{
"description": "A feeding tube is a special catheter used to:\\r\\n* administer liquid food to people who are incapable of oral intake of food or liquid,\\r\\n* administer medication,\\r\\n* drain (siphon) or pump out gastric juice.\\r\\n\\r\\nThere are different ways to place a feeding tube. A feeding tube can be inserted through the nose, in the stomach or in the intestines (duodenum, jejunum). \\r\\n\\r\\nPercutaneous endoscopic gastrostomy (PEG) is a technique in which a feeding tube is placed into the stomach through the abdominal wall. This thin tube (PEG tube) is used to feed a patient who is incapable of oral food intake for a prolonged period of time.",
"_filename": "zib-FeedingTubeSystem.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"purpose": "The purpose of a feeding tube is usually to administer food and/or medication. \r\nInformation on present feeding tubes is recorded to inform other health professionals. This information is of importance in determining the care required for the patient and in safely administering medication. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example.",
"name": "Zib FeedingTubeSystem",
"mapping": [ {
"uri": "https://zibs.nl/wiki/FeedingTubeSystem-v3.2(2017EN)",
"name": "HCIM FeedingTubeSystem-v3.2(2017EN)",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "DeviceUseStatement",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM FeedingTubeSystem",
"package_version": "2.3.1",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "DeviceUseStatement",
"min": 0,
"definition": "FeedingTube describes the presence of a feeding tube. If this is the case, the date of placement and insertion location can be described in addition to the type of feeding tube. Furthermore, it offers the option to record identification information of the feeding tube if desired.",
"short": "FeedingTubeSystem",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "DeviceUsePerformanceOccurrence",
"identity": "quick"
}, {
"map": "workflow.order",
"identity": "w5"
}, {
"map": "NL-CM:10.1.1",
"comment": "MedicalAid",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.1",
"comment": "MedicalAid",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.1",
"comment": "MedicalDevice",
"identity": "hcim-medicaldevice-v3.1-2017EN"
}, {
"map": "NL-CM:10.3.1",
"comment": "FeedingTubeSystem",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
}, {
"map": "NL-CM:10.3.2",
"comment": "FeedingTube",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"alias": [ "MedischHulpmiddel", "SondeSysteem" ],
"max": "*",
"id": "DeviceUseStatement",
"comment": "The HCIM FeedingTubeSystem is represented in a DeviceUseStatement that has additional elements not covered in the 'root' HCIM such as the date of placement and insertion locations. The reference (NL-CM:10.3.2) toward another DeviceUseStatement to describe the presense of a feeding tube is ommited. This should be described within this DeviceUseStatement, which has a mandatory reference to a Device profile to capture the FeedingTube ProductType.",
"base": {
"max": "*",
"min": 0,
"path": "Resource"
}
}, {
"path": "DeviceUseStatement.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "DeviceUseStatement.id",
"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.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "DeviceUseStatement.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.implicitRules",
"min": 0,
"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.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "DeviceUseStatement.implicitRules",
"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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "DeviceUseStatement.language",
"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).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "DeviceUseStatement.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may 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.",
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "DeviceUseStatement.text",
"condition": [ "dom-1" ],
"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 in formation is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "DeviceUseStatement.contained",
"min": 0,
"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.",
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "DeviceUseStatement.contained",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "The healthcare provider at which use of the medical aid was initiated or where the aid was implanted.",
"short": "HealthcareProvider",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "NL-CM:10.1.8",
"comment": "Location",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.8",
"comment": "Location",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.8",
"comment": "Location",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization"
} ],
"sliceName": "HealthcareProvider",
"alias": [ "extensions", "user content", "Zorgaanbieder" ],
"max": "1",
"id": "DeviceUseStatement.extension:HealthcareProvider",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "The healthcare provider involved in the indication for use of the medical aid implant.",
"short": "HealthProfessional",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "NL-CM:10.1.9",
"comment": "HealthcareProvider",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.9",
"comment": "HealthcareProvider",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.9",
"comment": "HealthProfessional",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
} ],
"sliceName": "HealthProfessional",
"alias": [ "extensions", "user content", "Zorgverlener" ],
