{
"description": "NursingIntervention as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017 with an addaption by the 'VNN redactieraad 2018', where a informationmodel is proposed without the NursingProcedure container and attached mandatory Activity concept. \\r\\n\\r\\nA nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.\\r\\nIn a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.",
"_filename": "zib-NursingIntervention.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other health professionals on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.",
"name": "Zib NursingIntervention",
"mapping": [ {
"uri": "https://zibs.nl/wiki/NursingIntervention-v3.1(2017EN)",
"name": "HCIM NursingIntervention-v3.1(2017EN)",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Procedure",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM NursingIntervention",
"package_version": "1.0.0",
"status": "draft",
"id": "f44371e2-0940-40ad-8a96-1b9d5deaede2",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "Procedure",
"path": "Procedure",
"alias": [ "VerpleegkundigeInterventie" ],
"short": "NursingIntervention",
"mapping": [ {
"map": "NL-CM:14.2.1",
"comment": "NursingIntervention",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ]
}, {
"id": "Procedure.extension",
"path": "Procedure.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Procedure.extension",
"definition": "The description of the treatment goal that the intervention decision is based on.",
"short": "Treatment objective",
"mapping": [ {
"map": "NL-CM:14.2.14",
"comment": "TreatmentObjective",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
} ],
"sliceName": "TreatmentObjective",
"alias": [ "Behandeldoel" ],
"max": "1",
"id": "Procedure.extension:TreatmentObjective"
}, {
"id": "Procedure.extension:TreatmentObjective.valueReference:valueReference",
"path": "Procedure.extension.valueReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective"
} ],
"sliceName": "valueReference"
}, {
"id": "Procedure.extension:Frequency",
"path": "Procedure.extension",
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/procedure-schedule"
} ],
"alias": [ "Frequentie" ],
"short": "Frequency",
"mapping": [ {
"map": "NL-CM:14.2.4",
"comment": "Frequency",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"sliceName": "Frequency",
"definition": "The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day."
}, {
"id": "Procedure.extension:Frequency.valueTiming:valueTiming",
"path": "Procedure.extension.valueTiming",
"sliceName": "valueTiming"
}, {
"path": "Procedure.extension",
"definition": "Interval indicates the time between planned procedures.\r\nWhen entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.",
"short": "Interval",
"mapping": [ {
"map": "NL-CM:14.2.3",
"comment": "Interval",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval"
} ],
"sliceName": "Interval",
"alias": [ "Interval" ],
"max": "1",
"id": "Procedure.extension:Interval"
}, {
"path": "Procedure.extension",
"min": 0,
"definition": "Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver.",
"short": "Instruction",
"mapping": [ {
"map": "NL-CM:14.2.18",
"comment": "Instruction",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/Comment"
} ],
"sliceName": "Instruction",
"alias": [ "Instructie" ],
"max": "1",
"id": "Procedure.extension:Instruction"
}, {
"id": "Procedure.extension:Requester",
"path": "Procedure.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester"
} ],
"alias": [ "Aanvrager" ],
"short": "Requester",
"mapping": [ {
"map": "NL-CM:14.2.8",
"comment": "Requester",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"sliceName": "Requester",
"definition": "The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered."
}, {
"id": "Procedure.category",
"min": 1,
"path": "Procedure.category"
}, {
"id": "Procedure.category.coding",
"path": "Procedure.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Procedure.category.coding:NursingInterventionCode",
"path": "Procedure.category.coding",
"short": "NursingInterventionCode",
"sliceName": "nursingInterventionCode",
"definition": "Category snomed code used for indexing/retrieval of the HCIM NursingIntervention."
