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.'
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib Stoma
type: Observation
elements:
  identifier: {index: 0}
  code:
    elements:
      coding:
        index: 1
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: null
          slices:
            stomaCode:
              match: {code: '245857005'}
              schema:
                index: 2
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 3
                  code:
                    pattern: {type: Code, value: '245857005'}
                    index: 4
                  display: {defaultValueString: Stoma (morphologic abnormality), index: 5}
  subject:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient']
    index: 6
  effectiveDateTime:
    type: dateTime
    short: CreationDate
    index: 7
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, short: CreationDate, index: 7}
  performer:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-organization', 'http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner', 'http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson']
    index: 8
    extensions:
      practitionerRole: {url: h, max: 1, type: Extension, index: 10}
    elements:
      extension:
        index: 9
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            practitionerRole:
              match: {url: null}
              schema: {type: Extension, url: h, index: 10}
              max: 1
  valueCodeableConcept:
    short: Stoma type
    type: CodeableConcept
    index: 11
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema: {short: Stoma type, type: CodeableConcept, _required: true, index: 11}
          min: 1
  comment: {short: Comment, index: 12}
  bodySite:
    short: AnatomicalLocation
    index: 13
    extensions:
      Laterality:
        url: h
        type: Extension
        short: Laterality
        index: 15
        elements:
          valueCodeableConcept:
            index: 16
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 16}
    elements:
      extension:
        index: 14
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            Laterality:
              match: {url: null}
              schema:
                type: Extension
                short: Laterality
                url: h
                index: 15
                elements:
                  valueCodeableConcept:
                    index: 16
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 16}
package_version: 1.3.1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-Stoma
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.1.0
required: [valueCodeableConcept]