"max": "1",
"id": "DeviceUseStatement.extension:HealthProfessional",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "DeviceUseStatement.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:HealthProfessional.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "DeviceUseStatement.extension:HealthProfessional.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:HealthProfessional.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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "DeviceUseStatement.extension.valueReference",
"min": 0,
"definition": "The healthcare provider involved in the indication for use of the medical device implant.",
"short": "HealthProfessional",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole"
} ],
"sliceName": "valueReference",
"alias": [ "Zorgverlener" ],
"max": "1",
"id": "DeviceUseStatement.extension:HealthProfessional.value[x]:valueReference",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/deviceUseStatement-reasonReferenceSTU3",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "Another resource whose existence justifies this DeviceUseStatement.",
"short": "Why was DeviceUseStatement performed?",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/deviceUseStatement-reasonReferenceSTU3"
} ],
"sliceName": "reasonReference",
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.extension:reasonReference",
"condition": [ "ele-1" ],
"comment": "This extension is backported from the offical HL7 DeviceUseStatement specification in FHIR R4.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-FeedingTubeLength",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "The input length of the feeding tube in cm for the patient in question as determined by formulas based on for example the NEX i.e. nosepoint-earlobe-xyphoid distance (adults) or body length (children).",
"short": "FeedingTubeLength",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "NL-CM:10.3.8",
"comment": "FeedingTubeLength",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-FeedingTubeLength"
} ],
"sliceName": "FeedingTubeLength",
"alias": [ "extensions", "user content", "SondeLengte" ],
"max": "*",
"id": "DeviceUseStatement.extension:FeedingTubeLength",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-EnteralNutrition",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "The description of the fluid administered through the feeding tube and the dose administered, as given in the medication prescription.\r\n\r\nThough most cases involve food being administered through the feeding tube, medication is often administered through these tubes as well.",
"short": "EnteralNutrition",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "NL-CM:10.3.3",
"comment": "EnteralNutrition",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-EnteralNutrition"
} ],
"sliceName": "EnteralNutrition",
"alias": [ "extensions", "user content", "SondeVoeding" ],
"max": "*",
"id": "DeviceUseStatement.extension:EnteralNutrition",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "A description of aids required to use the feeding tube, such as an enteral feeding pump or a vacuum pump in the event of draining fluid.",
"short": "MedicalDevice",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "NL-CM:10.3.7",
"comment": "MedicalDevice",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
} ],
"sliceName": "MedicalDevice",
"alias": [ "extensions", "user content", "MedischHulpmiddel" ],
"max": "*",
"id": "DeviceUseStatement.extension:MedicalDevice",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "DeviceUseStatement.modifierExtension",
"min": 0,
"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. Usually modifier elements provide negation or qualification. In order 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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "DeviceUseStatement.identifier",
"min": 0,
"definition": "An external identifier for this statement such as an IRI.",
"short": "External identifier for this record",
"mapping": [ {
"map": "ClinicalStatement.identifier",
"identity": "quick"
}, {
"map": "id",
"identity": "w5"
}, {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "DeviceUseStatement.identifier",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.identifier"
}
}, {
"path": "DeviceUseStatement.status",
"min": 1,
"definition": "A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.",
"isModifier": true,
"short": "active | completed | entered-in-error +",
"mapping": [ {
"map": ".statusCode",
"identity": "rim"
}, {
"map": "…status",
"identity": "quick"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DeviceUseStatementStatus"
} ],
"description": "A coded concept indicating the current status of a the Device Usage",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/device-statement-status"
}
},
"max": "1",
"id": "DeviceUseStatement.status",
"comment": "DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).\n\nThis element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.status"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.subject",
"min": 1,
"definition": "The patient who used the device.",
"short": "Patient using device",
"mapping": [ {
"map": "ClinicalStatement.subject",
"identity": "quick"
}, {
"map": "who.focus",
"identity": "w5"
}, {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"max": "1",
"id": "DeviceUseStatement.subject",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.subject"
}
}, {
"path": "DeviceUseStatement.whenUsed",
"min": 0,
"definition": "The time period over which the device was used.",
