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Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.dstu2.zib2015#1.0.0 (62 ms)

Package nictiz.fhir.nl.dstu2.zib2015
Type StructureDefinition
Id Id
FHIR Version R2
Source https://simplifier.net/resolve?scope=nictiz.fhir.nl.dstu2.zib2015@1.0.0&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Concern
Url http://nictiz.nl/fhir/StructureDefinition/zib-Concern
Status draft
Date 2017-01-11T13:30:21.5094956+01:00
Name ZIB Concern
Experimental False
Realm nl
Authority hl7
Description OverdrachtConcern as defined by the Dutch Clinical Building Block (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0. Determining relevant health issues of the patient involves two important aspects: observing the problem itself on the one hand (complaints, symptoms, diagnosis, etc.) and evaluation of whether or not an active policy is required on the other. This evaluation by the healthcare provider is documented in the ‘Concern’, the point of attention. Multiple, linked Problems can be subsumed under a single Concern. The difference between recorded problems and the attention they require enables an indication of which issues medical or nursing policy applies to, or in which issues policy is necessary. An example is well-managed diabetes; this requires no active policy of the healthcare provider. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy. A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems: A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth; A finding: a healthcare provider’s observation of a patient’s health. Examples: enlarged liver, pathological plantar reflex, deviating Minimal Mental State, missing teeth. A condition: a description of a (deviating) bodily state, which may or may not be seen as a disease. Examples: pregnancy, circulatory disorder, poisoning. A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome. A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing. A complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics. A problem: any circumstance that is relevant to the medical treatment, but does not fit into one of the categories listed. Examples: Patient resides in the Netherlands without a legal status and is not insured; patient is not able to check their own blood sugar levels. In first-line care the Episode concept fills the role of Concern.
Copyright CC0
Kind resource

Resources that use this resource

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/zib-Contact ZIB Contact
http://nictiz.nl/fhir/StructureDefinition/zib-MedicalAid-ConcernReference ZIB MedicalAid ConcernReference
http://nictiz.nl/fhir/StructureDefinition/zib-Procedure ZIB Procedure
http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentInstruction ZIB TreatmentInstruction

Resources that this resource uses

StructureDefinition
http://fhir.nl/fhir/StructureDefinition/nl-core-patient nl-core-patient
http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner nl-core-practitioner
http://nictiz.nl/fhir/StructureDefinition/zib-Concern-clinicalStatusDate ZIB Concern ClinicalStatusDate
http://nictiz.nl/fhir/StructureDefinition/zib-Contact ZIB Contact


Narrative

Note: links and images are rebased to the (stated) source

A profile on Condition as defined by the Dutch Clinical Building Block (Dutch: Zorginformatiebouwsteen or ZIB) OverdrachtConcern version 3.0.

Determining relevant health issues of the patient involves two important aspects: observing the problem itself on the one hand (complaints, symptoms, diagnosis, etc.) and evaluation of whether or not an active policy is required on the other. This evaluation by the healthcare provider is documented in the ‘Concern’, the point of attention. Multiple, linked Problems can be subsumed under a single Concern.

The difference between recorded problems and the attention they require enables an indication of which issues medical or nursing policy applies to, or in which issues policy is necessary. An example is well-managed diabetes; this requires no active policy of the healthcare provider.

A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy.
A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems:

  • A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia
  • A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth;
  • A finding: a healthcare provider’s observation of a patient’s health. Examples: enlarged liver, pathological plantar reflex, deviating Minimal Mental State, missing teeth.
  • A condition: a description of a (deviating) bodily state, which may or may not be seen as a disease. Examples: pregnancy, circulatory disorder, poisoning.
  • A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.
  • A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.
  • A complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.
  • A problem: any circumstance that is relevant to the medical treatment, but does not fit into one of the categories listed. Examples: Patient resides in the Netherlands without a legal status and is not insured; patient is not able to check their own blood sugar levels.

In first-line care the Episode concept fills the role of Concern.


