{
"description": "Information on the dental aids used by the patient.",
"_filename": "nl-core-AbilityToPerformMouthcareActivities.Prosthesis.json",
"package_name": "nictiz.fhir.nl.r4.nl-core",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "A derived profile from [zib-AbilityToPerformMouthcareActivities.Prosthesis](http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities.Prosthesis) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib.",
"name": "NlcoreAbilityToPerformMouthcareActivitiesProsthesis",
"mapping": [ {
"uri": "https://zibs.nl/wiki/AbilityToPerformMouthcareActivities-v3.1(2020EN)",
"name": "zib AbilityToPerformMouthcareActivities-v3.1(2020EN)",
"identity": "zib-abilitytoperformmouthcareactivities-v3.1-2020EN"
} ],
"abstract": false,
"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": "DeviceUseStatement",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "nl core AbilityToPerformMouthcareActivities.Prosthesis",
"package_version": "0.12.0-beta.4",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
} ],
"path": "DeviceUseStatement",
"min": 0,
"definition": "Information on the dental aids used by the patient.",
"isModifier": false,
"short": "Prosthesis / MedicalDevice",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "DeviceUsePerformanceOccurrence",
"identity": "quick"
}, {
"map": "NL-CM:10.1.1",
"comment": "MedicalDevice",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
}, {
"map": "NL-CM:4.13.4",
"comment": "Prosthesis",
"identity": "zib-abilitytoperformmouthcareactivities-v3.1-2020EN"
} ],
"alias": [ "MedischHulpmiddel", "Prothese", "nl-core-AbilityToPerformMouthcareActivities.Prosthesis" ],
"max": "*",
"id": "DeviceUseStatement",
"comment": "This is a specialization of the [nl-core-MedicalDevice](http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice) profile to represent Prosthesis devices within the context of zib AbilityToPerformMouthcareActivities.",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"max": "1",
"id": "DeviceUseStatement.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "DeviceUseStatement.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "DeviceUseStatement.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language."
},
"max": "1",
"id": "DeviceUseStatement.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "DeviceUseStatement.text",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "DeviceUseStatement.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"isModifier": false,
"short": "Optional Extensions Element",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional" ]
} ],
"sliceName": "healthProfessional",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "DeviceUseStatement.extension:healthProfessional",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:healthProfessional.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.extension:healthProfessional.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:healthProfessional.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.extension.value[x]",
"min": 0,
"definition": "The health professional involved in the indication for use of the medical device implant.",
"isModifier": false,
"short": "HealthProfessional",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "NL-CM:10.1.9",
"comment": "HealthProfessional",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
} ],
"alias": [ "Zorgverlener" ],
"max": "1",
"id": "DeviceUseStatement.extension:healthProfessional.value[x]",
"comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"isModifier": false,
"short": "Optional Extensions Element",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location" ]
} ],
"sliceName": "location",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "DeviceUseStatement.extension:location",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:location.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.extension:location.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:location.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.extension.value[x]",
"min": 0,
"definition": "The healthcare provider at which use of the medical device was initiated or where the aid was implanted.",
"isModifier": false,
"short": "Location",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "NL-CM:10.1.8",
"comment": "Location",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" ]
} ],
"alias": [ "Locatie" ],
"max": "1",
"id": "DeviceUseStatement.extension:location.value[x]",
"comment": "Please note that this zib concept (Location::HealthcareProvider) is also mapped on the `Procedure.location` element in profile [nl-core-Procedure-event](http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-event). The reason for this is that this zib concept aligns with the Location::HealthcareProvider concept in zib Procedure (NL-CM:14.1.5), but only for the situation that the Procedure is about placing the implant which is described using this instance of zib MedicalDevice. In this situation, the current extension is redundant and it is advised to only use `Procedure.location` in profile nl-core-Procedure-event to represent the Location concept.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension",
