Start and/or end) limits", + "definition" : "Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.bounds[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Duration" + }, + { + "code" : "Range" + }, + { + "code" : "Period" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "IVL(TS) used in a QSI" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x]", + "sliceName" : "boundsPeriod", + "short" : "Length/Range of lengths, or (Start and/or end) limits", + "definition" : "Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.bounds[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Period" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "IVL(TS) used in a QSI" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.id", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.extension", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].start", + "short" : "ProcedureStartDateTime", + "definition" : "Zib concept ProcedureStartDateTime should primarily be communicated using `CarePlan.period.start`, but it should be repeated here if it indicates the end of a series of repeating procedures.", + "comment" : "If the low element is missing, the meaning is that the low boundary is not known.", + "alias" : ["ActieStartDatumTijd"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Period.start", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "condition" : ["per-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.11", + "comment" : "ProcedureStartDateTime" + }, + { + "identity" : "v2", + "map" : "DR.1" + }, + { + "identity" : "rim", + "map" : "./low" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].end", + "short" : "ProcedureEndDateTime", + "definition" : "Zib concept ProcedureEndDateTime should primarily be communicated using `CarePlan.period.end`, but it should be repeated here if it indicates the end of a series of repeating procedures.", + "comment" : "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" : ["ActieEindDatumTijd"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Period.end", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "meaningWhenMissing" : "If the end of the period is missing, it means that the period is ongoing", + "condition" : ["per-1"], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.12", + "comment" : "ProcedureEndDateTime" + }, + { + "identity" : "v2", + "map" : "DR.2" + }, + { + "identity" : "rim", + "map" : "./high" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.count", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.count", + "short" : "Number of times to repeat", + "definition" : "A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.", + "comment" : "If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.", + "requirements" : "Repetitions may be limited by end time or total occurrences.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.count", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "positiveInt" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.count" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.countMax", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.countMax", + "short" : "Maximum number of times to repeat", + "definition" : "If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.countMax", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "positiveInt" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.count" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.duration", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.duration", + "short" : "How long when it happens", + "definition" : "How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.", + "comment" : "For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).", + "requirements" : "Some activities are not instantaneous and need to be maintained for a period of time.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.duration", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "decimal" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.durationMax", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.durationMax", + "short" : "How long when it happens (Max)", + "definition" : "If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.", + "comment" : "For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).", + "requirements" : "Some activities are not instantaneous and need to be maintained for a period of time.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.durationMax", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "decimal" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.durationUnit", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.durationUnit", + "short" : "s | min | h | d | wk | mo | a - unit of time (UCUM)", + "definition" : "The units of time for the duration, in UCUM units.