{ "description": "An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToEat v3.1(2017EN).\\r\\n\\r\\nBeing able to independently prepare and consume food is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself.\\r\\nThis activity and activities such as those including drinking, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.", "_filename": "zib-AbilityToEat.json", "package_name": "nictiz.fhir.nl.stu3.zib2017", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "3.0.2", "purpose": "# Purpose of HCIM\r\nInformation on limitations in a patient’s ability to make and eat their own food is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it offers the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient.\r\nIf policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment.\r\n\r\n# Purpose of this profile\r\nThis profile is part of a group of statements regarding the patients ability to perform activities of daily living (ADL). Each statement applies to the current situation and is modeled as an observation regarding one aspect of these abilities.\r\nAlthough the FHIR ClinicalImpression resource is a better fit than the Observation resource for these kinds of records, ClinicalImpression is still highly experimental at the time of writing and doesn't map very well to the HCIM. Therefore, the more mature Observation resource is chosen.", "name": "Zib AbilityToEat", "mapping": [ { "uri": "https://zibs.nl/wiki/AbilityToEat-v3.1(2017EN)", "name": "HCIM AbilityToEat-v3.1(2017EN)", "identity": "hcim-abilitytoeat-v3.1-2017EN" } ], "abstract": false, "copyright": "CC0", "type": "Observation", "experimental": null, "resourceType": "StructureDefinition", "title": "HCIM AbilityToEat", "package_version": "2.1.0", "status": "active", "id": "4c8d9e35-64dc-4d81-9f66-38231554ae0f", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToEat", "version": "1.0.0", "differential": { "element": [ { "id": "Observation", "path": "Observation", "alias": [ "VermogenTotEten" ], "mapping": [ { "map": "NL-CM:4.7.1", "comment": "AbilityToEat", "identity": "hcim-abilitytoeat-v3.1-2017EN" } ] }, { "id": "Observation.code.coding", "min": 1, "path": "Observation.code.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "code", "type": "value" } ] } }, { "id": "Observation.code.coding:AbilityToEat", "max": "1", "min": 1, "path": "Observation.code.coding", "sliceName": "AbilityToEat" }, { "id": "Observation.code.coding:AbilityToEat.system", "min": 1, "path": "Observation.code.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Observation.code.coding:AbilityToEat.code", "min": 1, "path": "Observation.code.coding.code", "fixedCode": "288883002" }, { "id": "Observation.code.coding:AbilityToEat.display", "path": "Observation.code.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "defaultValueString": "Ability to eat" }, { "path": "Observation.valueCodeableConcept", "min": 1, "definition": "Feeding oneself: bringing food to the mouth and feeding oneself until satisfied.", "short": "Eating", "mapping": [ { "map": "NL-CM:4.7.3", "comment": "Eten", "identity": "hcim-abilitytoeat-v3.1-2017EN" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "EtenCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.7.1--20171231000000" } }, "alias": [ "Eten" ], "id": "Observation.value[x]:valueCodeableConcept" }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "rules": "open", "discriminator": [ { "path": "code", "type": "pattern" } ] } }, { "id": "Observation.component:EatingLimitations", "path": "Observation.component", "sliceName": "EatingLimitations" }, { "id": "Observation.component:EatingLimitations.code", "path": "Observation.component.code", "patternCodeableConcept": { "coding": [ { "code": "288843005", "system": "http://snomed.info/sct" } ] } }, { "path": "Observation.component.valueCodeableConcept", "definition": "Eating constraints specify the patient’s constraints in eating.", "short": "EatingLimitations", "mapping": [ { "map": "NL-CM:4.7.4", "comment": "EatingLimitations", "identity": "hcim-abilitytoeat-v3.1-2017EN" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "EetBeperkingenCodelijst", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.7.2--20171231000000" } }, "alias": [ "EetBeperkingen" ], "id": "Observation.component:EatingLimitations.value[x]:valueCodeableConcept" } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "info@nictiz.nl", "system": "email" } ] } ], "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation" }