"min": 0,
"definition": "Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal. For example, a Procedure to exercise pertainsToGoal of losing weight.",
"isModifier": false,
"short": "Pertains to goal",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" ]
} ],
"sliceName": "treatmentObjective",
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.extension:treatmentObjective",
"condition": [ "ele-1" ],
"comment": "This extension is limited to subject-specific activity-related resources (events & intents). I.e. This can't be put on Goal or Patient. This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:treatmentObjective.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "DeviceUseStatement.extension:treatmentObjective.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.extension:treatmentObjective.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.extension.value[x]",
"min": 1,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"map": "NL-CM:4.26.5",
"comment": "Reversed reference for zib FunctionalOrMentalStatus.MedicalDevice, when using zib FunctionalOrMentalStatus in the context of zib TreatmentObjective",
"identity": "zib-functionalormentalstatus-v3.2-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Goal", "http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentObjective" ]
} ],
"max": "1",
"id": "DeviceUseStatement.extension:treatmentObjective.value[x]",
"comment": "Zib TreatmentObjective (represented by the Goal resource in FHIR) can use the data model of zib FunctionalOrMentalStatus to describe the desired treatment objective, which in turn may refer zib MedicalDevice to indicate the intent to use that device for reaching the treatment objective.\r\n\r\nIn FHIR, the modeling deviates somewhat from this approach:\r\n\r\n* Both zib TreatmentObjective and the desired zib FunctionalOrMentalStatus are represented using the [zib-TreatmentObjective](http://nictiz.nl/fhir/zib-TreatmentObjective) profile on the Goal resource.\r\n* The reference from TreatmentObjective to MedicalDevice (via FunctionalOrMentalStatus) is in the opposite direction, to the Goal resource.\r\n\r\nThis extension may thus be used to represent the link zib TreatmentObjective -> zib FunctionalOrMentalStatus -> zib MedicalDevice. In this situation, it is expected that `DeviceUseStatement.status` is set to _intended_.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.identifier",
"min": 0,
"definition": "An external identifier for this statement such as an IRI.",
"isModifier": false,
"short": "External identifier for this record",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "ClinicalStatement.identifier",
"identity": "quick"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "DeviceUseStatement.identifier",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.basedOn",
"requirements": "Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.",
"min": 0,
"definition": "A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.",
"isModifier": false,
"short": "Fulfills plan, proposal or order",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
}, {
"map": "ORC in proximity to EVN segment",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=FLFS].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ]
} ],
"alias": [ "fulfills" ],
"max": "*",
"id": "DeviceUseStatement.basedOn",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.basedOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.status",
"min": 1,
"definition": "A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.",
"isModifier": true,
"short": "active | completed | entered-in-error +",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": ".statusCode",
"identity": "rim"
}, {
"map": "…status",
"identity": "quick"
}, {
"map": "NL-CM:10.1.11",
"comment": "StartDate (implicit, main mapping is on DeviceUseStatement.timingPeriod.start)",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
}, {
"map": "NL-CM:10.1.14",
"comment": "EndDate (implicit, main mapping is on DeviceUseStatement.timingPeriod.end)",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DeviceUseStatementStatus"
} ],
"description": "A coded concept indicating the current status of the Device Usage."
},
"max": "1",
"id": "DeviceUseStatement.status",
"comment": "This element is implictly mapped to the zib concepts NL-CM:10.1.11 (StartDate) and NL-CM:10.1.14 (EndDate). Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When StartDate is in the future, `.status` will usually be set to _intended_.\r\n* When StartDate is in the past and EndDate has a value and in the future or EndDate has no value, `.status` will usually be set to _active_.\r\n* When EndDate has a value and is in the past, `.status` will usually be set to _completed_.",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.status"
},
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.subject",
"min": 1,
"definition": "The patient who used the device.",
"isModifier": false,
"short": "Patient using device",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject[x]",
"identity": "w5"
}, {
"map": "ClinicalStatement.subject",
"identity": "quick"
}, {