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.durationUnit", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "UnitsOfTime" + }], + "strength" : "required", + "description" : "A unit of time (units from UCUM).", + "valueSet" : "http://hl7.org/fhir/ValueSet/units-of-time|4.0.1" + }, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.phase.unit" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.frequency", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.frequency", + "short" : "Interval / Frequency", + "definition" : "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day.", + "comment" : "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).", + "alias" : ["Interval", + "Frequentie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.frequency", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "positiveInt" + }], + "meaningWhenMissing" : "If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this", + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.3", + "comment" : "Interval" + }, + { + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.4", + "comment" : "Frequency" + }, + { + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.frequencyMax", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.frequencyMax", + "short" : "Event occurs up to frequencyMax times per period", + "definition" : "If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.frequencyMax", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "positiveInt" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.period", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.period", + "short" : "Interval / Frequency", + "definition" : "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day.", + "comment" : "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).", + "alias" : ["Interval", + "Frequentie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.period", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "decimal" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.3", + "comment" : "Interval" + }, + { + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.4", + "comment" : "Frequency" + }, + { + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.periodMax", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.periodMax", + "short" : "Upper limit of period (3-4 hours)", + "definition" : "If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as \"do this once every 3-5 days.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.periodMax", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "decimal" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "PIVL.phase" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.periodUnit", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.periodUnit", + "short" : "Interval / Frequency", + "definition" : "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day.", + "comment" : "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).", + "alias" : ["Interval", + "Frequentie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.periodUnit", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "UnitsOfTime" + }], + "strength" : "required", + "description" : "A unit of time (units from UCUM).", + "valueSet" : "http://hl7.org/fhir/ValueSet/units-of-time|4.0.1" + }, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.3", + "comment" : "Interval" + }, + { + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.4", + "comment" : "Frequency" + }, + { + "identity" : "rim", + "map" : "PIVL.phase.unit" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.dayOfWeek", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.dayOfWeek", + "short" : "mon | tue | wed | thu | fri | sat | sun", + "definition" : "If one or more days of week is provided, then the action happens only on the specified day(s).", + "comment" : "If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Timing.repeat.dayOfWeek", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "DayOfWeek" + }], + "strength" : "required", + "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.1" + }, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.timeOfDay", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.timeOfDay", + "short" : "Time of day for action", + "definition" : "Specified time of day for action to take place.", + "comment" : "When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Timing.repeat.timeOfDay", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "time" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.when", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.when", + "short" : "Code for time period of occurrence", + "definition" : "An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.", + "comment" : "When more than one event is listed, the event is tied to the union of the specified events.", + "requirements" : "Timings are frequently determined by occurrences such as waking, eating and sleep.", + "min" : 0, + "max" : "*", + "base" : { + "path" : "Timing.repeat.when", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "code" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "EventTiming" + }], + "strength" : "required", + "description" : "Real world event relating to the schedule.", + "valueSet" : "http://hl7.org/fhir/ValueSet/event-timing|4.0.1" + }, + "mapping" : [{ + "identity" : "rim", + "map" : "EIVL.event" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.offset", + "path" : "CarePlan.activity.detail.scheduled[x].repeat.offset", + "short" : "Minutes from event (before or after)", + "definition" : "The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.repeat.offset", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "unsignedInt" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "rim", + "map" : "EIVL.offset" + }] + }, + { + "id" : "CarePlan.activity.detail.scheduled[x]:scheduledTiming.code", + "path" : "CarePlan.activity.detail.scheduled[x].code", + "short" : "BID | TID | QID | AM | PM | QD | QOD | +", + "definition" : "A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).", + "comment" : "BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is \"always at 7am and 6pm\". