{
"description": "A nl-core base CarePlan profile, that references to all relating Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) profiles. This profile is not based on a HCIM, beceause no HCIM exists for a CarePlan concept.",
"_filename": "nl-core-careplan.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "HL7 Netherlands",
"fhirVersion": "3.0.1",
"purpose": "Multiple HCIM are better interperted in a coherent set then by them selfs. These are the HCIMs NursingIntervention, TreatmentObjective, and TreatmentOutcome. They consistute a CarePlan, hence the reason to create a CarePlan profile.",
"name": "nl-core-careplan",
"mapping": [ {
"uri": "https://zibs.nl/wiki/NursingIntervention-v3.2(2018EN)",
"name": "HCIM NursingIntervention-v3.2(2018EN)",
"comment": "HCIM release 2018 is because it does not have the redundant container 'NursingProcedure'.",
"identity": "hcim-nursingintervention-v3.2-2018EN"
}, {
"uri": "https://zibs.nl/wiki/OutcomeOfCare-v3.1(2017EN)",
"name": "HCIM OutcomeOfCare-v3.1 (2017EN)",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
}, {
"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": "CarePlan",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "nl-core-careplan",
"package_version": "1.2.0",
"status": "active",
"id": "3fec0ea5-e9c3-465f-b975-55dea6b8717c",
"kind": "resource",
"url": "http://fhir.nl/fhir/StructureDefinition/nl-core-careplan",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "CarePlan.identifier",
"path": "CarePlan.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "CarePlan.subject",
"path": "CarePlan.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "CarePlan.context",
"path": "CarePlan.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
} ]
}, {
"id": "CarePlan.period",
"path": "CarePlan.period",
"mapping": [ {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "CarePlan.author",
"path": "CarePlan.author",
"type": [ {
"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"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-careteam"
} ]
}, {
"id": "CarePlan.author.extension",
"path": "CarePlan.author.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "CarePlan.author.extension:practitionerRole",
"max": "1",
"path": "CarePlan.author.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "CarePlan.goal",
"path": "CarePlan.goal",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective"
} ],
"mapping": [ {
"map": "NL-CM:14.2.14",
"comment": "TreatmentObjective",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ]
}, {
"id": "CarePlan.activity",
"path": "CarePlan.activity",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "detail.category",
"type": "pattern"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention",
"path": "CarePlan.activity",
"mapping": [ {
"map": "NL-CM:13.4.4",
"comment": "Intervention",
"identity": "hcim-outcomeofcare-v3.2-2018EN"
}, {
"map": "NL-CM:14.2.1",
"comment": "NursingIntervention",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"sliceName": "nursingIntervention",
"constraint": [ {
"key": "hicm-outcomeofcare-1",
"human": "Provide a HealthcareResult text or a reference, not both",
"severity": "error",
"expression": "outcomeCodeableConcept.empty() or outcomeReference.empty()"
} ]
}, {
"id": "CarePlan.activity:nursingIntervention.extension",
"path": "CarePlan.activity.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention.extension:comment",
"max": "1",
"path": "CarePlan.activity.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/Comment"
} ],
"sliceName": "comment",
"definition": "Comment on the nursing intervention."
}, {
"id": "CarePlan.activity:nursingIntervention.extension:comment.valueString:valueString",
"path": "CarePlan.activity.extension.valueString",
"mapping": [ {
"map": "NL-CM:14.2.5",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"sliceName": "valueString"
}, {
"id": "CarePlan.activity:nursingIntervention.outcomeCodeableConcept",
"max": "1",
"path": "CarePlan.activity.outcomeCodeableConcept"
}, {
"id": "CarePlan.activity:nursingIntervention.outcomeCodeableConcept.text",
"path": "CarePlan.activity.outcomeCodeableConcept.text",
"alias": [ "Zorgresultaat" ],
"short": "HealthcareResult",
"mapping": [ {
"map": "NL-CM:13.4.5",
"comment": "HealthcareResult",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"definition": "The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result."
}, {
"id": "CarePlan.activity:nursingIntervention.outcomeReference",
"max": "1",
"path": "CarePlan.activity.outcomeReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus"
} ],
"alias": [ "Meetwaarde", "Gezondheidstoestand" ],
"short": "MeasurementValue / HealthCondition",
"mapping": [ {
"map": "NL-CM:13.4.2",
"comment": "MeasurementValue",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
}, {
"map": "NL-CM:13.4.3",
"comment": "HealthCondition",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
} ],
"definition": "Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit or a description of the patient’s health condition in the form of a functional and/or mental status."