"map": "FiveWs.subject",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ],
"max": "1",
"id": "DeviceUseStatement.subject",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.subject"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.derivedFrom",
"min": 0,
"definition": "Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.",
"isModifier": false,
"short": "Supporting information",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/Claim", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ]
} ],
"max": "*",
"id": "DeviceUseStatement.derivedFrom",
"comment": "The most common use cases for deriving a DeviceUseStatement comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUseStatement from.",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.derivedFrom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.derivedFrom",
"min": 0,
"definition": "The procedure which has the purpose of placing this product in or on the body.",
"isModifier": false,
"short": "Procedure",
"mapping": [ {
"map": "NL-CM:14.1.7",
"comment": "Reversed reference for zib Procedure.MedicalDevice",
"identity": "zib-procedure-v5.2-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-request" ]
} ],
"sliceName": "procedure-request",
"alias": [ "Verrichting" ],
"max": "*",
"id": "DeviceUseStatement.derivedFrom:procedure-request",
"comment": "* Note 1: on a functional level, zib Procedure references zib MedicalDevice, but in FHIR this direction is reversed.\r\n* Note 2: zib Procedure can represent a requested or (to be) performed procedure. This slice represents requested procedures, while slice `procedure-event` represents performed procedures.",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.derivedFrom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.derivedFrom",
"min": 0,
"definition": "The procedure which has the purpose of placing this product in or on the body.",
"isModifier": false,
"short": "Procedure",
"mapping": [ {
"map": "NL-CM:14.1.7",
"comment": "Reversed reference for zib Procedure.MedicalDevice",
"identity": "zib-procedure-v5.2-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-event" ]
} ],
"sliceName": "procedure-event",
"alias": [ "Verrichting" ],
"max": "*",
"id": "DeviceUseStatement.derivedFrom:procedure-event",
"comment": "* Note 1: on a functional level, zib Procedure references zib MedicalDevice, but in FHIR this direction is reversed.\r\n* Note 2: zib Procedure can represent a requested or (to be) performed procedure. This slice represents performed procedures, while slice `procedure-request` represents requested procedures.",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.derivedFrom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.timing[x]",
"min": 0,
"definition": "How often the device was used.",
"isModifier": false,
"short": "How often the device was used",
"mapping": [ {
"map": "Event.occurrence[x]",
"identity": "workflow"
}, {
"map": "FiveWs.done[x]",
"identity": "w5"
}, {
"map": "DeviceUse.applicationSchedule",
"identity": "quick"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "Timing"
}, {
"code": "Period"
}, {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.timing[x]",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.timing[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.timing[x]",
"min": 0,
"definition": "How often the device was used.",
"isModifier": false,
"short": "How often the device was used",
"mapping": [ {
"map": "Event.occurrence[x]",
"identity": "workflow"
}, {
"map": "FiveWs.done[x]",
"identity": "w5"
}, {
"map": "DeviceUse.applicationSchedule",
"identity": "quick"
} ],
"type": [ {
"code": "Period"
} ],
"sliceName": "timingPeriod",
"max": "1",
"id": "DeviceUseStatement.timing[x]:timingPeriod",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.timing[x]"
},
"isSummary": true
}, {
"path": "DeviceUseStatement.timing[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.timing[x]:timingPeriod.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.timing[x].extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.timing[x]:timingPeriod.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.timing[x].start",
"min": 0,
"definition": "The start date of the first use or implant of the medical device. A \"vague\" date, such as only the year, is permitted.",
"isModifier": false,
"short": "StartDate",
"mapping": [ {
"map": "DR.1",
"identity": "v2"
}, {
"map": "./low",
"identity": "rim"
}, {
"map": "NL-CM:10.1.11",
"comment": "StartDate",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "dateTime"
} ],
"alias": [ "BeginDatum" ],
"max": "1",
"id": "DeviceUseStatement.timing[x]:timingPeriod.start",
"condition": [ "per-1" ],
"comment": "If the low element is missing, the meaning is that the low boundary is not known.",
"base": {
"max": "1",
"min": 0,
"path": "Period.start"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.timing[x].end",
"min": 0,
"definition": "The end date of the last use or explant of the medical device. A \"vague\" date, such as only the year, is permitted.",
"isModifier": false,
"short": "EndDate",
"mapping": [ {
"map": "DR.2",
"identity": "v2"
}, {
"map": "./high",
"identity": "rim"
}, {
"map": "NL-CM:10.1.14",