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Timing.code", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "CodeableConcept" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "TimingAbbreviation" + }], + "strength" : "preferred", + "description" : "Code for a known / defined timing pattern.", + "valueSet" : "http://hl7.org/fhir/ValueSet/timing-abbreviation" + }, + "mapping" : [{ + "identity" : "rim", + "map" : "QSC.code" + }] + }, + { + "id" : "CarePlan.activity.detail.location", + "path" : "CarePlan.activity.detail.location", + "short" : "Where it should happen", + "definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.", + "comment" : "May reference a specific clinical location or may identify a type of location.", + "requirements" : "Helps in planning of activity.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.location", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "v2", + "map" : "OBR-24(???!!)" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=LOC].role" + }] + }, + { + "id" : "CarePlan.activity.detail.performer", + "path" : "CarePlan.activity.detail.performer", + "slicing" : { + "discriminator" : [{ + "type" : "profile", + "path" : "resolve()" + }], + "rules" : "open" + }, + "short" : "Who will be responsible?", + "definition" : "Identifies who's expected to be involved in the activity.", + "comment" : "A performer MAY also be a participant in the care plan.", + "requirements" : "Helps in planning of activity.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.performer", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", + "http://hl7.org/fhir/StructureDefinition/PractitionerRole", + "http://hl7.org/fhir/StructureDefinition/Organization", + "http://hl7.org/fhir/StructureDefinition/RelatedPerson", + "http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/CareTeam", + "http://hl7.org/fhir/StructureDefinition/HealthcareService", + "http://hl7.org/fhir/StructureDefinition/Device"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.performer" + }, + { + "identity" : "v2", + "map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=PFM]" + }] + }, + { + "id" : "CarePlan.activity.detail.performer:healthcareProvider", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "healthcareProvider", + "short" : "A reference from one resource to another", + "definition" : "A reference from one resource to another.", + "comment" : "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.\r\n\r\nIn 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.", + "requirements" : "Helps in planning of activity.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.performer", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"], + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }, + { + "identity" : "rim", + "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" + }] + }, + { + "id" : "CarePlan.activity.detail.performer:caregiver", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "caregiver", + "short" : "Caregiver", + "definition" : "The caregiver carrying out the nursing procedure.", + "comment" : "A performer MAY also be a participant in the care plan.", + "requirements" : "Helps in planning of activity.", + "alias" : ["Verzorger"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.performer", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.16", + "comment" : "Caregiver" + }, + { + "identity" : "workflow", + "map" : "Request.performer" + }, + { + "identity" : "v2", + "map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=PFM]" + }] + }, + { + "id" : "CarePlan.activity.detail.performer:patient", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "patient", + "short" : "Patient", + "definition" : "The patient carrying out the nursing procedure.", + "comment" : "A performer MAY also be a participant in the care plan.", + "requirements" : "Helps in planning of activity.", + "alias" : ["Patient"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.performer", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.17", + "comment" : "Patient" + }, + { + "identity" : "workflow", + "map" : "Request.performer" + }, + { + "identity" : "v2", + "map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=PFM]" + }] + }, + { + "id" : "CarePlan.activity.detail.product[x]", + "path" : "CarePlan.activity.detail.product[x]", + "short" : "What is to be administered/supplied", + "definition" : "Identifies the food, drug or other product to be consumed or supplied in the activity.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.product[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "CodeableConcept" + }, + { + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication", + "http://hl7.org/fhir/StructureDefinition/Substance"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "binding" : { + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", + "valueString" : "CarePlanProduct" + }], + "strength" : "example", + "description" : "A product supplied or administered as part of a care plan activity.", + "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes" + }, + "mapping" : [{ + "identity" : "v2", + "map" : "RXE-2 / RXO-1 / RXD-2" + }, + { + "identity" : "rim", + "map" : ".participation[typeCode=PRD].role" + }] + }, + { + "id" : "CarePlan.activity.detail.dailyAmount", + "path" : "CarePlan.activity.detail.dailyAmount", + "short" : "How to consume/day?", + "definition" : "Identifies the quantity expected to be consumed in a given day.", + "requirements" : "Allows rough dose checking.", + "alias" : ["daily dose"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.dailyAmount", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Quantity", + "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "v2", + "map" : "RXO-23 / RXE-19 / RXD-12" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity" + }] + }, + { + "id" : "CarePlan.activity.detail.quantity", + "path" : "CarePlan.activity.detail.quantity", + "short" : "How much to administer/supply/consume", + "definition" : "Identifies the quantity expected to be supplied, administered or consumed by the subject.