{
"description": "FamilySituation defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0, release 2017.\\r\\n\\r\\nTraditionally, a family is defined as a group of people of one or more adults who carry responsibility for caring for and raising one or more children. Currently, the term is used more broadly for all forms of cohabitation which form a recognizable social unit, of people who are or who are not related and who have long-lasting, affective bonds and provide each other with support and care.",
"_filename": "zib-FamilySituation.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "Information on the patient’s family situation is important in determining the extent to which the patient receives and can receive care and support. For example, the age of the patient’s children partially determines whether they can play a role in caregiving. It is also important to know whether the patient needs support for daycare and/or care for dependent family members. Situations in which this information is important include for example being discharged from the hospital or nursing home.",
"name": "Zib FamilySituation",
"mapping": [ {
"uri": "https://zibs.nl/wiki/FamilySituation-v3.0(2017EN)",
"name": "HCIM FamilySituation-v3.0(2017EN)",
"identity": "hcim-familysituation-v3.0-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM FamilySituation",
"package_version": "1.1.1",
"status": "active",
"id": "11627bcc-a996-492a-914d-db1c1c22398d",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation",
"version": "1.1.0",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "Gezinssituatie" ],
"short": "FamilySituation",
"mapping": [ {
"map": "NL-CM:7.13.1",
"comment": "FamilySituation",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"definition": "Root concept of the FamilySituation information model. This concept contains all data elements of the FamilySituation information model."
}, {
"id": "Observation.identifier",
"path": "Observation.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.code.coding",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:familySituationCode",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"short": "FamilySituationCode",
"sliceName": "familySituationCode"
}, {
"id": "Observation.code.coding:familySituationCode.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:familySituationCode.code",
"min": 1,
"path": "Observation.code.coding.code",
"fixedCode": "365470003"
}, {
"id": "Observation.code.coding:familySituationCode.display",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Finding of family details and household composition (finding)"
}, {
"id": "Observation.subject",
"min": 1,
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.context",
"path": "Observation.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
} ]
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"mapping": [ {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.performer",
"path": "Observation.performer",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ],
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.performer.extension",
"path": "Observation.performer.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.performer.extension:practitionerRole",
"max": "1",
"path": "Observation.performer.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:7.13.6",
"comment": "Comment",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"definition": "A comment on the family situation."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code.coding.code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:familyComposition",
"max": "1",
"path": "Observation.component",
"sliceName": "familyComposition"
}, {
"id": "Observation.component:familyComposition.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:familyComposition.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:familyComposition.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "224130005"
}, {
"id": "Observation.component:familyComposition.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Household composition (observable entity)"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "The family composition describes the patient’s home situation and the form of cohabitation. Care for family members who depend on the patient is described in the Care Responsibility concept.\r\nFamily members who can provide the patient with care as a caregiver are entered as a caregiver in the HelpFromOthers information model. Because of KOPP policy (Kinderen van Ouders met Psychiatrische Problemen, or Children of Parents with Psychiatric Problems) mental healthcare facilities require a record stating whether there are children in the family. This means that in a mental healthcare situation, the number of children (living at home) must be recorded, with information per individual child or as a total number.",
"short": "FamilyComposition",
"mapping": [ {
"map": "NL-CM:7.13.8",
"comment": "FamilyComposition",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The family composition describes the patient’s home situation and the form of cohabitation. A family can consist of one or more people.",
"valueSetReference": {
"display": "FamilyCompositionCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.13.1--20171231000000"
}
},
"alias": [ "Gezinssamenstelling" ],
"id": "Observation.component:familyComposition.value[x]:valueCodeableConcept",
"example": [ {
"label": "Example of FamilyComposition",
"valueCodeableConcept": {
"coding": [ {
"code": "408821002",
"system": "http://snomed.info/sct",
"display": "Lives with partner"
} ]
}
} ]
}, {
"id": "Observation.component:numberOfChildren",
"max": "1",
"path": "Observation.component",
"sliceName": "numberOfChildren"
}, {
"id": "Observation.component:numberOfChildren.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:numberOfChildren.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:numberOfChildren.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "224118004"
}, {
"id": "Observation.component:numberOfChildren.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Number of offspring (observable entity)"
}, {
"id": "Observation.component:numberOfChildren.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "AantalKinderen" ],
"short": "NumberOfOffspring",
"mapping": [ {
"map": "NL-CM:7.13.2",
"comment": "NumberOfChildren",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children."
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome",
"max": "1",
"path": "Observation.component",
"sliceName": "numberOfChildrenLivingAtHome"
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome.code.coding:numberOfChildrenLivingAtHomeCode",
"max": "1",
"min": 1,
"path": "Observation.component.code.coding",
"sliceName": "numberOfChildrenLivingAtHomeCode"
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome.code.coding:numberOfChildrenLivingAtHomeCode.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome.code.coding:numberOfChildrenLivingAtHomeCode.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "55811000146107"
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome.code.coding:numberOfChildrenLivingAtHomeCode.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Number of children living at home (observable entity)"
}, {
"id": "Observation.component:numberOfChildrenLivingAtHome.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "AantalKinderenInwonend" ],
"short": "NumberOfChildrenLivingAtHome",
"mapping": [ {
"map": "NL-CM:7.13.9",
"comment": "NumberOfChildrenLivingAtHome",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The number of children living at home with the patient."
}, {
"id": "Observation.component:careResponsibility",
"path": "Observation.component",
"sliceName": "careResponsibility"
}, {
"id": "Observation.component:careResponsibility.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:careResponsibility.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:careResponsibility.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "406192005"
}, {
"id": "Observation.component:careResponsibility.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Caregiver behavior (observable entity)"
}, {
"id": "Observation.component:careResponsibility.value[x]:valueString",
"path": "Observation.component.valueString",
"type": [ {
"code": "string"
} ],
"alias": [ "Zorgtaak" ],
"short": "CareResponsibility",
"mapping": [ {
"map": "NL-CM:7.13.10",
"comment": "CareResponsibility",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "valueString",
"definition": "The activities the patient carries out to care for a dependent family member."
}, {
"id": "Observation.component:child",
"path": "Observation.component",
"mapping": [ {
"map": "NL-CM:7.13.3",
"comment": "Child",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "child",
"definition": "Child container that provides information on the age and livingsituation of each child of the patient."
}, {
"id": "Observation.component:child.extension",
"path": "Observation.component.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.component:child.extension:livingAtHome",
"path": "Observation.component.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation-LivingAtHomeIndicator"
} ],
"mapping": [ {
"map": "NL-CM:7.13.5",
"comment": "LivingAtHome",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "livingAtHome"
}, {
"id": "Observation.component:child.code.coding",
"min": 1,
"path": "Observation.component.code.coding"
}, {
"id": "Observation.component:child.code.coding.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:child.code.coding.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "67822003"
}, {
"id": "Observation.component:child.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Child (person)"
}, {
"id": "Observation.component:child.value[x]:valueDateTime",
"path": "Observation.component.valueDateTime",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "Geboortedatum" ],
"short": "DateOfBirth",
"mapping": [ {
"map": "NL-CM:7.13.4",
"comment": "DateOfBirth",
"identity": "hcim-familysituation-v3.0-2017EN"
} ],
"sliceName": "valueDateTime",
"definition": "The child’s date of birth."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}