"comment": "EndDate",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "dateTime"
} ],
"meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
"alias": [ "EindDatum" ],
"max": "1",
"id": "DeviceUseStatement.timing[x]:timingPeriod.end",
"condition": [ "per-1" ],
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",
"base": {
"max": "1",
"min": 0,
"path": "Period.end"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.recordedOn",
"min": 0,
"definition": "The time at which the statement was made/recorded.",
"isModifier": false,
"short": "When statement was recorded",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
}, {
"map": "ClinicalStatement.statementDateTime",
"identity": "quick"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.recordedOn",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.recordedOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.source",
"min": 0,
"definition": "Who reported the device was being used by the patient.",
"isModifier": false,
"short": "Who made the statement",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
} ],
"max": "1",
"id": "DeviceUseStatement.source",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.source"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.device",
"min": 1,
"definition": "The details of the device used.",
"isModifier": false,
"short": "Reference to device used",
"mapping": [ {
"map": "FiveWs.actor",
"identity": "w5"
}, {
"map": "DeviceUse.device",
"identity": "quick"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://nictiz.nl/fhir/StructureDefinition/nl-core-AbilityToPerformMouthcareActivities.Prosthesis.Product" ]
} ],
"max": "1",
"id": "DeviceUseStatement.device",
"base": {
"max": "1",
"min": 1,
"path": "DeviceUseStatement.device"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.reasonCode",
"min": 0,
"definition": "Reason or justification for the use of the device.",
"isModifier": false,
"short": "Why device was used",
"mapping": [ {
"map": "Event.reasonCode",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "Action.indication.reason",
"identity": "quick"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "DeviceUseStatement.reasonCode",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.reasonCode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.reasonReference",
"min": 0,
"definition": "Indicates another resource whose existence justifies this DeviceUseStatement.",
"isModifier": false,
"short": "Why was DeviceUseStatement performed?",
"mapping": [ {
"map": "Event.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "EVN.4 or by domain",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=RSON].target",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/Media" ]
} ],
"max": "*",
"id": "DeviceUseStatement.reasonReference",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.reasonReference"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.reasonReference",
"min": 0,
"definition": "The medical reason for use of the medical device.",
"isModifier": false,
"short": "Indication",
"mapping": [ {
"map": "Event.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "EVN.4 or by domain",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=RSON].target",
"identity": "rim"
}, {
"map": "NL-CM:10.1.7",
"comment": "Indication",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" ]
} ],
"sliceName": "indication",
"alias": [ "Indicatie" ],
"max": "*",
"id": "DeviceUseStatement.reasonReference:indication",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.reasonReference"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.reasonReference",
"min": 0,
"definition": "Indicates another resource whose existence justifies this DeviceUseStatement.",
"isModifier": false,
"short": "Stoma",
"mapping": [ {
"map": "Event.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "EVN.4 or by domain",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=RSON].target",
"identity": "rim"
}, {
"map": "NL-CM:5.2.3",
"comment": "Reversed reference for zib Stoma.StomaMaterial",
"identity": "zib-stoma-v3.3-2020EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/zib-Stoma" ]
} ],
"sliceName": "stoma",
"alias": [ "Stoma" ],
"max": "0",
"id": "DeviceUseStatement.reasonReference:stoma",
"comment": "Please note that on a functional level, zib Stoma references zib MedicalDevice, but in FHIR this direction is reversed.",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.reasonReference"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.bodySite",
"requirements": "Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/bodySite](null.html).",
"min": 0,
"definition": "Localisation on/in the body.",
"isModifier": false,
"short": "Location",
"mapping": [ {
"map": "Event.note",
"identity": "workflow"
}, {
"map": "targetSiteCode",
"identity": "rim"
}, {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "NL-CM:20.7.4",
"comment": "Location",
"identity": "zib-anatomicallocation-v1.0-2020EN"
}, {
"map": "NL-CM:10.1.15",
"comment": "AnatomicalLocation",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" ]
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "Codes describing anatomical locations. May include laterality."
