{ "description": "Medical devices are any internally implanted and external devices and/or aids used by the patient (in the past) to reduce the effects of functional limitations in organ systems or to facilitate the treatment of a disease.", "_filename": "zib-MedicalDevice.json", "package_name": "nictiz.fhir.nl.r4.zib2020", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "4.0.1", "purpose": "This DeviceUseStatement resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicalDevice v3.3.1 (2020)](https://zibs.nl/wiki/MedicalDevice-v3.3.1(2020EN)).", "name": "ZibMedicalDevice", "mapping": [ { "uri": "https://zibs.nl/wiki/MedicalDevice-v3.3.1(2020EN)", "name": "zib MedicalDevice-v3.3.1(2020EN)", "identity": "zib-medicaldevice-v3.3.1-2020EN" }, { "uri": "https://zibs.nl/wiki/Procedure-v5.2(2020EN)", "name": "zib Procedure-v5.2(2020EN)", "identity": "zib-procedure-v5.2-2020EN" }, { "uri": "https://zibs.nl/wiki/BowelFunction-v3.1.1(2020EN)", "name": "zib BowelFunction-v3.1.1(2020EN)", "identity": "zib-bowelfunction-v3.1.1-2020EN" }, { "uri": "https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.2(2020EN)", "name": "zib FunctionalOrMentalStatus-v3.2(2020EN)", "identity": "zib-functionalormentalstatus-v3.2-2020EN" }, { "uri": "https://zibs.nl/wiki/Mobility-v3.3(2020EN)", "name": "zib Mobility-v3.3(2020EN)", "identity": "zib-mobility-v3.3-2020EN" }, { "uri": "https://zibs.nl/wiki/Stoma-v3.3(2020EN)", "name": "zib Stoma-v3.3(2020EN)", "identity": "zib-stoma-v3.3-2020EN" } ], "abstract": true, "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "type": "DeviceUseStatement", "experimental": null, "resourceType": "StructureDefinition", "title": "zib MedicalDevice", "package_version": "0.10.0-beta.1", "status": "draft", "id": "3fe8b971-19b4-4994-a165-342f9d72c13c", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice", "version": null, "differential": { "element": [ { "id": "DeviceUseStatement", "path": "DeviceUseStatement", "alias": [ "MedischHulpmiddel" ], "short": "MedicalDevice", "mapping": [ { "map": "NL-CM:10.1.1", "comment": "MedicalDevice", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ] }, { "id": "DeviceUseStatement.extension:healthProfessional", "path": "DeviceUseStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional" ] } ], "sliceName": "healthProfessional" }, { "id": "DeviceUseStatement.extension:location", "path": "DeviceUseStatement.extension", "type": [ { "code": "Extension", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location" ] } ], "sliceName": "location" }, { "id": "DeviceUseStatement.status", "path": "DeviceUseStatement.status", "comment": "This element is implictly mapped to the zib concepts NL-CM:10.1.11 (StartDate) and NL-CM:10.1.14 (EndDate). Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When StartDate is in the future, `.status` will usually be set to _intended_.\r\n* When StartDate is in the past and EndDate has a value and in the future or EndDate has no value, `.status` will usually be set to _active_.\r\n* When EndDate has a value and is in the past, `.status` will usually be set to _completed_.", "mapping": [ { "map": "NL-CM:10.1.11", "comment": "StartDate (implicit, main mapping is on DeviceUseStatement.timingPeriod.start)", "identity": "zib-medicaldevice-v3.3.1-2020EN" }, { "map": "NL-CM:10.1.14", "comment": "EndDate (implicit, main mapping is on DeviceUseStatement.timingPeriod.end)", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ] }, { "id": "DeviceUseStatement.derivedFrom", "path": "DeviceUseStatement.derivedFrom", "slicing": { "rules": "open", "discriminator": [ { "path": "resolve()", "type": "profile" } ] } }, { "path": "DeviceUseStatement.derivedFrom", "definition": "The procedure which has the purpose of placing this product in or on the body.", "short": "Procedure", "mapping": [ { "map": "NL-CM:14.1.7", "comment": "Reversed reference for zib Procedure.MedicalDevice", "identity": "zib-procedure-v5.2-2020EN" } ], "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-request" ] } ], "sliceName": "procedure-request", "alias": [ "Verrichting" ], "id": "DeviceUseStatement.derivedFrom:procedure-request", "comment": "* Note 1: on a functional level, zib Procedure references zib MedicalDevice, but in FHIR this direction is reversed.\r\n* Note 2: zib Procedure can represent a requested or (to be) performed procedure. This slice represents requested procedures, while slice `procedure-event` represents performed procedures." }, { "path": "DeviceUseStatement.derivedFrom", "definition": "The procedure which has the purpose of placing this product in or on the body.", "short": "Procedure", "mapping": [ { "map": "NL-CM:14.1.7", "comment": "Reversed reference for zib Procedure.MedicalDevice", "identity": "zib-procedure-v5.2-2020EN" } ], "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event" ] } ], "sliceName": "procedure-event", "alias": [ "Verrichting" ], "id": "DeviceUseStatement.derivedFrom:procedure-event", "comment": "* Note 1: on a functional level, zib Procedure references zib MedicalDevice, but in FHIR this direction is reversed.