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.quantity", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Quantity", + "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "v2", + "map" : "RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 *and* RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2" + }, + { + "identity" : "rim", + "map" : ".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity" + }] + }, + { + "id" : "CarePlan.activity.detail.description", + "path" : "CarePlan.activity.detail.description", + "short" : "Instruction", + "definition" : "Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver.", + "alias" : ["Instructie"], + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.activity.detail.description", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.18", + "comment" : "Instruction" + }, + { + "identity" : "v2", + "map" : "NTE?" + }, + { + "identity" : "rim", + "map" : ".text" + }] + }, + { + "id" : "CarePlan.note", + "path" : "CarePlan.note", + "short" : "Comments about the plan", + "definition" : "General notes about the care plan not covered elsewhere.", + "requirements" : "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "CarePlan.note", + "min" : 0, + "max" : "*" + }, + "type" : [{ + "code" : "Annotation" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "workflow", + "map" : "Request.note" + }, + { + "identity" : "v2", + "map" : "NTE?" + }, + { + "identity" : "rim", + "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" + }] + }, + { + "id" : "CarePlan.note.id", + "path" : "CarePlan.note.id", + "representation" : ["xmlAttr"], + "short" : "Unique id for inter-element referencing", + "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" : [{ + "extension" : [{ + "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", + "valueUrl" : "string" + }], + "code" : "http://hl7.org/fhirpath/System.String" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.note.extension", + "path" : "CarePlan.note.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. 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" : "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" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (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" + }], + "isModifier" : false, + "isSummary" : false, + "mapping" : [{ + "identity" : "rim", + "map" : "n/a" + }] + }, + { + "id" : "CarePlan.note.author[x]", + "path" : "CarePlan.note.author[x]", + "short" : "Individual responsible for the annotation", + "definition" : "The individual responsible for making the annotation.", + "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Annotation.author[x]", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", + "http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/RelatedPerson", + "http://hl7.org/fhir/StructureDefinition/Organization"] + }, + { + "code" : "string" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "v2", + "map" : "N/A" + }, + { + "identity" : "rim", + "map" : "Act.participant[typeCode=AUT].role" + }] + }, + { + "id" : "CarePlan.note.time", + "path" : "CarePlan.note.time", + "short" : "When the annotation was made", + "definition" : "Indicates when this particular annotation was made.", + "min" : 0, + "max" : "1", + "base" : { + "path" : "Annotation.time", + "min" : 0, + "max" : "1" + }, + "type" : [{ + "code" : "dateTime" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "v2", + "map" : "N/A" + }, + { + "identity" : "rim", + "map" : "Act.effectiveTime" + }] + }, + { + "id" : "CarePlan.note.text", + "path" : "CarePlan.note.text", + "short" : "Comment", + "definition" : "Comment on the nursing intervention.", + "alias" : ["Toelichting"], + "min" : 1, + "max" : "1", + "base" : { + "path" : "Annotation.text", + "min" : 1, + "max" : "1" + }, + "type" : [{ + "code" : "markdown" + }], + "constraint" : [{ + "key" : "ele-1", + "severity" : "error", + "human" : "All FHIR elements must have a @value or children", + "expression" : "hasValue() or (children().count() > id.count())", + "xpath" : "@value|f:*|h:div", + "source" : "http://hl7.org/fhir/StructureDefinition/Element" + }], + "isModifier" : false, + "isSummary" : true, + "mapping" : [{ + "identity" : "zib-nursingintervention-v3.2-2020EN", + "map" : "NL-CM:14.2.5", + "comment" : "Comment" + }, + { + "identity" : "v2", + "map" : "N/A" + }, + { + "identity" : "rim", + "map" : "Act.text" + }] + }] + }, + "differential" : { + "element" : [{ + "id" : "CarePlan", + "path" : "CarePlan", + "alias" : ["nl-core-NursingIntervention"] + }, + { + "id" : "CarePlan.subject", + "path" : "CarePlan.subject", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient", + "http://hl7.org/fhir/StructureDefinition/Group", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"] + }] + }, + { + "id" : "CarePlan.contributor:requester", + "path" : "CarePlan.contributor", + "sliceName" : "requester", + "type" : [{ + "code" : "Reference", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"], + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"] + }] + }, + { + "id" : "CarePlan.addresses", + "path" : "CarePlan.addresses", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem"] + }] + }, + { + "id" : "CarePlan.goal", + "path" : "CarePlan.goal", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentObjective"] + }] + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice", + "path" : "CarePlan.activity.detail.extension", + "sliceName" : "medicalDevice" + }, + { + "id" : "CarePlan.activity.detail.extension:medicalDevice.value[x]", + "path" : "CarePlan.activity.detail.extension.value[x]", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceUseStatement", + "http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice"] + }] + }, + { + "id" : "CarePlan.activity.detail.performer:healthcareProvider", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "healthcareProvider", + "type" : [{ + "code" : "Reference", + "profile" : ["http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"], + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"] + }] + }, + { + "id" : "CarePlan.activity.detail.performer:caregiver", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "caregiver", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson"] + }] + }, + { + "id" : "CarePlan.activity.detail.performer:patient", + "path" : "CarePlan.activity.detail.performer", + "sliceName" : "patient", + "type" : [{ + "code" : "Reference", + "targetProfile" : ["http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"] + }] + }] + } +} \ No newline at end of file diff --git a/rX/snapshot-generation/pattern-NlCoreHealthProfessionalReference.xml b/rX/snapshot-generation/pattern-NlCoreHealthProfessionalReference.xml new file mode 100644 index 00000000..769fe821 --- /dev/null +++ b/rX/snapshot-generation/pattern-NlCoreHealthProfessionalReference.xml @@ -0,0 +1,36 @@ +<?xml version="1.0" encoding="utf-8"?> +<StructureDefinition xmlns="http://hl7.org/fhir"> + <id value="pattern-NlCoreHealthProfessionalReference" /> + <text> + <status value="empty"/> + <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div> + </text> + <url value="http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" /> + <name value="PatternNlCoreHealthProfessionalReference" /> + <title value="Reference" /> + <status value="draft" /> + <publisher value="Nictiz" /> + <contact> + <name value="Nictiz" /> + <telecom> + <system value="url" /> + <value value="https://www.nictiz.nl" /> + <use value="work" /> + </telecom> + </contact> + <description value="A Reference datatype profile for referring [zib HealthProfessional](https://zibs.nl/wiki/HealthProfessional-v3.5(2020EN)) from other zib profiles. This datatype profile is used in various resource profiles and is never instantiated directly." /> + <purpose value="This profile provides guidance to implementers on how to refer instances of this zib. Profilers should use this datatype profile for all references to zib HealthProfessional (`type.profile`). In addition, profile <http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole> should be constrained to <http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole> in the list of `type.targetProfile`'s. The original list of `type.targetProfile`'s should not be restricted. The `.title` of this profile is simply 'Reference' instead of 'nl core HealthProfessional Reference', as is expected following the profiling guidelines. This deviation from the guidelines is the result of the `.title` being used to render the profile in various tooling (mainly Simplifier), and the latter title would result in a rendering that is deemed confusing in some cases (see [MM-3854](https://bits.nictiz.nl/browse/MM-3854))." /> + <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" /> + <kind value="complex-type" /> + <abstract value="false" /> + <type value="Reference" /> + <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" /> + <derivation value="constraint" /> + <differential> + <element id="Reference"> + <path value="Reference" /> + <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." /> + </element> + </differential> +</StructureDefinition> \ No newline at end of file diff --git a/rX/snapshot-generation/pattern-ZibHealthProfessionalReference.xml b/rX/snapshot-generation/pattern-ZibHealthProfessionalReference.xml new file mode 100644 index 00000000..8bf64bba --- /dev/null +++ b/rX/snapshot-generation/pattern-ZibHealthProfessionalReference.xml @@ -0,0 +1,36 @@ +<?xml version="1.0" encoding="utf-8"?