Source

{
  "resourceType" : "StructureDefinition",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2017-03-29T14:34:10.831+02:00"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A profile on Condition as defined by the Dutch Clinical Building Block (Dutch: Zorginformatiebouwsteen or ZIB) OverdrachtConcern version 3.0. </p><p>Determining relevant health issues of the patient involves two important aspects: observing the problem itself on the one hand (complaints, symptoms, diagnosis, etc.) and evaluation of whether or not an active policy is required on the other. This evaluation by the healthcare provider is documented in the ‘Concern’, the point of attention. Multiple, linked Problems can be subsumed under a single Concern.</p><p>The difference between recorded problems and the attention they require enables an indication of which issues medical or nursing policy applies to, or in which issues policy is necessary. An example is well-managed diabetes; this requires no active policy of the healthcare provider.</p><p>A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy.<br />A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems:</p><ul><li>A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia</li><li>A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth;</li><li>A finding: a healthcare provider’s observation of a patient’s health. Examples: enlarged liver, pathological plantar reflex, deviating Minimal Mental State, missing teeth.</li><li>A condition: a description of a (deviating) bodily state, which may or may not be seen as a disease. Examples: pregnancy, circulatory disorder, poisoning.</li><li>A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.</li><li>A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.</li><li>A complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.</li><li>A problem: any circumstance that is relevant to the medical treatment, but does not fit into one of the categories listed. Examples: Patient resides in the Netherlands without a legal status and is not insured; patient is not able to check their own blood sugar levels.</li></ul><p>In first-line care the Episode concept fills the role of Concern.</p></div>"
  },
  "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-Concern",
  "name" : "ZIB Concern",
  "status" : "draft",
  "publisher" : "Nictiz",
  "contact" : [
    {
      "name" : "Nictiz",
      "telecom" : [
        {
          "system" : "email",
          "value" : "info@nictiz.nl",
          "use" : "work"
        }
      ]
    }
  ],
  "date" : "2017-01-11T13:30:21.5094956+01:00",
  "description" : "OverdrachtConcern as defined by the Dutch Clinical Building Block (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0.\r\n\r\nDetermining relevant health issues of the patient involves two important aspects: observing the problem itself on the one hand (complaints, symptoms, diagnosis, etc.) and evaluation of whether or not an active policy is required on the other. This evaluation by the healthcare provider is documented in the ‘Concern’, the point of attention. Multiple, linked Problems can be subsumed under a single Concern.\r\nThe difference between recorded problems and the attention they require enables an indication of which issues medical or nursing policy applies to, or in which issues policy is necessary. An example is well-managed diabetes; this requires no active policy of the healthcare provider.\r\n\r\nA problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy.\r\nA problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems:\r\n\r\nA complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia\r\nA symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth;\r\nA finding: a healthcare provider’s observation of a patient’s health. Examples: enlarged liver, pathological plantar reflex, deviating Minimal Mental State, missing teeth.\r\nA condition: a description of a (deviating) bodily state, which may or may not be seen as a disease. Examples: pregnancy, circulatory disorder, poisoning.\r\nA diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.\r\nA functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.\r\nA complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.\r\nA problem: any circumstance that is relevant to the medical treatment, but does not fit into one of the categories listed. Examples: Patient resides in the Netherlands without a legal status and is not insured; patient is not able to check their own blood sugar levels.\r\n\r\nIn first-line care the Episode concept fills the role of Concern.",
  "copyright" : "CC0",
  "fhirVersion" : "1.0.2",
  "mapping" : [
    {
      "identity" : "zib-overdrachtconcern",
      "uri" : "https://zibs.nl/wiki/OverdrachtConcern(NL)",
      "name" : "Zorginformatiebouwsteen OverdrachtConcern"
    }
  ],
  "kind" : "resource",
  "constrainedType" : "Condition",
  "abstract" : false,
  "base" : "http://hl7.org/fhir/StructureDefinition/Condition",
  "differential" : {
    "element" : [
      {
        "id" : "Condition",
        "path" : "Condition"
      },
      {
        "id" : "Condition.patient",
        "path" : "Condition.patient",
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
            ]
          }
        ]
      },
      {
        "id" : "Condition.encounter",
        "path" : "Condition.encounter",
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/zib-Contact"
            ]
          }
        ]
      },
      {
        "id" : "Condition.asserter",
        "path" : "Condition.asserter",
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
            ]
          },