}, {
"id": "Procedure.category.coding:NursingInterventionCode.system",
"path": "Procedure.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Procedure.category.coding:NursingInterventionCode.code",
"path": "Procedure.category.coding.code",
"fixedCode": "9632001"
}, {
"id": "Procedure.category.coding:NursingInterventionCode.display",
"path": "Procedure.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"fixedString": "Nursing procedure (procedure)"
}, {
"id": "Procedure.code",
"min": 1,
"path": "Procedure.code",
"alias": [ "Interventie" ],
"short": "Intervention",
"mapping": [ {
"map": "NL-CM:14.2.2",
"comment": "Intervention",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result."
}, {
"id": "Procedure.code.coding",
"path": "Procedure.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Procedure.code.coding:interventionNICCodelist",
"path": "Procedure.code.coding",
"binding": {
"strength": "extensible",
"description": "NIC - All Values",
"valueSetReference": {
"display": "InterventionNICCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000"
}
},
"sliceName": "interventionNICCodelist"
}, {
"id": "Procedure.code.coding:interventionSnomedCodelist",
"path": "Procedure.code.coding",
"binding": {
"strength": "extensible",
"description": "SNOMED CT - SNOMED CT: <<71388002 | procedure |",
"valueSetReference": {
"display": "InterventionSnomedCodelist",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000"
}
},
"sliceName": "interventionSnomedCodelist"
}, {
"id": "Procedure.subject",
"path": "Procedure.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
} ]
}, {
"id": "Procedure.performed[x]:performedPeriod",
"path": "Procedure.performedPeriod",
"type": [ {
"code": "Period"
} ],
"sliceName": "performedPeriod"
}, {
"id": "Procedure.performed[x]:performedPeriod.start",
"path": "Procedure.performedPeriod.start",
"alias": [ "ActieStartDatumTijd" ],
"short": "ProcedureStartDateTime",
"mapping": [ {
"map": "NL-CM:14.2.11",
"comment": "ProcedureStartDateTime",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures."
}, {
"id": "Procedure.performed[x]:performedPeriod.end",
"path": "Procedure.performedPeriod.end",
"alias": [ "ActieEindDatumTijd" ],
"short": "ProcedureEndDateTime",
"mapping": [ {
"map": "NL-CM:14.2.12",
"comment": "ProcedureEndDateTime",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures."
}, {
"id": "Procedure.performer",
"max": "1",
"path": "Procedure.performer",
"alias": [ "Uitvoerder" ],
"short": "Performer",
"mapping": [ {
"map": "NL-CM:14.2.15",
"comment": "Performer",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "The person carrying out the nursing procedure."
}, {
"id": "Procedure.performer.actor",
"path": "Procedure.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ],
"short": "The reference to the performer",
"mapping": [ {
"map": "NL-CM:14.2.7",
"comment": "HealthcareProvider",
"identity": "hcim-nursingintervention-v3.1-2017EN"
}, {
"map": "NL-CM:14.2.16",
"comment": "Caregiver",
"identity": "hcim-nursingintervention-v3.1-2017EN"
}, {
"map": "NL-CM:14.2.17",
"comment": "Patient",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "The person carrying out the nursing procedure."
}, {
"id": "Procedure.reasonReference",
"path": "Procedure.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
} ],
"alias": [ "Indicatie" ],
"short": "Indication",
"mapping": [ {
"map": "NL-CM:14.2.6",
"comment": "Indication",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "The nursing-related problem (indication) providing cause for the intervention."
}, {
"id": "Procedure.note.text",
"path": "Procedure.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:14.2.5",
"comment": "Comment",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"definition": "Comment on the nursing intervention."
}, {
"id": "Procedure.usedReference.extension",
"path": "Procedure.usedReference.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Procedure.usedReference.extension:MedicalDevice",
"path": "Procedure.usedReference.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
} ],
"short": "Medical device",
"mapping": [ {
"map": "NL-CM:14.2.13",
"comment": "MedicalDevice",
"identity": "hcim-nursingintervention-v3.1-2017EN"
} ],
"sliceName": "MedicalDevice",
"definition": "Description of the materials used for the nursing procedure, such as bandages."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure"
}