> +<StructureDefinition xmlns="http://hl7.org/fhir"> + <id value="pattern-ZibHealthProfessionalReference" /> + <text> + <status value="empty"/> + <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div> + </text> + <url value="http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" /> + <name value="PatternZibHealthProfessionalReference" /> + <title value="Reference" /> + <status value="draft" /> + <publisher value="Nictiz" /> + <contact> + <name value="Nictiz" /> + <telecom> + <system value="url" /> + <value value="https://www.nictiz.nl" /> + <use value="work" /> + </telecom> + </contact> + <description value="A Reference datatype profile for referring [zib HealthProfessional](https://zibs.nl/wiki/HealthProfessional-v3.5(2020EN)) from other zib profiles. This datatype profile is used in various resource profiles and is never instantiated directly." /> + <purpose value="This profile provides guidance to implementers on how to refer instances of this zib. Profilers should use this datatype profile for all references to zib HealthProfessional (`type.profile`). In addition, profile <http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole> should be added to the list of `type.targetProfile`'s. The original list of `type.targetProfile`'s should not be restricted. The `.title` of this profile is simply 'Reference' instead of 'zib HealthProfessional Reference', as is expected following the profiling guidelines. This deviation from the guidelines is the result of the `.title` being used to render the profile in various tooling (mainly Simplifier), and the latter title would result in a rendering that is deemed confusing in some cases (see [MM-3854](https://bits.nictiz.nl/browse/MM-3854))." /> + <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" /> + <kind value="complex-type" /> + <abstract value="false" /> + <type value="Reference" /> + <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Reference" /> + <derivation value="constraint" /> + <differential> + <element id="Reference"> + <path value="Reference" /> + <comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [zib-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [zib-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/zib-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 zib-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." /> + </element> + </differential> +</StructureDefinition> \ No newline at end of file diff --git a/rX/snapshot-generation/zib-NursingIntervention.xml b/rX/snapshot-generation/zib-NursingIntervention.xml new file mode 100644 index 00000000..b7aad969 --- /dev/null +++ b/rX/snapshot-generation/zib-NursingIntervention.xml @@ -0,0 +1,434 @@ +<?xml version="1.0" encoding="utf-8"?> +<StructureDefinition xmlns="http://hl7.org/fhir"> + <id value="zib-NursingIntervention" /> + <text> + <status value="empty"/> + <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div> + </text> + <url value="http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention" /> + <name value="ZibNursingIntervention" /> + <title value="zib NursingIntervention" /> + <status value="draft" /> + <publisher value="Nictiz" /> + <contact> + <name value="Nictiz" /> + <telecom> + <system value="url" /> + <value value="https://www.nictiz.nl" /> + <use value="work" /> + </telecom> + </contact> + <description value="A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. Following the NEN-EN-ISO 18104 norm, it is possible to structure nursing interventions (or actions) in a hierarchy, where one intervention can be part of another intervention. In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction." /> + <purpose value="This CarePlan resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) NursingIntervention v3.2 (2020)](https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN))." /> + <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="zib-nursingintervention-v3.2-2020EN" /> + <uri value="https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)" /> + <name value="zib NursingIntervention-v3.2(2020EN)" /> + </mapping> + <kind value="resource" /> + <abstract value="true" /> + <type value="CarePlan" /> + <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CarePlan" /> + <derivation value="constraint" /> + <differential> + <element id="CarePlan"> + <path value="CarePlan" /> + <short value="NursingIntervention" /> + <alias value="VerpleegkundigeInterventie" /> + <constraint> + <key value="zib-NursingIntervention-1" /> + <severity value="error" /> + <human value="The start and/or end date of a repeating schedule should be communicated in CarePlan.encounter as well." /> + <expression value="activity.detail.scheduled.ofType(Timing).repeat.bounds.ofType(Period).exists() implies (period = activity.detail.scheduled.ofType(Timing).repeat.bounds.ofType(Period))" /> + </constraint> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.1" /> + <comment value="NursingIntervention" /> + </mapping> + </element> + <element id="CarePlan.status"> + <path value="CarePlan.status" /> + <comment value="Sending systems that don't record an explicit status can use the following guidance to infer a value from the zib: * ProcedureEndTime present: * and in the future: _active_ * and in the past: _completed_ * ProcedureEndTime absent: * ProcedureStartTime present: _active_ * ProcedureStartTime absent: _unknown_" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.11" /> + <comment value="ProcedureStartDateTime (implicit, main mapping is on CarePlan.period.start and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start)" /> + </mapping> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.12" /> + <comment value="ProcedureEndDateTime (implicit, main mapping is on CarePlan.period.end and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end)" /> + </mapping> + </element> + <element id="CarePlan.intent"> + <path value="CarePlan.intent" /> + <comment value="For zib NursingIntervention, this will normally be _plan_, but the context may specify a more suitable intent." /> + </element> + <element id="CarePlan.category"> + <path