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: nictiz.fhir.nl.stu3.zib2017
derivation: constraint
name: Zib NursingIntervention
type: Procedure
elements:
  category:
    index: 10
    elements:
      coding:
        index: 11
        slicing:
          rules: open
          discriminator:
          - {path: code, type: value}
          min: null
          slices:
            nursingInterventionCode:
              match: {code: '9632001'}
              schema:
                short: NursingInterventionCode
                index: 12
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 13
                  code:
                    pattern: {type: Code, value: '9632001'}
                    index: 14
                  display: {defaultValueString: Nursing procedure (procedure), index: 15}
  report:
    type: Reference
    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TextResult']
    index: 37
  usedReference:
    extensions:
      MedicalDevice: {url: h, type: Extension, short: Medical device, index: 40}
    elements:
      extension:
        index: 39
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            MedicalDevice:
              match: {url: null}
              schema: {type: Extension, short: Medical device, url: h, index: 40}
  performed:
    choices: []
    index: 24
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        performedPeriod:
          match: {}
          schema:
            choices: [performedPeriod]
            index: 26
  performed[x]:
    elements:
      start: {short: ProcedureStartDateTime, index: 28}
      end: {short: ProcedureEndDateTime, index: 29}
  note:
    elements:
      text: {short: Comment, index: 38}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        TreatmentObjective:
          match: {url: 'http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal'}
          schema:
            short: Treatment objective
            type: Extension
            url: h
            index: 1
            elements:
              url:
                pattern: {type: Uri, value: 'http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal'}
                index: 2
              valueReference:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                index: 3
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        type: Reference
                        refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                        index: 3
        Frequency:
          match: {url: 'http://hl7.org/fhir/StructureDefinition/procedure-schedule'}
          schema:
            type: Extension
            short: Frequency
            url: h
            index: 4
            elements:
              url:
                pattern: {type: Uri, value: 'http://hl7.org/fhir/StructureDefinition/procedure-schedule'}
                index: 5
        Interval:
          match: {url: null}
          schema: {type: Extension, url: h, index: 6}
          max: 1
        Instruction:
          match: {url: null}
          schema: {short: Instruction, type: Extension, url: h, index: 7}
          max: 1
        Requester:
          match: {url: null}
          schema: {type: Extension, short: Requester, url: h, index: 8}
  code:
    short: Intervention
    index: 16
    elements:
      coding:
        index: 17
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            interventionNICCodelist:
              match: {system: 'urn:oid:2.16.840.1.113883.6.15'}
              schema:
                index: 18
                elements:
                  system:
                    pattern: {type: Uri, value: 'urn:oid:2.16.840.1.113883.6.15'}
                    index: 19
                required: [system]
            interventionSnomedCodelist:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 20
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 21
                required: [system]
  identifier: {index: 9}
  performedPeriod:
    type: Period
    choiceOf: performed
    index: 27
    slicing:
      slices:
        performedPeriod:
          match: {}
          schema: {type: Period, choiceOf: performed, index: 27}
  subject:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://hl7.org/fhir/StructureDefinition/Group']
    index: 22
  performer:
    short: Performer
    index: 30
    elements:
      role:
        elements:
          coding:
            index: 31
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: value}
              min: null
              slices:
                healthProfessionalRole:
                  match: {}
                  schema: {short: HealthProfessionalRole, index: 32}
      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: 33
        extensions:
          practitionerRole: {url: h, max: 1, type: Extension, index: 35}
        elements:
          extension:
            index: 34
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                practitionerRole:
                  match: {url: null}
                  schema: {type: Extension, url: h, index: 35}
                  max: 1
  reasonReference:
    type: Reference
    short: Indication
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://nictiz.nl/fhir/StructureDefinition/zib-Problem']
    index: 36
package_version: 2.0.4
extensions:
  TreatmentObjective:
    url: h
    short: Treatment objective
    type: Extension
    index: 1
    elements:
      url:
        pattern: {type: Uri, value: 'http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal'}
        index: 2
      valueReference:
        type: Reference
        refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
        index: 3
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                type: Reference
                refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
                index: 3
  Frequency:
    url: h
    type: Extension
    short: Frequency
    index: 4
    elements:
      url:
        pattern: {type: Uri, value: 'http://hl7.org/fhir/StructureDefinition/procedure-schedule'}
        index: 5
  Interval: {url: h, max: 1, type: Extension, index: 6}
  Instruction: {url: h, max: 1, short: Instruction, type: Extension, index: 7}
  Requester: {url: h, type: Extension, short: Requester, index: 8}
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention
base: http://hl7.org/fhir/StructureDefinition/Procedure
version: 1.1.2
required: [category, code]