},
"alias": [ "Locatie", "AnatomischeLocatie", "nl-core-AnatomicalLocation" ],
"max": "1",
"id": "DeviceUseStatement.bodySite",
"condition": [ "ele-1" ],
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"base": {
"max": "1",
"min": 0,
"path": "DeviceUseStatement.bodySite"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.note",
"min": 0,
"definition": "Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
"isModifier": false,
"short": "Addition details (comments, instructions)",
"mapping": [ {
"map": "Event.note",
"identity": "workflow"
}, {
"map": "ClinicalStatement.additionalText",
"identity": "quick"
} ],
"type": [ {
"code": "Annotation"
} ],
"max": "1",
"id": "DeviceUseStatement.note",
"base": {
"max": "*",
"min": 0,
"path": "DeviceUseStatement.note"
},
"isSummary": false
}, {
"path": "DeviceUseStatement.note.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DeviceUseStatement.note.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DeviceUseStatement.note.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DeviceUseStatement.note.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.note.author[x]",
"min": 0,
"definition": "The individual responsible for making the annotation.",
"isModifier": false,
"short": "Individual responsible for the annotation",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.participant[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization" ]
}, {
"code": "string"
} ],
"max": "1",
"id": "DeviceUseStatement.note.author[x]",
"comment": "Organization is used when there's no need for specific attribution as to who made the comment.",
"base": {
"max": "1",
"min": 0,
"path": "Annotation.author[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.note.time",
"min": 0,
"definition": "Indicates when this particular annotation was made.",
"isModifier": false,
"short": "When the annotation was made",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.effectiveTime",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "DeviceUseStatement.note.time",
"base": {
"max": "1",
"min": 0,
"path": "Annotation.time"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "DeviceUseStatement.note.text",
"min": 1,
"definition": "Comment about use or information on the medical device used.",
"isModifier": false,
"short": "Comment",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Act.text",
"identity": "rim"
}, {
"map": "NL-CM:10.1.10",
"comment": "Comment",
"identity": "zib-medicaldevice-v3.3.1-2020EN"
} ],
"type": [ {
"code": "markdown"
} ],
"alias": [ "Toelichting" ],
"max": "1",
"id": "DeviceUseStatement.note.text",
"base": {
"max": "1",
"min": 1,
"path": "Annotation.text"
},
"isSummary": true
} ]
},
"status": "draft",
"id": "e9518ec2-7d8d-48bd-86d3-b61d7c04c9a8",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/nl-core-AbilityToPerformMouthcareActivities.Prosthesis",
"version": null,
"differential": {
"element": [ {
"id": "DeviceUseStatement",
"path": "DeviceUseStatement",
"alias": [ "nl-core-AbilityToPerformMouthcareActivities.Prosthesis" ],
"comment": "This is a specialization of the [nl-core-MedicalDevice](http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice) profile to represent Prosthesis devices within the context of zib AbilityToPerformMouthcareActivities."
}, {
"id": "DeviceUseStatement.extension:healthProfessional",
"path": "DeviceUseStatement.extension",
"sliceName": "healthProfessional"
}, {
"id": "DeviceUseStatement.extension:healthProfessional.value[x]",
"path": "DeviceUseStatement.extension.value[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
} ],
"comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile."
}, {
"id": "DeviceUseStatement.extension:location",
"path": "DeviceUseStatement.extension",
"sliceName": "location"
}, {
"id": "DeviceUseStatement.extension:location.value[x]",
"path": "DeviceUseStatement.extension.value[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" ]
} ],
"comment": "Please note that this zib concept (Location::HealthcareProvider) is also mapped on the `Procedure.location` element in profile [nl-core-Procedure-event](http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-event). The reason for this is that this zib concept aligns with the Location::HealthcareProvider concept in zib Procedure (NL-CM:14.1.5), but only for the situation that the Procedure is about placing the implant which is described using this instance of zib MedicalDevice. In this situation, the current extension is redundant and it is advised to only use `Procedure.location` in profile nl-core-Procedure-event to represent the Location concept."
}, {
"id": "DeviceUseStatement.extension:treatmentObjective",
"path": "DeviceUseStatement.extension",
"sliceName": "treatmentObjective"
}, {
"id": "DeviceUseStatement.extension:treatmentObjective.value[x]",
"path": "DeviceUseStatement.extension.value[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Goal", "http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentObjective" ]
} ]
}, {
"id": "DeviceUseStatement.subject",
"path": "DeviceUseStatement.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
} ]
}, {
"id": "DeviceUseStatement.derivedFrom:procedure-request",
"path": "DeviceUseStatement.derivedFrom",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-request" ]
} ],
"sliceName": "procedure-request"
}, {
"id": "DeviceUseStatement.derivedFrom:procedure-event",
"path": "DeviceUseStatement.derivedFrom",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-event" ]
} ],
"sliceName": "procedure-event"
}, {
"id": "DeviceUseStatement.device",
"path": "DeviceUseStatement.device",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://nictiz.nl/fhir/StructureDefinition/nl-core-AbilityToPerformMouthcareActivities.Prosthesis.Product" ]
} ]
}, {
"id": "DeviceUseStatement.reasonReference:indication",
"path": "DeviceUseStatement.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" ]
} ],
"sliceName": "indication"
}, {
"id": "DeviceUseStatement.bodySite",
"path": "DeviceUseStatement.bodySite",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" ]
} ]
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities.Prosthesis"
}