value="CarePlan.category" /> + <slicing> + <discriminator> + <type value="value" /> + <path value="coding" /> + </discriminator> + <rules value="open" /> + </slicing> + <min value="1" /> + </element> + <element id="CarePlan.category:nursingInterventionCode"> + <path value="CarePlan.category" /> + <sliceName value="nursingInterventionCode" /> + <min value="1" /> + <max value="1" /> + <patternCodeableConcept> + <coding> + <system value="http://snomed.info/sct" /> + <code value="9632001" /> + </coding> + </patternCodeableConcept> + </element> + <element id="CarePlan.period.start"> + <path value="CarePlan.period.start" /> + <short value="ProcedureStartDateTime" /> + <definition value="The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start`." /> + <alias value="ActieStartDatumTijd" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.11" /> + <comment value="ProcedureStartDateTime" /> + </mapping> + </element> + <element id="CarePlan.period.end"> + <path value="CarePlan.period.end" /> + <short value="ProcedureEndDateTime" /> + <definition value="The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end`." /> + <alias value="ActieEindDatumTijd" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.12" /> + <comment value="ProcedureEndDateTime" /> + </mapping> + </element> + <element id="CarePlan.contributor"> + <path value="CarePlan.contributor" /> + <slicing> + <discriminator> + <type value="exists" /> + <path value="extension(url='http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester')" /> + </discriminator> + <rules value="open" /> + </slicing> + </element> + <element id="CarePlan.contributor:requester"> + <path value="CarePlan.contributor" /> + <sliceName value="requester" /> + <short value="Requester" /> + <definition value="The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered." /> + <alias value="Aanvrager" /> + <type> + <code value="Reference" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.8" /> + <comment value="Requester" /> + </mapping> + </element> + <element id="CarePlan.contributor:requester.extension"> + <path value="CarePlan.contributor.extension" /> + <min value="1" /> + </element> + <element id="CarePlan.contributor:requester.extension:contributorIsRequester"> + <path value="CarePlan.contributor.extension" /> + <sliceName value="contributorIsRequester" /> + <min value="1" /> + <max value="1" /> + <type> + <code value="Extension" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester" /> + </type> + </element> + <element id="CarePlan.addresses"> + <path value="CarePlan.addresses" /> + <short value="Indication" /> + <definition value="The nursing-related problem (indication) providing cause for the intervention." /> + <alias value="Indicatie" /> + <max value="1" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Problem" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.6" /> + <comment value="Indication" /> + </mapping> + </element> + <element id="CarePlan.goal"> + <path value="CarePlan.goal" /> + <short value="TreatmentObjective" /> + <definition value="The description of the treatment goal that the intervention decision is based on." /> + <alias value="Behandeldoel" /> + <max value="1" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.14" /> + <comment value="TreatmentObjective" /> + </mapping> + </element> + <element id="CarePlan.activity"> + <path value="CarePlan.activity" /> + <comment value="A nursing intervention in the Dutch realm always consists of a single activity. For this reason, the cardinality of `.activity` is restricted to `0..1`." /> + <max value="1" /> + </element> + <element id="CarePlan.activity.detail.extension:medicalDevice"> + <path value="CarePlan.activity.detail.extension" /> + <sliceName value="medicalDevice" /> + <type> + <code value="Extension" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed" /> + </type> + </element> + <element id="CarePlan.activity.detail.extension:medicalDevice.value[x]"> + <path value="CarePlan.activity.detail.extension.value[x]" /> + <short value="MedicalDevice" /> + <definition value="Description of the materials used for the nursing procedure, such as bandages." /> + <alias value="MedischHulpmiddel" /> + <type> + <code value="Reference" /> + <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.13" /> + <comment value="MedicalDevice" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.code"> + <path value="CarePlan.activity.detail.code" /> + <short value="Intervention" /> + <definition value="A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. It is possible to build a hierarchy of nursing interventions (where one intervention is part of another)." /> + <alias value="Interventie" /> + <binding> + <strength value="required" /> + <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.18--20200901000000" /> + </binding> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.2" /> + <comment value="Intervention" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.scheduled[x]"> + <path value="CarePlan.activity.detail.scheduled[x]" /> + <slicing> + <discriminator> + <type value="type" /> + <path value="$this" /> + </discriminator> + <rules value="open" /> + </slicing> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming"> + <path value="CarePlan.activity.detail.scheduled[x]" /> + <sliceName value="scheduledTiming" /> + <type> + <code value="Timing" /> + </type> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x]" /> + <slicing> + <discriminator> + <type