{
"description": "FunctionalOrMentalStatus as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.\\r\\nThe functional or mental status provides insight into the patient’s functional and mental limitations.",
"_filename": "zib-FunctionalOrMentalStatus.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.\r\n\r\nDiagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model.",
"name": "Zib FunctionalOrMentalStatus",
"mapping": [ {
"uri": "https://zibs.nl/wiki/FunctionalOrMentalStatus-v1.0.1(2015EN)",
"name": "HCIM FunctionalOrMentalStatus-v1.0.1(2015EN)",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.0(2016EN)",
"name": "HCIM FunctionalOrMentalStatus-v3.0(2016EN)",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.1(2017EN)",
"name": "HCIM FunctionalOrMentalStatus-v3.1(2017EN)",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
}, {
"uri": "https://zibs.nl/wiki/OutcomeOfCare-v3.1(2017EN)",
"name": "HCIM OutcomeOfCare-v3.1 (2017EN)",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM FunctionalOrMentalStatus",
"package_version": "1.3.2",
"status": "active",
"id": "cffe4fb6-0baf-49c5-a243-0ba55c49edb9",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus",
"version": "2.1.1",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "FunctioneleOfMentaleStatus" ],
"short": "FunctionalOrMentalStatus",
"mapping": [ {
"map": "NL-CM:4.26.1",
"comment": "FunctionalOrMentalStatus",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.1",
"comment": "FunctionalOrMentalStatus",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.1",
"comment": "FunctionalOrMentalStatus",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
}, {
"map": "NL-CM:13.4.3",
"comment": "HealthCondition",
"identity": "hcim-outcomeofcare-v3.1-2017EN"
} ]
}, {
"id": "Observation.extension",
"path": "Observation.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.extension:MedicalDevice",
"path": "Observation.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus-MedicalDevice"
} ],
"alias": [ "Hulpmiddel" ],
"short": "MedicalDevice",
"mapping": [ {
"map": "NL-CM:4.26.5",
"comment": "MedicalAid",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.5",
"comment": "MedicalAid",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.5",
"comment": "MedicalDevice",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
} ],
"sliceName": "MedicalDevice",
"definition": "Medical aid the patient has to reduce the impact of the disability or disorder."
}, {
"id": "Observation.category",
"min": 1,
"path": "Observation.category",
"comment": "Either a snomed code for functional or mental status is provided for indexing and retrieval of this this concept."
}, {
"id": "Observation.category.coding",
"path": "Observation.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.category.coding:functionalCode",
"max": "1",
"path": "Observation.category.coding",
"short": "Functional Finding",
"sliceName": "functionalCode",
"definition": "Category snomed code used for indexing/retrieval of observerd functional status."
}, {
"id": "Observation.category.coding:functionalCode.system",
"path": "Observation.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.category.coding:functionalCode.code",
"path": "Observation.category.coding.code",
"fixedCode": "118228005"
}, {
"id": "Observation.category.coding:functionalCode.display",
"path": "Observation.category.coding.display",
"defaultValueString": "Functional finding (finding)"
}, {
"id": "Observation.category.coding:mentalCode",
"max": "1",
"path": "Observation.category.coding",
"short": "Mental state, behavior and/or psychosocial function finding",
"sliceName": "mentalCode",
"definition": "Category snomed code used for indexing/retrieval of observerd mental status."
