{
"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": "1.3.0",
"status": "active",
"id": "6459ce60-70ea-4866-a9e4-1b5563e33c53",
"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.extension",
"path": "Observation.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.extension:StomaMaterial",
"path": "Observation.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
} ],
"alias": [ "StomaMateriaal" ],
"short": "StomaMaterial",
"mapping": [ {
"map": "NL-CM:5.2.3",
"comment": "StomaMaterial",
"identity": "hcim-stoma-v3.2-2017EN"
} ],
"sliceName": "StomaMaterial",
"definition": "Stoma material describes the medical aids used, such as a skin plate (the adhesive part around the stoma), the stoma pouch (to catch the stoma output) and other stoma aids for caring for the stoma. For tracheostomies, it also describes aids such as voice prostheses and stoma filters.\r\n\r\nCatheters inserted through the stoma such as tracheal cannulas are not described in this concept. These aids must be modeled in a higher information model describing the catheter and referring to the stoma."
}, {
"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"
}