description: 'NursingIntervention as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017 with an addaption by the ''VNN redactieraad 2018'', where a informationmodel is proposed without the NursingProcedure container and attached mandatory Activity concept.      \r\n\r\nA nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.\r\nIn a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.'
package_name: PGO.02
derivation: constraint
name: Zib NursingIntervention
type: Procedure
elements:
  category:
    index: 8
    elements:
      coding:
        index: 9
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: null
          slices:
            nursingInterventionCode:
              match: {code: '9632001'}
              schema:
                short: NursingInterventionCode
                index: 10
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 11
                  code:
                    pattern: {type: Code, value: '9632001'}
                    index: 12
                  display:
                    pattern: {type: String, value: Nursing procedure (procedure)}
                    index: 13
  usedReference:
    extensions:
      MedicalDevice: {url: h, type: Extension, short: Medical device, index: 27}
    elements:
      extension:
        index: 26
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            MedicalDevice:
              match: {url: null}
              schema: {type: Extension, short: Medical device, url: h, index: 27}
  note:
    elements:
      text: {short: Comment, index: 25}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        TreatmentObjective:
          match: {url: null}
          schema:
            short: Treatment objective
            type: Extension
            url: h
            index: 1
            elements:
              valueReference:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                index: 2
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        type: Reference
                        refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                        index: 2
        Frequency:
          match: {url: null}
          schema:
            type: Extension
            short: Frequency
            url: h
            index: 3
            elements:
              valueTiming:
                index: 4
                slicing:
                  slices:
                    valueTiming:
                      match: {}
                      schema: {index: 4}
        Interval:
          match: {url: null}
          schema: {short: Interval, type: Extension, url: h, index: 5}
          max: 1
        Instruction:
          match: {url: null}
          schema: {short: Instruction, type: Extension, url: h, index: 6}
          min: 0
          max: 1
        Requester:
          match: {url: null}
          schema: {type: Extension, short: Requester, url: h, index: 7}
  code:
    short: Intervention
    index: 14
    elements:
      coding:
        index: 15
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            interventionNICCodelist:
              match: {system: null}
              schema: {index: 16}
            interventionSnomedCodelist:
              match: {system: null}
              schema: {index: 17}
  performedPeriod:
    type: Period
    index: 19
    slicing:
      slices:
        performedPeriod:
          match: {}
          schema:
            type: Period
            index: 19
            elements:
              start: {short: ProcedureStartDateTime, index: 20}
              end: {short: ProcedureEndDateTime, index: 21}
  subject:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://hl7.org/fhir/StructureDefinition/Group']
    index: 18
  performer:
    short: Performer
    index: 22
    elements:
      actor:
        type: Reference
        short: The reference to the performer
        refers: ['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: 23
  reasonReference:
    type: Reference
    short: Indication
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://nictiz.nl/fhir/StructureDefinition/zib-Problem']
    index: 24
package_version: 1.02.1
extensions:
  TreatmentObjective:
    url: h
    short: Treatment objective
    type: Extension
    index: 1
    elements:
      valueReference:
        type: Reference
        refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
        index: 2
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                index: 2
  Frequency:
    url: h
    type: Extension
    short: Frequency
    index: 3
    elements:
      valueTiming:
        index: 4
        slicing:
          slices:
            valueTiming:
              match: {}
              schema: {index: 4}
  Interval: {url: h, max: 1, short: Interval, type: Extension, index: 5}
  Instruction: {url: h, min: 0, max: 1, short: Instruction, type: Extension, index: 6}
  Requester: {url: h, type: Extension, short: Requester, index: 7}
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention
base: http://hl7.org/fhir/StructureDefinition/Procedure
version: 1.0.0
required: [category, code]