"short": "Time range defined by start and end date/time",
"mapping": [ {
"map": "Performance.performanceTime",
"identity": "quick"
}, {
"map": "when.done",
"identity": "w5"
}, {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "Period"
} ],
"alias": [ "Tijdsduur gedefinieerd door start- en einddatum/tijd" ],
"max": "1",
"id": "DeviceUseStatement.whenUsed",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.whenUsed"
}
}, {
"path": "DeviceUseStatement.whenUsed.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.whenUsed.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.whenUsed.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.whenUsed.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.whenUsed.start",
"min": 0,
"definition": "The start date of the first use or implant of the medical aid. A ‘vague’ date, such as only the year, is permitted.",
"short": "StartDate",
"mapping": [ {
"map": "DR.1",
"identity": "v2"
}, {
"map": "./low",
"identity": "rim"
}, {
"map": "NL-CM:10.1.11",
"comment": "StartDate",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.11",
"comment": "StartDate",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.11",
"comment": "StartDate",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "dateTime"
} ],
"alias": [ "BeginDatum" ],
"max": "1",
"id": "DeviceUseStatement.whenUsed.start",
"condition": [ "per-1" ],
"comment": "If the low element is missing, the meaning is that the low boundary is not known.",
"base": {
"max": "1",
"min": 0,
"path": "Period.start"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.whenUsed.end",
"min": 0,
"definition": "The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
"short": "End time with inclusive boundary, if not ongoing",
"mapping": [ {
"map": "DR.2",
"identity": "v2"
}, {
"map": "./high",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
"max": "1",
"id": "DeviceUseStatement.whenUsed.end",
"condition": [ "per-1" ],
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.",
"base": {
"max": "1",
"min": 0,
"path": "Period.end"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.timing[x]",
"min": 0,
"definition": "How often the device was used.",
"short": "How often the device was used",
"mapping": [ {
"map": "DeviceUse.applicationSchedule",
"identity": "quick"
}, {
"map": "when.done",
"identity": "w5"
} ],
"type": [ {
"code": "Timing"
}, {
"code": "Period"
}, {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.timing[x]",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.timing[x]"
}
}, {
"path": "DeviceUseStatement.recordedOn",
"min": 0,
"definition": "The time at which the statement was made/recorded.",
"short": "When statement was recorded",
"mapping": [ {
"map": "ClinicalStatement.statementDateTime",
"identity": "quick"
}, {
"map": "when.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.recordedOn",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.recordedOn"
}
}, {
"path": "DeviceUseStatement.source",
"min": 0,
"definition": "Who reported the device was being used by the patient.",
"short": "Who made the statement",
"mapping": [ {
"map": "who.actor",
"identity": "w5"
}, {
"map": "NL-CM:0.0.2",
"comment": "InformationSource",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"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"
} ],
"max": "1",
"id": "DeviceUseStatement.source",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.source"
}
}, {
"path": "DeviceUseStatement.source.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.source.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.source.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.source.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.source.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"short": "Optional Extensions Element",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "DeviceUseStatement.source.extension:practitionerRole",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.source.reference",
"min": 0,
"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.",
"short": "Literal reference, Relative, internal or absolute URL",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DeviceUseStatement.source.reference",
"condition": [ "ref-1" ],
"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.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.reference"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.source.identifier",
"min": 0,
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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.",
"short": "Logical reference, when literal reference is not known",
"mapping": [ {
"map": ".identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "DeviceUseStatement.source.identifier",
"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.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.identifier"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.source.display",
"min": 0,
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"short": "Text alternative for the resource",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DeviceUseStatement.source.display",
"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.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.display"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.device",
"min": 1,
"definition": "The details of the device used.",
"short": "Reference to device used",
"mapping": [ {
"map": "DeviceUse.device",
"identity": "quick"
}, {
"map": "who.actor",
"identity": "w5"
}, {
"map": "NL-CM:10.1.2",
"comment": "Product",
"identity": "hcim-medicaldevice-v3.1-2017EN"
}, {
"map": "NL-CM:10.1.3",
