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.
package_name: nictiz.fhir.nl.r4.zib2020
derivation: constraint
name: ZibNursingIntervention
abstract: true
type: CarePlan
elements:
  category:
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: coding, type: value}
      min: 1
      slices:
        nursingIntervention:
          match: {coding: null}
          schema:
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: '9632001', system: 'http://snomed.info/sct'}
            _required: true
            index: 3
          min: 1
          max: 1
  addresses:
    short: Indication
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://nictiz.nl/fhir/StructureDefinition/zib-Problem']
    type: Reference
    index: 10
  goal:
    short: TreatmentObjective
    refers: ['http://hl7.org/fhir/StructureDefinition/Goal', 'http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective']
    type: Reference
    index: 11
  note:
    index: 39
    elements:
      text: {short: Comment, index: 40}
  activity:
    index: 12
    elements:
      detail:
        extensions:
          medicalDevice:
            url: http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed
            type: Extension
            index: 14
            elements:
              value:
                short: MedicalDevice
                choices: [valueReference]
                index: 16
              valueReference:
                short: MedicalDevice
                refers: ['http://hl7.org/fhir/StructureDefinition/DeviceUseStatement', 'http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice']
                type: Reference
                choiceOf: value
                index: 17
        elements:
          extension:
            index: 13
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 0
              slices:
                medicalDevice:
                  match: {url: null}
                  schema:
                    type: Extension
                    url: http://nictiz.nl/fhir/StructureDefinition/ext-CarePlan-MaterialUsed
                    index: 14
                    elements:
                      value:
                        short: MedicalDevice
                        choices: [valueReference]
                        index: 16
                      valueReference:
                        short: MedicalDevice
                        refers: ['http://hl7.org/fhir/StructureDefinition/DeviceUseStatement', 'http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice']
                        type: Reference
                        choiceOf: value
                        index: 17
          code:
            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'}
            index: 18
          scheduled:
            elements:
              repeat:
                elements:
                  bounds:
                    choices: []
                    index: 25
                    slicing:
                      rules: open
                      discriminator:
                      - {path: $this, type: type}
                      min: null
                      slices:
                        boundsPeriod:
                          match: {}
                          schema:
                            choices: [boundsPeriod]
                            index: 27
                  boundsPeriod:
                    type: Period
                    choiceOf: bounds
                    index: 28
                    slicing:
                      slices:
                        boundsPeriod:
                          match: {}
                          schema: {type: Period, choiceOf: bounds, index: 28}
          scheduledTiming:
            type: Timing
            choiceOf: scheduled
            index: 23
            slicing:
              slices:
                scheduledTiming:
                  match: {}
                  schema: {type: Timing, choiceOf: scheduled, index: 23}
          scheduled[x]:
            elements:
              repeat:
                elements:
                  bounds[x]:
                    elements:
                      start: {short: ProcedureStartDateTime, index: 29}
                      end: {short: ProcedureEndDateTime, index: 30}
                  frequency: {short: Interval / Frequency, index: 31}
                  period: {short: Interval / Frequency, index: 32}
                  periodUnit: {short: Interval / Frequency, index: 33}
          performer:
            index: 34
            slicing:
              rules: open
              discriminator:
              - {path: resolve(), type: profile}
              min: null
              max: 1
              slices:
                healthcareProvider:
                  match: {}
                  schema:
                    short: HealthcareProvider
                    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole']
                    type: Reference
                    index: 35
                  max: 1
                caregiver:
                  match: {}
                  schema:
                    short: Caregiver
                    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson']
                    type: Reference
                    index: 36
                  max: 1
                patient:
                  match: {}
                  schema:
                    short: Patient
                    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-Patient']
                    type: Reference
                    index: 37
                  max: 1
          description: {short: Instruction, index: 38}
  contributor:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: 'extension(url=''http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester'')', type: exists}
      min: null
      slices:
        requester:
          match: {}
          schema:
            short: Requester
            refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole']
            type: Reference
            index: 7
            extensions:
              contributorIsRequester: {url: 'http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester', min: 1, max: 1, type: Extension, index: 9}
            elements:
              extension:
                index: 8
                slicing:
                  rules: open
                  discriminator:
                  - {path: url, type: value}
                  min: 1
                  slices:
                    contributorIsRequester:
                      match: {url: null}
                      schema: {type: Extension, url: 'http://nictiz.nl/fhir/StructureDefinition/ext-NursingIntervention-ContributorIsRequester', index: 9}
                      min: 1
                      max: 1
            required: [extension]
  status: {index: 0}
  intent: {index: 1}
  period:
    elements:
      start: {short: ProcedureStartDateTime, index: 4}
      end: {short: ProcedureEndDateTime, index: 5}
package_version: 0.3.0-beta1
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention
base: http://hl7.org/fhir/StructureDefinition/CarePlan
version: null
required: [category]