{
  "description": "A 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. Following the NEN-EN-ISO 18104 norm, it is possible to structure nursing interventions (or actions) in a hierarchy, where one intervention can be part of another intervention.\\r\\n\\r\\nIn a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.",
  "_filename": "zib-NursingIntervention.json",
  "package_name": "nictiz.fhir.nl.r4.zib2020",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "4.0.1",
  "purpose": "This CarePlan resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) NursingIntervention-v3.2(2020EN)](https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)).",
  "name": "ZibNursingIntervention",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)",
    "name": "zib NursingIntervention-v3.2(2020EN)",
    "identity": "zib-nursingintervention-v3.2-2020EN"
  } ],
  "abstract": true,
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "type": "CarePlan",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "zib NursingIntervention",
  "package_version": "0.8.0-beta.1",
  "status": "draft",
  "id": "a39145f1-72e4-4497-9ef5-c77a440085b8",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention",
  "version": null,
  "differential": {
    "element": [ {
      "id": "CarePlan",
      "path": "CarePlan",
      "alias": [ "VerpleegkundigeInterventie" ],
      "short": "NursingIntervention",
      "mapping": [ {
        "map": "NL-CM:14.2.1",
        "comment": "NursingIntervention",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "constraint": [ {
        "key": "zib-NursingIntervention-1",
        "human": "The start and/or end date of a repeating schedule should be communicated in CarePlan.encounter as well.",
        "severity": "error",
        "expression": "activity.detail.scheduledTiming.repeat.boundsPeriod.exists() implies (period = activity.detail.scheduledTiming.repeat.boundsPeriod)"
      } ]
    }, {
      "id": "CarePlan.status",
      "path": "CarePlan.status",
      "comment": "Sending systems that don't record an explicit status can use the following guidance to infer a value from the zib:\r\n\r\n* ProcedureEndTime present:\r\n    * and in the future: _active_\r\n    * and in the past: _completed_\r\n* ProcedureEndTime absent:\r\n    * ProcedureStartTime present: _active_\r\n    * ProcedureStartTime absent: _unknown_",
      "mapping": [ {
        "map": "NL-CM:14.2.11",
        "comment": "ProcedureStartDateTime (implicit, main mapping is on CarePlan.period.start and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start)",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      }, {
        "map": "NL-CM:14.2.12",
        "comment": "ProcedureEndDateTime (implicit, main mapping is on CarePlan.period.end and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end)",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ]
    }, {
      "id": "CarePlan.intent",
      "path": "CarePlan.intent",
      "comment": "For zib NursingIntervention, this will normally be _plan_, but the context may specify a more suitable intent."
    }, {
      "id": "CarePlan.category",
      "min": 1,
      "path": "CarePlan.category",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "coding",
          "type": "value"
        } ]
      }
    }, {
      "id": "CarePlan.category:nursingIntervention",
      "max": "1",
      "min": 1,
      "path": "CarePlan.category",
      "sliceName": "nursingIntervention",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "9632001",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "CarePlan.period.start",
      "path": "CarePlan.period.start",
      "alias": [ "ActieStartDatumTijd" ],
      "short": "ProcedureStartDateTime",
      "mapping": [ {
        "map": "NL-CM:14.2.11",
        "comment": "ProcedureStartDateTime",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start`."
    }, {
      "id": "CarePlan.period.end",
      "path": "CarePlan.period.end",
      "alias": [ "ActieEindDatumTijd" ],
      "short": "ProcedureEndDateTime",
      "mapping": [ {
        "map": "NL-CM:14.2.12",
        "comment": "ProcedureEndDateTime",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end`."
    }, {
      "id": "CarePlan.contributor",
      "path": "CarePlan.contributor",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "extension(url='http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester')",
          "type": "exists"
        } ]
      }
    }, {
      "id": "CarePlan.contributor:requester",
      "path": "CarePlan.contributor",
      "type": [ {
        "code": "Reference",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" ],
        "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" ]
      } ],
      "alias": [ "Aanvrager" ],
      "short": "Requester",
      "mapping": [ {
        "map": "NL-CM:14.2.8",
        "comment": "Requester",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "sliceName": "requester",
      "definition": "The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered."
    }, {
      "id": "CarePlan.contributor:requester.extension",
      "min": 1,
      "path": "CarePlan.contributor.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "CarePlan.contributor:requester.extension:contributorIsRequester",
      "max": "1",
      "min": 1,
      "path": "CarePlan.contributor.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester" ]
      } ],
      "sliceName": "contributorIsRequester"
    }, {
      "id": "CarePlan.addresses",
      "max": "1",
      "path": "CarePlan.addresses",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://nictiz.nl/fhir/StructureDefinition/zib-Problem" ]
      } ],
      "alias": [ "Indicatie" ],
      "short": "Indication",
      "mapping": [ {
        "map": "NL-CM:14.2.6",
        "comment": "Indication",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "The nursing-related problem (indication) providing cause for the intervention."
    }, {
      "id": "CarePlan.goal",
      "max": "1",
      "path": "CarePlan.goal",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Goal", "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective" ]
      } ],
      "alias": [ "Behandeldoel" ],
      "short": "TreatmentObjective",
      "mapping": [ {
        "map": "NL-CM:14.2.14",
        "comment": "TreatmentObjective",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "The description of the treatment goal that the intervention decision is based on."
    }, {
      "id": "CarePlan.activity",
      "max": "1",
      "path": "CarePlan.activity",
      "comment": "A nursing intervention in the Dutch realm always consists of a single activity. For this reason, the cardinality of `.activity` is restricted to 0..1."