"comment": "ProductType. HCIM MedicalDevice NL-CM:10.1.3 ProductType is overridden in HCIM FeedingTubeSystem with specific terminology 'SondeTypeCodelijst' (2.16.840.1.113883.2.4.3.11.60.40.2.10.3.1)",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-Product"
} ],
"max": "1",
"id": "DeviceUseStatement.device",
"comment": "Reference to a derived MedicalDevice Product (Device) profile to capture the ProductType (NL-CM:10.1.3).",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.device"
}
}, {
"path": "DeviceUseStatement.indication",
"min": 0,
"definition": "Reason or justification for the use of the device.",
"short": "Why device was used",
"mapping": [ {
"map": "Action.indication.reason",
"identity": "quick"
}, {
"map": "why",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "DeviceUseStatement.indication",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.indication"
}
}, {
"path": "DeviceUseStatement.indication.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.indication.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.indication.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.indication.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Problem",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.indication.extension",
"min": 0,
"definition": "The medical reason for use of the medical device.",
"short": "Indication-Probleem",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "NL-CM:10.1.7",
"comment": "Indication",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.7",
"comment": "Indication",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.7",
"comment": "Indication",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Problem"
} ],
"sliceName": "indication_Problem",
"alias": [ "extensions", "user content", "Indicatie" ],
"max": "*",
"id": "DeviceUseStatement.indication.extension:indication_Problem",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.indication.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "*",
"id": "DeviceUseStatement.indication.coding",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.indication.text",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"short": "Plain text representation of the concept",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DeviceUseStatement.indication.text",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.bodySite",
"requirements": "Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/body-site-instance](null.html).",
"min": 0,
"definition": "Patient’s anatomical location of the medical device used.",
"short": "AnatomicalLocation",
"mapping": [ {
"map": "targetSiteCode",
"identity": "rim"
}, {
"map": "NL-CM:10.1.6",
"comment": "AidAnatomicalLocation",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.6",
"comment": "AidAnatomicalLocation",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.6",
"comment": "AnatomicalLocation",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "Patient’s anatomical location of the medical aid used.",
"valueSetReference": {
"display": "HulpmiddelAnatomischeLocatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.2--20171231000000"
}
},
"alias": [ "AnatomischeLocatie" ],
"max": "1",
"id": "DeviceUseStatement.bodySite",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.bodySite"
}
}, {
"path": "DeviceUseStatement.bodySite.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.bodySite.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.bodySite.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.bodySite.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.bodySite.extension",
"min": 0,
"definition": "Laterality adds information about body side to the anatomic location, e.g. left",
"short": "Laterality",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
} ],
"sliceName": "Laterality",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "DeviceUseStatement.bodySite.extension:Laterality",
"condition": [ "ele-1" ],
"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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.bodySite.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.bodySite.extension:Laterality.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.bodySite.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "DeviceUseStatement.bodySite.extension:Laterality.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.bodySite.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.bodySite.extension:Laterality.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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "DeviceUseStatement.bodySite.extension.value[x]",
"min": 0,
"definition": "Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.",
"short": "BodySite qualifier",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "NL-CM:10.1.12",
"comment": "Laterality",
"identity": "hcim-medicaldevice-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"description": "MedicalDeviceLateralityCodelist",
"valueSetReference": {
"display": "MedischHulpmiddelLateraliteitCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.4--20171231000000"
}
},
"max": "1",
"id": "DeviceUseStatement.bodySite.extension:Laterality.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "DeviceUseStatement.bodySite.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "*",
"id": "DeviceUseStatement.bodySite.coding",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.bodySite.text",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"short": "Plain text representation of the concept",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DeviceUseStatement.bodySite.text",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.note",