          {
            "code" : "Reference",
            "profile" : [
              "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
            ]
          }
        ]
      },
      {
        "id" : "Condition.code",
        "path" : "Condition.code",
        "short" : "ProblemName",
        "definition" : "The problem name defines the problem.\r\nDepending on the setting, one or more of the code systems below can be used:\r\n\r\nStructured terms: SNOMED CT\r\nMedical diagnoses: national DHD list\r\nNurse diagnoses: NANDA\r\nParamedic diagnoses: DHD and NANDA (partially offer solutions for this)\r\nFor functional constraints: ICF\r\nFor first-line care: ICPC-1 NL",
        "alias" : [
          "ProbleemName"
        ],
        "binding" : {
          "strength" : "extensible",
          "description" : "The problem name defines the problem.",
          "valueSetReference" : {
            "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20150401000000",
            "display" : "ProbleemNaamCodelijst"
          }
        },
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.3"
          }
        ]
      },
      {
        "id" : "Condition.code.coding",
        "path" : "Condition.code.coding",
        "max" : "1"
      },
      {
        "id" : "Condition.code.text",
        "path" : "Condition.code.text",
        "short" : "ConcernLabel",
        "definition" : "If needed, a short, written description of the concern. Mainly in first-line care this will be used for the episode name.",
        "alias" : [
          "ConcernLabel"
        ],
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.9"
          }
        ]
      },
      {
        "id" : "Condition.category",
        "path" : "Condition.category",
        "short" : "ProblemType",
        "definition" : "The type of problem; see the profile description.",
        "alias" : [
          "ProbleemType"
        ],
        "binding" : {
          "strength" : "extensible",
          "description" : "The type of problem.",
          "valueSetReference" : {
            "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20150401000000",
            "display" : "ProbleemTypeCodelijst"
          }
        },
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.8"
          }
        ]
      },
      {
        "id" : "Condition.clinicalStatus",
        "path" : "Condition.clinicalStatus",
        "short" : "ProblemStatus",
        "definition" : "The problem status describes the condition of the problem:\r\n1. Current problems are the focus of the current medical policy.\r\n2. Non-current (historic) problems are part of the case history.\r\n3. Problems with the status 'Under control' refer to problems that still exist, but which currently do not require specific medical policy (such as well-managed diabetes).",
        "alias" : [
          "ProbleemStatus"
        ],
        "min" : 1,
        "binding" : {
          "strength" : "extensible",
          "description" : "The problem status describes the condition of the problem:",
          "valueSetReference" : {
            "reference" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20150401000000",
            "display" : "ProbleemStatusCodelijst"
          }
        },
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.4"
          }
        ]
      },
      {
        "id" : "Condition.clinicalStatus.extension",
        "path" : "Condition.clinicalStatus.extension",
        "slicing" : {
          "discriminator" : [
            "url"
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Condition.clinicalStatus.extension.clinicalStatusDate",
        "path" : "Condition.clinicalStatus.extension",
        "name" : "clinicalStatusDate",
        "short" : "clinicalStatusDate",
        "definition" : "Date from when the current value of the ProblemStatus applies: since when is the problem current, under control or non-current.",
        "alias" : [
          "ProbleemStatusDatum"
        ],
        "min" : 1,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/zib-Concern-clinicalStatusDate"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.7"
          }
        ]
      },
      {
        "id" : "Condition.clinicalStatus.extension.cSDate.valueDateTime",
        "path" : "Condition.clinicalStatus.extension.valueDateTime",
        "min" : 1
      },
      {
        "id" : "Condition.onset",
        "path" : "Condition.onset[x]",
        "short" : "ConditionStartDate",
        "definition" : "Start of the disorder to which the problem applies. Especially in symptoms in which it takes longer for the final diagnosis, it is important to know not only the date of the diagnosis, but also how long the patient has had the disorder. A ‘vague’ date, such as only the year or the month and the year, is permitted.",
        "comments" : "Age is generally used when the patient reports an age at which the Condition began to occur.\r\nNictiz comment: We prefer the use of onsetDateTime if known.",
        "alias" : [
          "ProbleemBeginDatum"
        ],
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.6"
          }
        ]
      },
      {
        "id" : "Condition.notes",
        "path" : "Condition.notes",
        "short" : "Explanation",
        "definition" : "Explanation by the one who determined or updated the Problem.",
        "alias" : [
          "Toelichting"
        ],
        "mapping" : [
          {
            "identity" : "zib-overdrachtconcern",
            "map" : "NL-CM:5.1.5"
          }
        ]
      }
    ]
  }
}

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