\r\n* Note 2: zib Procedure can represent a requested or (to be) performed procedure. This slice represents performed procedures, while slice `procedure-request` represents requested procedures." }, { "id": "DeviceUseStatement.timing[x]", "path": "DeviceUseStatement.timing[x]", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "DeviceUseStatement.timing[x]:timingPeriod", "path": "DeviceUseStatement.timing[x]", "type": [ { "code": "Period" } ], "sliceName": "timingPeriod" }, { "id": "DeviceUseStatement.timing[x]:timingPeriod.start", "path": "DeviceUseStatement.timing[x].start", "alias": [ "BeginDatum" ], "short": "StartDate", "mapping": [ { "map": "NL-CM:10.1.11", "comment": "StartDate", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ], "definition": "The start date of the first use or implant of the medical device. A ‘vague’ date, such as only the year, is permitted." }, { "id": "DeviceUseStatement.timing[x]:timingPeriod.end", "path": "DeviceUseStatement.timing[x].end", "alias": [ "EindDatum" ], "short": "EndDate", "mapping": [ { "map": "NL-CM:10.1.14", "comment": "EndDate", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ], "definition": "The end date of the last use or explant of the medical device. A ‘vague’ date, such as only the year, is permitted." }, { "id": "DeviceUseStatement.device", "path": "DeviceUseStatement.device", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice.Product" ] } ] }, { "id": "DeviceUseStatement.reasonReference", "path": "DeviceUseStatement.reasonReference", "slicing": { "rules": "open", "discriminator": [ { "path": "resolve()", "type": "profile" } ] } }, { "id": "DeviceUseStatement.reasonReference:indication", "path": "DeviceUseStatement.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Problem" ] } ], "alias": [ "Indicatie" ], "short": "Indication", "mapping": [ { "map": "NL-CM:10.1.7", "comment": "Indication", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ], "sliceName": "indication", "definition": "The medical reason for use of the medical device." }, { "id": "DeviceUseStatement.reasonReference:bowelFunction", "path": "DeviceUseStatement.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction" ] } ], "alias": [ "Darmfunctie" ], "short": "BowelFunction", "comment": "Please note that on a functional level, zib BowelFunction references zib MedicalDevice, but in FHIR this direction is reversed.", "mapping": [ { "map": "NL-CM:4.15.6", "comment": "Reversed reference for zib BowelFunction.IncontinenceMaterial", "identity": "zib-bowelfunction-v3.1.1-2020EN" } ], "sliceName": "bowelFunction" }, { "id": "DeviceUseStatement.reasonReference:functionalOrMentalStatus", "path": "DeviceUseStatement.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus" ] } ], "alias": [ "FunctioneleOfMentaleStatus" ], "short": "FunctionalOrMentalStatus", "comment": "Please note that on a functional level, zib FunctionalOrMentalStatus references zib MedicalDevice, but in FHIR this direction is reversed.", "mapping": [ { "map": "NL-CM:4.26.5", "comment": "Reversed reference for zib FunctionalOrMentalStatus.MedicalDevice", "identity": "zib-functionalormentalstatus-v3.2-2020EN" } ], "sliceName": "functionalOrMentalStatus" }, { "id": "DeviceUseStatement.reasonReference:mobility", "path": "DeviceUseStatement.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Mobility" ] } ], "alias": [ "Mobiliteit" ], "short": "Mobility", "comment": "Please note that on a functional level, zib Mobility references zib MedicalDevice, but in FHIR this direction is reversed.", "mapping": [ { "map": "NL-CM:4.3.4", "comment": "Reversed reference for zib Mobility.MedicalDevice", "identity": "zib-mobility-v3.3-2020EN" } ], "sliceName": "mobility" }, { "id": "DeviceUseStatement.reasonReference:stoma", "path": "DeviceUseStatement.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Stoma" ] } ], "alias": [ "Stoma" ], "short": "Stoma", "comment": "Please note that on a functional level, zib Stoma references zib MedicalDevice, but in FHIR this direction is reversed.", "mapping": [ { "map": "NL-CM:5.2.3", "comment": "Reversed reference for zib Stoma.StomaMaterial", "identity": "zib-stoma-v3.3-2020EN" } ], "sliceName": "stoma" }, { "id": "DeviceUseStatement.bodySite", "path": "DeviceUseStatement.bodySite", "type": [ { "code": "CodeableConcept", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation" ] } ], "alias": [ "AnatomischeLocatie" ], "short": "Location / AnatomicalLocation", "binding": { "strength": "required", "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" }, "mapping": [ { "map": "NL-CM:10.1.15", "comment": "AnatomicalLocation", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ], "definition": "Patient’s anatomical location of the medical device used." }, { "id": "DeviceUseStatement.note", "max": "1", "path": "DeviceUseStatement.note" }, { "id": "DeviceUseStatement.note.text", "path": "DeviceUseStatement.note.text", "alias": [ "Toelichting" ], "short": "Comment", "mapping": [ { "map": "NL-CM:10.1.10", "comment": "Comment", "identity": "zib-medicaldevice-v3.3.1-2020EN" } ], "definition": "Comment about use or information on the medical device used." } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "https://www.nictiz.nl", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" }