{
  "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.",
  "_filename": "zib-BowelFunction.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.2",
  "purpose": "Information on bowel function disorders is important in drawing up the nursing plan and for patient care. Furthermore, information on feces (shape and color) offers additional information on the patient’s health condition.\r\nIn a transfer situation, it offers the ability to anticipate the arrival of the patient and to achieve continuity in healthcare for the patient. This way, material or expertise can be coordinated beforehand, for example.",
  "name": "Zib BowelFunction",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/BowelFunction-v3.1(2017EN)",
    "name": "HCIM BowelFunction-v3.1(2017EN)",
    "identity": "hcim-bowelfunction-v3.1-2017EN"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HCIM BowelFunction",
  "package_version": "2.2.3",
  "status": "active",
  "id": "89d4961c-025c-4c35-a8d2-42a88af6cc4e",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction",
  "version": "1.0.1",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "alias": [ "Darmfunctie" ],
      "short": "BowelFunction",
      "mapping": [ {
        "map": "NL-CM:4.15.1",
        "comment": "BowelFunction",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ]
    }, {
      "id": "Observation.extension",
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:stoma",
      "max": "1",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/observation-zibStomaReference"
      } ],
      "sliceName": "stoma"
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:bowelFunctionCoding",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "bowelFunctionCoding"
    }, {
      "id": "Observation.code.coding:bowelFunctionCoding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.code.coding:bowelFunctionCoding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "111989001"
    }, {
      "id": "Observation.comment",
      "path": "Observation.comment",
      "alias": [ "Toelichting" ],
      "short": "Comment",
      "mapping": [ {
        "map": "NL-CM:4.15.7",
        "comment": "Comment",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ],
      "definition": "A comment on the BowelFunction."
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.component:FecalContinence",
      "path": "Observation.component",
      "sliceName": "FecalContinence"
    }, {
      "id": "Observation.component:FecalContinence.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "129008009",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "path": "Observation.component.valueCodeableConcept",
      "definition": "Fecal continence is the voluntary control over the excretion of feces.",
      "short": "FecalContinence",
      "mapping": [ {
        "map": "NL-CM:4.15.2",
        "comment": "FecalContinence",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "FecesContinentieCodelijst",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1--20171231000000"
        }
      },
      "alias": [ "FecesContinentie" ],
      "id": "Observation.component:FecalContinence.value[x]:valueCodeableConcept"
    }, {
      "id": "Observation.component:Frequency",
      "path": "Observation.component",
      "sliceName": "Frequency"
    }, {
      "id": "Observation.component:Frequency.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "162098000",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "Observation.component:Frequency.value[x]:valueQuantity",
      "path": "Observation.component.valueQuantity",
      "type": [ {
        "code": "Quantity"
      } ],
      "alias": [ "Frequentie" ],
      "short": "Frequency",
      "mapping": [ {
        "map": "NL-CM:4.15.4",
        "comment": "Frequency",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ],
      "sliceName": "valueQuantity",
      "definition": "The defecation frequency."
    }, {
      "id": "Observation.component:DefecationConsistency",
      "path": "Observation.component",
      "sliceName": "DefecationConsistency"
    }, {
      "id": "Observation.component:DefecationConsistency.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "443172007",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "path": "Observation.component.valueCodeableConcept",
      "definition": "The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.",
      "short": "DefecationConsistency",
      "mapping": [ {
        "map": "NL-CM:4.15.9",
        "comment": "DefecationConsistency",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "DefecatieConsistentieCodelijst",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2--20171231000000"
        }
      },
      "alias": [ "DefecatieConsistentie" ],
      "id": "Observation.component:DefecationConsistency.value[x]:valueCodeableConcept"
    }, {
      "id": "Observation.component:DefecationColor",
      "path": "Observation.component",
      "sliceName": "DefecationColor"
    }, {
      "id": "Observation.component:DefecationColor.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "9397-1",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "path": "Observation.component.valueCodeableConcept",
      "definition": "The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease.",
      "short": "DefecationColor",
      "mapping": [ {
        "map": "NL-CM:4.15.10",
        "comment": "DefecationColor",
        "identity": "hcim-bowelfunction-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "DefecatieKleurCodelijst",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5--20171231000000"
        }
      },
      "alias": [ "DefecatieKleur" ],
      "id": "Observation.component:DefecationColor.value[x]:valueCodeableConcept"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}