}, {
"id": "CarePlan.activity:nursingIntervention.reference",
"path": "CarePlan.activity.reference",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Appointment"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/CommunicationRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Task"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/VisionPrescription"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RequestGroup"
} ],
"comment": "Requester information should be captured and exchanged in the resource ProcedureRequest referenced by activity.referenc. Requester is the healthcare provider and/or organization where or by whom the NursingInterverntion was requested. There are a few required elements in ProcedureRequest\r\n - ProcedureRequest.status (use fixed value \"active\", unless you know what the actual value is)\r\n - ProcedureRequest.intent (use fixed value \"order\", unless you know what the actual value is)\r\n - ProcedureRequest.code (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html met valueCode UNK, unless you know what the actual value is)\r\n - ProcedureRequest.subject (equal to Observation.subject)\r\n - ProcedureRequest.requester.agent (contains the requesting HealthProfessional)",
"mapping": [ {
"map": "NL-CM:14.2.8",
"comment": "Requester",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "The details of the proposed activity represented in a specific resource.\r\nUsed for example to provide the details of the health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.extension",
"path": "CarePlan.activity.detail.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention.detail.extension:medicalDevice",
"path": "CarePlan.activity.detail.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
} ],
"alias": [ "MedischHulpmiddel" ],
"short": "MedicalDevice",
"sliceName": "medicalDevice",
"definition": "Description of the materials used for the nursing procedure, such as bandages."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.extension:medicalDevice.valueReference:valueReference",
"path": "CarePlan.activity.detail.extension.valueReference",
"mapping": [ {
"map": "NL-CM:14.2.13",
"comment": "MedicalDevice",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"sliceName": "valueReference"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.category",
"min": 1,
"path": "CarePlan.activity.detail.category",
"short": "Nursing procedure",
"definition": "High-level categorization of the type of activity in a care plan. This slice defines a nursing procedure conform the HCIM NursingIntervention.",
"patternCodeableConcept": {
"coding": [ {
"code": "9632001",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code",
"min": 1,
"path": "CarePlan.activity.detail.code",
"alias": [ "Interventie" ],
"short": "Intervention",
"mapping": [ {
"map": "NL-CM:14.2.2",
"comment": "Intervention",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"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."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding",
"path": "CarePlan.activity.detail.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist",
"max": "1",
"path": "CarePlan.activity.detail.code.coding",
"short": "interventionNICCodelist",
"binding": {
"strength": "extensible",
"description": "NIC - All Values",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000"
}
},
"sliceName": "interventionNICCodelist"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist.system",
"min": 1,
"path": "CarePlan.activity.detail.code.coding.system"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist.code",
"min": 1,
"path": "CarePlan.activity.detail.code.coding.code"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist",
"max": "1",
"path": "CarePlan.activity.detail.code.coding",
"short": "interventionSnomedCodelist",
"binding": {
"strength": "extensible",
"description": "SNOMED CT - SNOMED CT: <<71388002 | procedure |",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000"
}
},
"sliceName": "interventionSnomedCodelist"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist.system",
"min": 1,
"path": "CarePlan.activity.detail.code.coding.system"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist.code",
"min": 1,
"path": "CarePlan.activity.detail.code.coding.code"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.reasonReference",
"max": "1",
"path": "CarePlan.activity.detail.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
} ],
"alias": [ "Indicatie" ],
"short": "Indication",
"mapping": [ {
"map": "NL-CM:14.2.6",
"comment": "Indication",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "The nursing-related problem (indication) providing cause for the intervention."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.goal",
"max": "1",
"path": "CarePlan.activity.detail.goal",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective"
} ],
"alias": [ "Behandeldoel" ],
"short": "TreatmentObjective",
"mapping": [ {
"map": "NL-CM:14.2.14",
"comment": "TreatmentObjective",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "The description of the treatment goal that the intervention decision is based on."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming",
"path": "CarePlan.activity.detail.scheduledTiming",
"type": [ {
"code": "Timing"
} ],
"sliceName": "scheduledTiming"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod",
"path": "CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod",
"type": [ {
"code": "Period"
} ],
"sliceName": "boundsPeriod"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start",
"path": "CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start",
"alias": [ "ActieStartDatumTijd" ],
"short": "ProcedureStartDateTime",
"mapping": [ {
"map": "NL-CM:14.2.11",
"comment": "ProcedureStartDateTime",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"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."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end",
"path": "CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end",
"alias": [ "ActieEindDatumTijd" ],
"short": "ProcedureEndDateTime",
"mapping": [ {
"map": "NL-CM:14.2.12",
"comment": "ProcedureEndDateTime",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"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."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.frequency",
"path": "CarePlan.activity.detail.scheduledTiming.repeat.frequency",
"alias": [ "Frequentie" ],
"short": "Frequency",
"mapping": [ {
"map": "NL-CM:14.2.4",
"comment": "Frequency",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.period",
"path": "CarePlan.activity.detail.scheduledTiming.repeat.period",
"alias": [ "Interval" ],
"short": "Interval",
"mapping": [ {
"map": "NL-CM:14.2.3",
"comment": "Interval",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "\"Interval indicates the time between planned procedures.\nWhen 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.\""
}, {
"id": "CarePlan.activity:nursingIntervention.detail.location",
"path": "CarePlan.activity.detail.location",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
} ]
}, {
"id": "CarePlan.activity:nursingIntervention.detail.performer",
"path": "CarePlan.activity.detail.performer",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-careteam"
} ],
"alias": [ "Uitvoerder", "Zorgverlener", "Verzorger", "Patient" ],
"short": "Performer",
"mapping": [ {
"map": "NL-CM:14.2.15",
"comment": "Performer",
"identity": "hcim-nursingintervention-v3.2-2018EN"
}, {
"map": "NL-CM:14.2.7",
"comment": "HealthcareProvider",
"identity": "hcim-nursingintervention-v3.2-2018EN"
}, {
"map": "NL-CM:14.2.16",
"comment": "Caregiver",
"identity": "hcim-nursingintervention-v3.2-2018EN"
}, {
"map": "NL-CM:14.2.17",
"comment": "Patient",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"definition": "The person carrying out the nursing procedure. Can be the health professional, caregiver or the patient."
}, {
"id": "CarePlan.activity:nursingIntervention.detail.performer.extension",
"path": "CarePlan.activity.detail.performer.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "CarePlan.activity:nursingIntervention.detail.performer.extension:practitionerRole",
"max": "1",
"path": "CarePlan.activity.detail.performer.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "CarePlan.activity:nursingIntervention.detail.description",
"path": "CarePlan.activity.detail.description",
"short": "Instruction",
"mapping": [ {
"map": "NL-CM:14.2.18",
"comment": "Instruction",
"identity": "hcim-nursingintervention-v3.2-2018EN"
} ],
"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."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/CarePlan"
}