description: 'The Barthel ADL index is a validated scale used to measure and track patients’ activities of daily living (ADL) and indirectly, the extent to which they are dependent on help.\r\nThe list comprises 10 variables: bowels, bladder, grooming, toilet use, feeding, transfers (from chair to bed and vice versa), mobility, dressing, climbing stairs and bathing, which are all given a score.\r\nThe total score is the sum of the scores of the 10 variables.'
package_name: nictiz.fhir.nl.r4.zib2020
derivation: constraint
name: ZibBarthelADLIndex
abstract: true
type: Observation
elements:
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '273302005', system: 'http://snomed.info/sct'}
    index: 0
  value:
    choices: []
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        valueInteger:
          match: {}
          schema:
            minValueInteger: 0
            short: TotalScore
            choices: [valueInteger]
            maxValueInteger: 20
            index: 4
  valueInteger:
    minValueInteger: 0
    short: TotalScore
    type: integer
    maxValueInteger: 20
    choiceOf: value
    index: 5
    slicing:
      slices:
        valueInteger:
          match: {}
          schema: {minValueInteger: 0, short: TotalScore, type: integer, maxValueInteger: 20, choiceOf: value, index: 5}
  component:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        toiletUse:
          match:
            code:
              coding:
              - {code: '4002006', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 22
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002006', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 23
              value:
                short: ToiletUse
                choices: [valueCodeableConcept]
                index: 25
              valueCodeableConcept: {type: CodeableConcept, short: ToiletUse, choiceOf: value, index: 26}
        dressing:
          match:
            code:
              coding:
              - {code: '4002010', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 42
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002010', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 43
              value:
                short: Dressing
                choices: [valueCodeableConcept]
                index: 45
              valueCodeableConcept: {type: CodeableConcept, short: Dressing, choiceOf: value, index: 46}
        bladder:
          match:
            code:
              coding:
              - {code: '4002003', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 12
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002003', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 13
              value:
                short: Bladder
                choices: [valueCodeableConcept]
                index: 15
              valueCodeableConcept: {type: CodeableConcept, short: Bladder, choiceOf: value, index: 16}
        grooming:
          match:
            code:
              coding:
              - {code: '4002005', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 17
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002005', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 18
              value:
                short: Grooming
                choices: [valueCodeableConcept]
                index: 20
              valueCodeableConcept: {type: CodeableConcept, short: Grooming, choiceOf: value, index: 21}
        bowels:
          match:
            code:
              coding:
              - {code: '4002004', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 7
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002004', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 8
              value:
                short: Bowels
                choices: [valueCodeableConcept]
                index: 10
              valueCodeableConcept: {type: CodeableConcept, short: Bowels, choiceOf: value, index: 11}
        managingStairs:
          match:
            code:
              coding:
              - {code: '4002011', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 47
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002011', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 48
              value:
                short: ManagingStairs
                choices: [valueCodeableConcept]
                index: 50
              valueCodeableConcept: {type: CodeableConcept, short: ManagingStairs, choiceOf: value, index: 51}
        mobility:
          match:
            code:
              coding:
              - {code: '4002009', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 37
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002009', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 38
              value:
                short: Mobility
                choices: [valueCodeableConcept]
                index: 40
              valueCodeableConcept: {type: CodeableConcept, short: Mobility, choiceOf: value, index: 41}
        transfers:
          match:
            code:
              coding:
              - {code: '4002008', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 32
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002008', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 33
              value:
                short: Transfers
                choices: [valueCodeableConcept]
                index: 35
              valueCodeableConcept: {type: CodeableConcept, short: Transfers, choiceOf: value, index: 36}
        feeding:
          match:
            code:
              coding:
              - {code: '4002007', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 27
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002007', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 28
              value:
                short: Feeding
                choices: [valueCodeableConcept]
                index: 30
              valueCodeableConcept: {type: CodeableConcept, short: Feeding, choiceOf: value, index: 31}
        bathing:
          match:
            code:
              coding:
              - {code: '4002012', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
          schema:
            index: 52
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '4002012', system: 'urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1'}
                index: 53
              value:
                short: Bathing
                choices: [valueCodeableConcept]
                index: 55
              valueCodeableConcept: {type: CodeableConcept, short: Bathing, choiceOf: value, index: 56}
package_version: 0.12.0-beta.3
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-BarthelADLIndex
base: http://hl7.org/fhir/StructureDefinition/Observation
version: null