{
  "description": "JournalEntry S-O-A-P (Dutch S-O-E-P) as defined in the NHG HIS Referentiemodel.",
  "_filename": "gp-JournalEntry.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.2",
  "name": "gp-JournalEntry",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "gp-JournalEntry",
  "package_version": "1.3.11",
  "status": "active",
  "id": "6b15b484-ff51-4814-aa1c-20b45a3c7f6f",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/gp-JournalEntry",
  "version": "2.0.2",
  "differential": {
    "element": [ {
      "id": "Observation.identifier",
      "max": "1",
      "path": "Observation.identifier"
    }, {
      "id": "Observation.basedOn",
      "max": "0",
      "path": "Observation.basedOn"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "short": "final",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
        "valueString": "default: final"
      } ],
      "fixedCode": "final",
      "definition": "The status of the journal entry"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "NHG SOAP Code",
      "binding": {
        "strength": "required",
        "description": "NHG SOAP codes",
        "valueSetReference": {
          "display": "JournaalregelType",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.103.11.2--20111012000000"
        }
      },
      "definition": "Subjective, Objective, Evaluation, Plan"
    }, {
      "id": "Observation.subject",
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
      } ]
    }, {
      "id": "Observation.context",
      "min": 1,
      "path": "Observation.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
      } ],
      "short": "Encounter during which this observation is made",
      "definition": "The encounter during which this journal entry was made."
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "definition": "Sending the effective date is recommended, but is otherwise understood to fall in the encounter date range.",
      "mustSupport": true
    }, {
      "id": "Observation.issued",
      "max": "0",
      "path": "Observation.issued"
    }, {
      "id": "Observation.value[x]:valueString",
      "min": 1,
      "path": "Observation.valueString",
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Journaalregel tekst" ],
      "short": "Journal Entry text",
      "sliceName": "valueString",
      "definition": "The text as recorded or generated for this journal entry."
    }, {
      "id": "Observation.dataAbsentReason",
      "max": "0",
      "path": "Observation.dataAbsentReason"
    }, {
      "id": "Observation.interpretation",
      "max": "0",
      "path": "Observation.interpretation"
    }, {
      "id": "Observation.comment",
      "max": "0",
      "path": "Observation.comment"
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.method",
      "max": "0",
      "path": "Observation.method"
    }, {
      "id": "Observation.specimen",
      "max": "0",
      "path": "Observation.specimen"
    }, {
      "id": "Observation.device",
      "max": "0",
      "path": "Observation.device"
    }, {
      "id": "Observation.referenceRange",
      "max": "0",
      "path": "Observation.referenceRange"
    }, {
      "id": "Observation.related",
      "max": "0",
      "path": "Observation.related"
    }, {
      "id": "Observation.component",
      "max": "2",
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "definition": "Journal entry Evaluation often has an ICPC code that qualifies it. Journal entry Subjective is sometimes qualified using an ICPC code too."
    }, {
      "id": "Observation.component:ICPC_S",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "ICPC_S"
    }, {
      "id": "Observation.component:ICPC_S.code",
      "path": "Observation.component.code",
      "definition": "ICPC code qualifying journal entry Subjective",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "ADMDX",
          "system": "http://hl7.org/fhir/v3/ActCode",
          "display": "admitting diagnosis"
        } ]
      }
    }, {
      "id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding"
    }, {
      "id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding.system",
      "fixedUri": "http://hl7.org/fhir/sid/icpc-1-nl"
    }, {
      "id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding.code"
    }, {
      "id": "Observation.component:ICPC_E",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "ICPC_E"
    }, {
      "id": "Observation.component:ICPC_E.code",
      "path": "Observation.component.code",
      "definition": "ICPC code qualifying journal entry Evaluation",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "DISDX",
          "system": "http://hl7.org/fhir/v3/ActCode",
          "display": "discharge diagnosis"
        } ]
      }
    }, {
      "id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding"
    }, {
      "id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding.system",
      "fixedUri": "http://hl7.org/fhir/sid/icpc-1-nl"
    }, {
      "id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept.coding.code"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}