{
"description": "Problem as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.\\r\\n\\r\\nA problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy. A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems:\\r\\n \\r\\n* A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia.\\r\\n* A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth;\\r\\n* A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.\\r\\n* A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.\\r\\n* A complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.",
"_filename": "zib-Problem.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": "2017-01-11T14:30:21.5094956+01:00",
"derivation": "constraint",
"meta": {
"versionId": "1",
"lastUpdated": "2018-02-28T15:38:07.521+01:00"
},
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "An overview of a patient’s health problems has the purpose of informing all healthcare providers involved in the patient’s care on the patient’s current and past health condition. It provides insight into which problems require medical action, which are under control and which are no longer current. The problem overview also directly provides medical context for medication administered and procedures carried out.\r\nThe overview promotes an efficient, targeted continuation of the patient’s care.\r\nA complete list of problems is of importance for automated decision support and determining contraindications.",
"name": "Zib Problem",
"mapping": [ {
"uri": "https://zibs.nl/wiki/ConcernForTransfer-v1.2(2015EN)",
"name": "HCIM ConcernForTransfer-v1.2(2015EN)",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/ConcernForTransfer-v3.0(2016EN)",
"name": "HCIM ConcernForTransfer-v3.0(2016EN)",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/Problem-v4.1(2017EN)",
"name": "HCIM Problem-v4.1(2017EN)",
"comment": "ConcernForTransfer is renamed to Problem with release 2017 of the HCIMs.",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Condition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM Problem",
"package_version": "1.0.0",
"status": "active",
"id": "7274042c-b6ba-45a7-9818-5f16038d3648",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem",
"version": "2.0",
"differential": {
"element": [ {
"id": "Condition",
"path": "Condition",
"alias": [ "Concern", "Probleem" ],
"short": "Problem",
"mapping": [ {
"map": "NL-CM:5.1.1",
"comment": "Concern",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.2",
"comment": "Problem",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.1",
"comment": "Concern",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.2",
"comment": "Problem",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.1",
"comment": "Problem",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint) or by their healthcare provider (in the form of a diagnosis, for example)."
}, {
"id": "Condition.clinicalStatus",
"min": 1,
"path": "Condition.clinicalStatus",
"alias": [ "ProbleemStatus" ],
"short": "ProblemStatus",
"mapping": [ {
"map": "NL-CM:5.1.4",
"comment": "ProblemStatus",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.4",
"comment": "ProblemStatus",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.4",
"comment": "ProblemStatus",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "The problem status describes the condition of the problem: \r\n\r\n - Active problems are problems of which the patient experiences symptoms or for which evidence exists.
\r\n - Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore..
\r\n
"
}, {
"id": "Condition.verificationStatus",
"path": "Condition.verificationStatus",
"alias": [ "VerificatieStatus" ],
"short": "VerificationStatus",
"mapping": [ {
"map": "NL-CM:5.1.10",
"comment": "VerificationStatus",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "Clinical status of the problem or the diagnosis."
}, {
"id": "Condition.category",
"path": "Condition.category",
"alias": [ "ProbleemType" ],
"short": "ProblemType",
"binding": {
"strength": "extensible",
"description": "The type of problem.",
"valueSetReference": {
"display": "ProbleemTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:5.1.8",
"comment": "ProblemType",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.8",
"comment": "ProblemType",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.8",
"comment": "ProblemType",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "The type of problem; see the profile description."
}, {
"id": "Condition.code",
"min": 1,
"path": "Condition.code",
"alias": [ "ProbleemNaam" ],
"short": "ProblemName",
"binding": {
"strength": "extensible",
"description": "The problem name defines the problem.",
"valueSetReference": {
"display": "ProbleemNaamCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:5.1.3",
"comment": "ProblemName",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.3",
"comment": "ProblemName",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.3",
"comment": "ProblemName",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "The problem name defines the problem. Depending on the setting, different code systems can be used. The ProblemNameCodelist provides an overview of the possible code systems."
}, {
"id": "Condition.bodySite",
"path": "Condition.bodySite",
"alias": [ "ProbleemAnatomischeLocatie" ],
"short": "ProblemAnatomicalLocation",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "ProbleemAnatomischeLocatieCodelijst",
"valueSetReference": {
"display": "ProbleemAnatomischeLocatieCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:5.1.11",
"comment": "ProblemAnatomicalLocation",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "Anatomical location which is the focus of the procedure."
}, {
"id": "Condition.bodySite.extension",
"path": "Condition.bodySite.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Condition.bodySite.extension:Laterality",
"max": "1",
"path": "Condition.bodySite.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
} ],
"alias": [ "ProbleemLateraliteit" ],
"short": "ProblemLaterality",
"sliceName": "Laterality",
"definition": "Laterality adds information about body side to the anatomic location, e.g. left"
}, {
"id": "Condition.bodySite.extension:Laterality.value[x]",
"path": "Condition.bodySite.extension.valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "ProblemLateralityCodelist",
"valueSetReference": {
"display": "ProblemLateralityCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:5.1.12",
"comment": "ProblemLaterality",
"identity": "hcim-problem-v1.2-2017EN"
} ]
}, {
"id": "Condition.subject",
"path": "Condition.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ]
}, {
"id": "Condition.context",
"path": "Condition.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Contact"
} ]
}, {
"id": "Condition.onsetPeriod:onsetPeriod",
"path": "Condition.onsetPeriod",
"type": [ {
"code": "Period"
} ],
"sliceName": "onsetPeriod"
}, {
"id": "Condition.onsetPeriod:onsetPeriod.start",
"path": "Condition.onsetPeriod.start",
"alias": [ "ProbleemBeginDatum" ],
"short": "ProblemStartDate",
"mapping": [ {
"map": "NL-CM:5.1.6",
"comment": "ProblemStartDate",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.6",
"comment": "ProblemStartDate",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.6",
"comment": "ProblemStartDate",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "Start of the disorder to which the problem applies. Especially in symptoms in which it takes longer for the final diagnosis, it is important to know not only the date of the diagnosis, but also how long the patient has had the disorder. A ‘vague’ date, such as only the year or the month and the year, is permitted."
}, {
"id": "Condition.onsetPeriod:onsetPeriod.end",
"path": "Condition.onsetPeriod.end",
"alias": [ "ProbleemEindDatum" ],
"short": "ProblemEndDate",
"mapping": [ {
"map": "NL-CM:5.1.9",
"comment": "ProblemEndDate",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "Date on which the disorder to which the problem applies, is considered not to be present anymore.This datum needs not to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted."
}, {
"id": "Condition.asserter",
"path": "Condition.asserter",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ]
}, {
"id": "Condition.note",
"path": "Condition.note",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:5.1.5",
"comment": "Explanation",
"identity": "hcim-concernfortransfer-v1.2-2015EN"
}, {
"map": "NL-CM:5.1.5",
"comment": "Explanation",
"identity": "hcim-concernfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:5.1.5",
"comment": "Comment",
"identity": "hcim-problem-v1.2-2017EN"
} ],
"definition": "Comment by the one who determined or updated the Problem."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}