description: An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen DarmFunctie v3.1(2017EN). An important function of the rectum in particular is the temporary storage and excretion of feces, at the moment there is cause to do so. Disrupting the bowel functions can lead to fecal incontinence and constipation.
package_name: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib BowelFunction
type: Observation
elements:
  extension:
    type: Extension
    url: h
    index: 0
    slicing:
      slices:
        stoma:
          match: {}
          schema: {type: Extension, url: h, index: 0}
          max: 1
  code:
    elements:
      coding:
        index: 1
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: 1
          slices:
            bowelFunctionCoding:
              match: {code: '111989001'}
              schema:
                _required: true
                index: 2
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 3
                  code:
                    pattern: {type: Code, value: '111989001'}
                    index: 4
                required: [system, code]
    required: [coding]
  comment: {short: Comment, index: 5}
  component:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        FecalContinence:
          match:
            code:
              coding:
              - {code: '129008009', system: 'http://snomed.info/sct'}
          schema:
            index: 7
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '129008009', system: 'http://snomed.info/sct'}
                index: 8
              value:
                short: FecalContinence
                choices: [valueCodeableConcept]
                index: 10
              valueCodeableConcept: {type: CodeableConcept, short: FecalContinence, choiceOf: value, index: 11}
        Frequency:
          match:
            code:
              coding:
              - {code: '162098000', system: 'http://snomed.info/sct'}
          schema:
            index: 12
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '162098000', system: 'http://snomed.info/sct'}
                index: 13
              value:
                short: Frequency
                choices: [valueQuantity]
                index: 15
              valueQuantity: {type: Quantity, short: Frequency, choiceOf: value, index: 16}
        DefecationConsistency:
          match:
            code:
              coding:
              - {code: '443172007', system: 'http://snomed.info/sct'}
          schema:
            index: 17
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '443172007', system: 'http://snomed.info/sct'}
                index: 18
              value:
                short: DefecationConsistency
                choices: [valueCodeableConcept]
                index: 20
              valueCodeableConcept: {type: CodeableConcept, short: DefecationConsistency, choiceOf: value, index: 21}
        DefecationColor:
          match:
            code:
              coding:
              - {code: 9397-1, system: 'http://loinc.org'}
          schema:
            index: 22
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 9397-1, system: 'http://loinc.org'}
                index: 23
              value:
                short: DefecationColor
                choices: [valueCodeableConcept]
                index: 25
              valueCodeableConcept: {type: CodeableConcept, short: DefecationColor, choiceOf: value, index: 26}
package_version: 2.3.1
extensions:
  stoma: {url: h, max: 1, type: Extension, index: 0}
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction
base: http://fhir.nl/fhir/StructureDefinition/nl-core-observation
version: 1.0.3