    }, {
      "id": "CarePlan.activity.detail.extension",
      "min": 0,
      "path": "CarePlan.activity.detail.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "CarePlan.activity.detail.extension:medicalDevice",
      "min": 0,
      "path": "CarePlan.activity.detail.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed" ]
      } ],
      "sliceName": "medicalDevice"
    }, {
      "id": "CarePlan.activity.detail.extension:medicalDevice.value[x]",
      "path": "CarePlan.activity.detail.extension.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement", "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice" ]
      } ],
      "alias": [ "MedischHulpmiddel" ],
      "short": "MedicalDevice",
      "mapping": [ {
        "map": "NL-CM:14.2.13",
        "comment": "MedicalDevice",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "Description of the materials used for the nursing procedure, such as bandages."
    }, {
      "id": "CarePlan.activity.detail.code",
      "path": "CarePlan.activity.detail.code",
      "alias": [ "Interventie" ],
      "short": "Intervention",
      "binding": {
        "strength": "required",
        "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.18--20200901000000"
      },
      "mapping": [ {
        "map": "NL-CM:14.2.2",
        "comment": "Intervention",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. It is possible to build a hierarchy of nursing interventions (where one intervention is part of another)."
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]",
      "path": "CarePlan.activity.detail.scheduled[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming",
      "path": "CarePlan.activity.detail.scheduled[x]",
      "type": [ {
        "code": "Timing"
      } ],
      "sliceName": "scheduledTiming"
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.bounds[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.bounds[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "boundsPeriod"
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].start",
      "alias": [ "ActieStartDatumTijd" ],
      "short": "ProcedureStartDateTime",
      "mapping": [ {
        "map": "NL-CM:14.2.11",
        "comment": "ProcedureStartDateTime",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "Zib concept ProcedureStartDateTime should primarily be communicated using `CarePlan.period.start`, but it should be repeated here if it indicates the end of a series of repeating procedures."
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.bounds[x].end",
      "alias": [ "ActieEindDatumTijd" ],
      "short": "ProcedureEndDateTime",
      "mapping": [ {
        "map": "NL-CM:14.2.12",
        "comment": "ProcedureEndDateTime",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "Zib concept ProcedureEndDateTime should primarily be communicated using `CarePlan.period.end`, but it should be repeated here if it indicates the end of a series of repeating procedures."
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.frequency",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.frequency",
      "alias": [ "Interval", "Frequentie" ],
      "short": "Interval / Frequency",
      "comment": "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).",
      "mapping": [ {
        "map": "NL-CM:14.2.3",
        "comment": "Interval",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      }, {
        "map": "NL-CM:14.2.4",
        "comment": "Frequency",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day."
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.period",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.period",
      "alias": [ "Interval", "Frequentie" ],
      "short": "Interval / Frequency",
      "comment": "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).",
      "mapping": [ {
        "map": "NL-CM:14.2.3",
        "comment": "Interval",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      }, {
        "map": "NL-CM:14.2.4",
        "comment": "Frequency",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day."
    }, {
      "id": "CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.periodUnit",
      "path": "CarePlan.activity.detail.scheduled[x].repeat.periodUnit",
      "alias": [ "Interval", "Frequentie" ],
      "short": "Interval / Frequency",
      "comment": "Both the zib concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see \"Meaning when missing\" for `.frequency`).",
      "mapping": [ {
        "map": "NL-CM:14.2.3",
        "comment": "Interval",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      }, {
        "map": "NL-CM:14.2.4",
        "comment": "Frequency",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.\r\n* The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day."
    }, {
      "id": "CarePlan.activity.detail.performer",
      "max": "1",
      "path": "CarePlan.activity.detail.performer",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "path": "CarePlan.activity.detail.performer",
      "definition": "The health professional carrying out the nursing procedure.",
      "short": "HealthcareProvider",
      "mapping": [ {
        "map": "NL-CM:14.2.7",
        "comment": "HealthcareProvider",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "type": [ {
        "code": "Reference",
        "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference" ],
        "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole" ]
      } ],
      "sliceName": "healthcareProvider",
      "alias": [ "Zorgverlener" ],
      "max": "1",
      "id": "CarePlan.activity.detail.performer:healthcareProvider"
    }, {
      "path": "CarePlan.activity.detail.performer",
      "definition": "The caregiver carrying out the nursing procedure.",
      "short": "Caregiver",
      "mapping": [ {
        "map": "NL-CM:14.2.16",
        "comment": "Caregiver",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" ]
      } ],
      "sliceName": "caregiver",
      "alias": [ "Verzorger" ],
      "max": "1",
      "id": "CarePlan.activity.detail.performer:caregiver"
    }, {
      "path": "CarePlan.activity.detail.performer",
      "definition": "The patient carrying out the nursing procedure.",
      "short": "Patient",
      "mapping": [ {
        "map": "NL-CM:14.2.17",
        "comment": "Patient",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Patient" ]
      } ],
      "sliceName": "patient",
      "alias": [ "Patient" ],
      "max": "1",
      "id": "CarePlan.activity.detail.performer:patient"
    }, {
      "id": "CarePlan.activity.detail.description",
      "path": "CarePlan.activity.detail.description",
      "alias": [ "Instructie" ],
      "short": "Instruction",
      "mapping": [ {
        "map": "NL-CM:14.2.18",
        "comment": "Instruction",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver."
    }, {
      "id": "CarePlan.note",
      "max": "1",
      "path": "CarePlan.note"
    }, {
      "id": "CarePlan.note.text",
      "path": "CarePlan.note.text",
      "alias": [ "Toelichting" ],
      "short": "Comment",
      "mapping": [ {
        "map": "NL-CM:14.2.5",
        "comment": "Comment",
        "identity": "zib-nursingintervention-v3.2-2020EN"
      } ],
      "definition": "Comment on the nursing intervention."
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "https://www.nictiz.nl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CarePlan"
}