"min": 0,
"definition": "Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
"short": "Addition details (comments, instructions)",
"mapping": [ {
"map": "ClinicalStatement.additionalText",
"identity": "quick"
} ],
"type": [ {
"code": "Annotation"
} ],
"max": "*",
"id": "DeviceUseStatement.note",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.note"
}
}, {
"path": "DeviceUseStatement.note.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.note.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DeviceUseStatement.note.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.note.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DeviceUseStatement.note.author[x]",
"min": 0,
"definition": "The individual responsible for making the annotation.",
"short": "Individual responsible for the annotation",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.participant[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}, {
"code": "string"
} ],
"max": "1",
"id": "DeviceUseStatement.note.author[x]",
"base": {
"max": "1",
"min": 0,
"path": "Annotation.author[x]"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.note.time",
"min": 0,
"definition": "Indicates when this particular annotation was made.",
"short": "When the annotation was made",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.effectiveTime",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.note.time",
"base": {
"max": "1",
"min": 0,
"path": "Annotation.time"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.note.text",
"min": 1,
"definition": "A comment on the feeding tube.",
"short": "Comment",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.text",
"identity": "rim"
}, {
"map": "NL-CM:10.1.10",
"comment": "Explanation",
"identity": "hcim-medicaldevice-v1.2-2015EN"
}, {
"map": "NL-CM:10.1.10",
"comment": "Explanation",
"identity": "hcim-medicaldevice-v3.0-2016EN"
}, {
"map": "NL-CM:10.1.10",
"comment": "Comment",
"identity": "hcim-medicaldevice-v3.1-2017EN"
}, {
"map": "NL-CM:10.3.6",
"comment": "Comment",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Toelichting" ],
"max": "1",
"id": "DeviceUseStatement.note.text",
"base": {
"max": "1",
"min": 1,
"path": "Annotation.text"
}
} ]
},
"status": "active",
"id": "4a2816ed-5261-4645-9f74-e1b959c797a1",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem",
"version": "1.0.2",
"differential": {
"element": [ {
"id": "DeviceUseStatement",
"path": "DeviceUseStatement",
"alias": [ "SondeSysteem" ],
"short": "FeedingTubeSystem",
"comment": "The HCIM FeedingTubeSystem is represented in a DeviceUseStatement that has additional elements not covered in the 'root' HCIM such as the date of placement and insertion locations. The reference (NL-CM:10.3.2) toward another DeviceUseStatement to describe the presense of a feeding tube is ommited. This should be described within this DeviceUseStatement, which has a mandatory reference to a Device profile to capture the FeedingTube ProductType.",
"mapping": [ {
"map": "NL-CM:10.3.1",
"comment": "FeedingTubeSystem",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
}, {
"map": "NL-CM:10.3.2",
"comment": "FeedingTube",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"definition": "FeedingTube describes the presence of a feeding tube. If this is the case, the date of placement and insertion location can be described in addition to the type of feeding tube. Furthermore, it offers the option to record identification information of the feeding tube if desired."
}, {
"id": "DeviceUseStatement.extension",
"path": "DeviceUseStatement.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "DeviceUseStatement.extension:FeedingTubeLength",
"path": "DeviceUseStatement.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-FeedingTubeLength"
} ],
"mapping": [ {
"map": "NL-CM:10.3.8",
"comment": "FeedingTubeLength",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"sliceName": "FeedingTubeLength"
}, {
"id": "DeviceUseStatement.extension:EnteralNutrition",
"path": "DeviceUseStatement.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-EnteralNutrition"
} ],
"mapping": [ {
"map": "NL-CM:10.3.3",
"comment": "EnteralNutrition",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"sliceName": "EnteralNutrition"
}, {
"id": "DeviceUseStatement.extension:MedicalDevice",
"path": "DeviceUseStatement.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
} ],
"alias": [ "MedischHulpmiddel" ],
"short": "MedicalDevice",
"mapping": [ {
"map": "NL-CM:10.3.7",
"comment": "MedicalDevice",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"sliceName": "MedicalDevice",
"definition": "A description of aids required to use the feeding tube, such as an enteral feeding pump or a vacuum pump in the event of draining fluid."
}, {
"id": "DeviceUseStatement.device",
"path": "DeviceUseStatement.device",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-Product"
} ],
"comment": "Reference to a derived MedicalDevice Product (Device) profile to capture the ProductType (NL-CM:10.1.3).",
"mapping": [ {
"map": "NL-CM:10.1.3",
"comment": "ProductType. HCIM MedicalDevice NL-CM:10.1.3 ProductType is overridden in HCIM FeedingTubeSystem with specific terminology 'SondeTypeCodelijst' (2.16.840.1.113883.2.4.3.11.60.40.2.10.3.1)",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ]
}, {
"id": "DeviceUseStatement.note.text",
"path": "DeviceUseStatement.note.text",
"mapping": [ {
"map": "NL-CM:10.3.6",
"comment": "Comment",
"identity": "hcim-feedingtubesystem-v3.2-2017EN"
} ],
"definition": "A comment on the feeding tube."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice"
}