}, {
"id": "Observation.category.coding:mentalCode.system",
"path": "Observation.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.category.coding:mentalCode.code",
"path": "Observation.category.coding.code",
"fixedCode": "384821006"
}, {
"id": "Observation.category.coding:mentalCode.display",
"path": "Observation.category.coding.display",
"defaultValueString": "Mental state, behavior and/or psychosocial function finding (finding)"
}, {
"id": "Observation.code",
"path": "Observation.code",
"alias": [ "StatusNaam" ],
"short": "StatusName",
"mapping": [ {
"map": "NL-CM:4.26.2",
"comment": "StatusName",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.2",
"comment": "StatusName",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.2",
"comment": "StatusName",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
} ],
"definition": "Coded description of the functional or mental status or limitation.\r\n\r\nCode systems used include:\r\nSNOMED CT\r\nICF (International Classification of Functioning, Disability and Health)\r\nNOC (Nursing Outcomes Classification)\r\nOMAHA"
}, {
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:statusNaamOMAHACodelijst",
"max": "1",
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"description": "OMAHA (2.16.840.1.113883.6.98): All values",
"valueSetReference": {
"display": "StatusNaamOMAHACodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1--20171231000000"
}
},
"sliceName": "statusNaamOMAHACodelijst"
}, {
"id": "Observation.code.coding:statusNaamNOCCodelijst",
"max": "1",
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"description": "NOC (2.16.840.1.113883.6.16): All values",
"valueSetReference": {
"display": "StatusNaamNOCCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2--20171231000000"
}
},
"sliceName": "statusNaamNOCCodelijst"
}, {
"id": "Observation.code.coding:statusNaamICFCodelijst",
"max": "1",
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"description": "ICF (2.16.840.1.113883.6.254): All values",
"valueSetReference": {
"display": "StatusNaamICFCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3--20171231000000"
}
},
"sliceName": "statusNaamICFCodelijst"
}, {
"id": "Observation.code.coding:statusNaamSnomedCodelijst",
"max": "1",
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"description": "SNOMED CT (2.16.840.1.113883.6.96): All values",
"valueSetReference": {
"display": "StatusNaamSnomedCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4--20171231000000"
}
},
"sliceName": "statusNaamSnomedCodelijst"
}, {
"id": "Observation.subject",
"path": "Observation.subject",
"alias": [ "Patiënt" ],
"short": "Patient"
}, {
"id": "Observation.effective[x]:effectivePeriod",
"path": "Observation.effectivePeriod",
"type": [ {
"code": "Period"
} ],
"comment": "ZIB FuncntioneleOfMentaleStatus does not include an end StatusDate. The effectivePeriod.start can be used as StatusDate. This profile allows to use an end date as well.",
"sliceName": "effectivePeriod"
}, {
"id": "Observation.effective[x]:effectivePeriod.start",
"path": "Observation.effectivePeriod.start",
"alias": [ "StatusDatum" ],
"short": "StatusDate",
"mapping": [ {
"map": "NL-CM:4.26.6",
"comment": "StatusDate",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.6",
"comment": "StatusDate",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.6",
"comment": "StatusDate",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
} ],
"definition": "Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted."
}, {
"id": "Observation.value[x]:valueCodeableConcept",
"path": "Observation.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "StatusWaarde" ],
"short": "StatusValue",
"mapping": [ {
"map": "NL-CM:4.26.3",
"comment": "StatusValue",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.3",
"comment": "StatusValue",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.3",
"comment": "StatusValue",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
} ],
"sliceName": "valueCodeableConcept",
"definition": "The extent to which the patient is limited by the functional or mental condition.\r\nIf both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical aid, the evaluation of the extent of the limitation will take place without this aid."
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding",
"path": "Observation.valueCodeableConcept.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding:statusWaardeOMAHACodelijst",
"max": "1",
"path": "Observation.valueCodeableConcept.coding",
"binding": {
"strength": "required",
"description": "OMAHA (2.16.840.1.113883.6.98): All values",
"valueSetReference": {
"display": "StatusWaardeOMAHACodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5--20171231000000"
}
},
"sliceName": "statusWaardeOMAHACodelijst"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding:statusWaardeNOCCodelijst",
"max": "1",
"path": "Observation.valueCodeableConcept.coding",
"binding": {
"strength": "required",
"description": "NOC (2.16.840.1.113883.6.16): All values",
"valueSetReference": {
"display": "StatusWaardeNOCCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7--20171231000000"
}
},
"sliceName": "statusWaardeNOCCodelijst"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding:statusWaardeICFCodelijst",
"max": "1",
"path": "Observation.valueCodeableConcept.coding",
"binding": {
"strength": "required",
"description": "ICF (2.16.840.1.113883.6.254): All values",
"valueSetReference": {
"display": "StatusWaardeICFCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6--20171231000000"
}
},
"sliceName": "statusWaardeICFCodelijst"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding:statusWaardeSnomedCodelijst",
"max": "1",
"path": "Observation.valueCodeableConcept.coding",
"binding": {
"strength": "required",
"description": "SNOMED CT (2.16.840.1.113883.6.96): All values",
"valueSetReference": {
"display": "StatusWaardeSnomedCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8--20171231000000"
}
},
"sliceName": "statusWaardeSnomedCodelijst"
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:4.26.4",
"comment": "Explanation",
"identity": "hcim-functionalormentalstatus-v1.0.1-2015EN"
}, {
"map": "NL-CM:4.26.4",
"comment": "Explanation",
"identity": "hcim-functionalormentalstatus-v3.0-2016EN"
}, {
"map": "NL-CM:4.26.4",
"comment": "Comment",
"identity": "hcim-functionalormentalstatus-v3.1-2017EN"
} ],
"definition": "Explanatory comments as a description of the functional or mental status."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation"
}