value="type" /> + <path value="$this" /> + </discriminator> + <rules value="open" /> + </slicing> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x]" /> + <sliceName value="boundsPeriod" /> + <type> + <code value="Period" /> + </type> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x].start" /> + <short value="ProcedureStartDateTime" /> + <definition value="Zib concept ProcedureStartDateTime should primarily be communicated using `CarePlan.period.start`, but it should be repeated here if it indicates the end of a series of repeating procedures." /> + <alias value="ActieStartDatumTijd" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.11" /> + <comment value="ProcedureStartDateTime" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x].end" /> + <short value="ProcedureEndDateTime" /> + <definition value="Zib concept ProcedureEndDateTime should primarily be communicated using `CarePlan.period.end`, but it should be repeated here if it indicates the end of a series of repeating procedures." /> + <alias value="ActieEindDatumTijd" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.12" /> + <comment value="ProcedureEndDateTime" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.frequency"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.frequency" /> + <short value="Interval / Frequency" /> + <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> + <comment value="Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> + <alias value="Interval" /> + <alias value="Frequentie" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.3" /> + <comment value="Interval" /> + </mapping> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.4" /> + <comment value="Frequency" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.period"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.period" /> + <short value="Interval / Frequency" /> + <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> + <comment value="Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> + <alias value="Interval" /> + <alias value="Frequentie" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.3" /> + <comment value="Interval" /> + </mapping> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.4" /> + <comment value="Frequency" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.periodUnit"> + <path value="CarePlan.activity.detail.scheduled[x].repeat.periodUnit" /> + <short value="Interval / Frequency" /> + <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> + <comment value="Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> + <alias value="Interval" /> + <alias value="Frequentie" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.3" /> + <comment value="Interval" /> + </mapping> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.4" /> + <comment value="Frequency" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.performer"> + <path value="CarePlan.activity.detail.performer" /> + <slicing> + <discriminator> + <type value="profile" /> + <path value="resolve()" /> + </discriminator> + <rules value="open" /> + </slicing> + <max value="1" /> + </element> + <element id="CarePlan.activity.detail.performer:healthcareProvider"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="healthcareProvider" /> + <short value="HealthcareProvider" /> + <definition value="The health professional carrying out the nursing procedure." /> + <alias value="Zorgverlener" /> + <max value="1" /> + <type> + <code value="Reference" /> + <profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.7" /> + <comment value="HealthcareProvider" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.performer:caregiver"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="caregiver" /> + <short value="Caregiver" /> + <definition value="The caregiver carrying out the nursing procedure." /> + <alias value="Verzorger" /> + <max value="1" /> + <type> + <code value="Reference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.16" /> + <comment value="Caregiver" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.performer:patient"> + <path value="CarePlan.activity.detail.performer" /> + <sliceName value="patient" /> + <short value="Patient" /> + <definition value="The patient carrying out the nursing procedure." /> + <alias value="Patient" /> + <max value="1" /> + <type> + <code value="Reference" /> + <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Patient" /> + </type> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.17" /> + <comment value="Patient" /> + </mapping> + </element> + <element id="CarePlan.activity.detail.description"> + <path value="CarePlan.activity.detail.description" /> + <short value="Instruction" /> + <definition value="Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver." /> + <alias value="Instructie" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.18" /> + <comment value="Instruction" /> + </mapping> + </element> + <element id="CarePlan.note"> + <path value="CarePlan.note" /> + <max value="1" /> + </element> + <element id="CarePlan.note.text"> + <path value="CarePlan.note.text" /> + <short value="Comment" /> + <definition value="Comment on the nursing intervention." /> + <alias value="Toelichting" /> + <mapping> + <identity value="zib-nursingintervention-v3.2-2020EN" /> + <map value="NL-CM:14.2.5" /> + <comment value="Comment" /> + </mapping> + </element> + </differential> +</StructureDefinition> \ No newline at end of file