{
"description": "Stoma is defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.\\r\\n\\r\\nA stoma is an unnatural, surgically created opening connecting a body cavity with the outside world. A stoma is created e.g. as an exit opening for feces or urine in the event that they cannot leave the body naturally. In the case of a tracheostomy, the stoma is intended to facilitate breathing if that is no longer possible via the oral, nasal and throat cavity.",
"_filename": "zib-Stoma.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "Information on present stomas is recorded to inform other health professionals. This information is of importance in determining the care required for the patient. 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 Stoma",
"mapping": [ {
"uri": "https://zibs.nl/wiki/Stoma-v3.2(2017EN)",
"name": "HCIM Stoma-v3.2(2017EN)",
"identity": "hcim-stoma-v3.2-2017EN"
}, {
"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": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM Stoma",
"package_version": "1.3.2",
"status": "active",
"id": "584f58a1-393c-4e6c-b3f1-3e4c6654aa9b",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-Stoma",
"version": "1.1.0",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "Stoma" ],
"short": "Stoma",
"mapping": [ {
"map": "NL-CM:5.2.1",
"comment": "Stoma",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"definition": "Root concept of the Stoma information model. This concept contains all data elements of the Stoma information model."
}, {
"id": "Observation.identifier",
"path": "Observation.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:stomaCode",
"path": "Observation.code.coding",
"sliceName": "stomaCode"
}, {
"id": "Observation.code.coding:stomaCode.system",
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:stomaCode.code",
"path": "Observation.code.coding.code",
"fixedCode": "245857005"
}, {
"id": "Observation.code.coding:stomaCode.display",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Stoma (morphologic abnormality)"
}, {
"id": "Observation.subject",
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effectiveDateTime",
"type": [ {
"code": "dateTime"
} ],
"alias": [ "AanlegDatum" ],
"short": "CreationDate",
"mapping": [ {
"map": "NL-CM:5.2.5",
"comment": "CreationDate",
"identity": "hcim-stoma-v3.2-2017EN"
}, {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"sliceName": "effectiveDateTime",
"definition": "The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted."
}, {
"id": "Observation.performer",
"path": "Observation.performer",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"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"
} ],
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.performer.extension",
"path": "Observation.performer.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.performer.extension:practitionerRole",
"max": "1",
"path": "Observation.performer.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"path": "Observation.valueCodeableConcept",
"min": 1,
"definition": "Stoma type indicates which body cavity the stoma is in and the kind of stoma used.",
"short": "Stoma type",
"mapping": [ {
"map": "NL-CM:5.2.2",
"comment": "StomaType",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ObservationCode"
} ],
"description": "Stoma type code list",
"valueSetReference": {
"display": "StomaTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1--20171231000000"
}
},
"alias": [ "StomaType" ],
"id": "Observation.value[x]:valueCodeableConcept",
"example": [ {
"label": "Zib example of double-barrelled colostomy",
"valueCodeableConcept": {
"coding": [ {
"code": "261072008",
"system": "http://snomed.info/sct",
"display": "double-barrelled colostomy"
} ]
}
} ]
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:5.2.7",
"comment": "Comment",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"definition": "A comment on the stoma."
}, {
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"alias": [ "AnatomischeLocatie" ],
"short": "AnatomicalLocation",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "Codes describing anatomical locations for a stoma",
"valueSetReference": {
"display": "StomaAnatomischeLocatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:5.2.4",
"comment": "AnatomicalLocation",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"definition": "Anatomical location of the stoma on the patient."
}, {
"id": "Observation.bodySite.extension",
"path": "Observation.bodySite.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.bodySite.extension:Laterality",
"max": "1",
"path": "Observation.bodySite.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
} ],
"alias": [ "Lateraliteit" ],
"short": "Laterality",
"mapping": [ {
"map": "NL-CM:5.2.8",
"comment": "Laterality",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"sliceName": "Laterality"
}, {
"id": "Observation.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept",
"path": "Observation.bodySite.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "StomaLateralityCodelist",
"valueSetReference": {
"display": "StomaLateralityCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3--20171231000000"
}
},
"sliceName": "valueCodeableConcept"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}