FHIR © HL7.org  |  Server Home  |  FHIR Server FHIR Server 3.4.11  |  FHIR Version n/a  User: [n/a]

Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.nl-core#0.10.0-beta.1 (62 ms)

Package nictiz.fhir.nl.r4.nl-core
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.10.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport
Url http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport
Status draft
Name NlcoreSOAPReport
Title nl core SOAPReport
Experimental False
Realm nl
Description A SOAP report is a textual report of a (partial) consult with relation to a single problem according to the SOAP structure. SOAP (acronym for subjective, objective, assessment, plan) is a method used by health professionals to structurally record information that comes up during contact between the patient and a health professionals in the patient's record. The following standardized format is used for reporting: * Subjective: the patient's complaint and request for help and the amnesic data * Objective: the findings from the physical and supplementary examination. * Assessment: the working hypothesis and the thinking process, for example a differential diagnosis of the healthcare professional. * Plan: the diagnostic plan or treatment plan and what has been discussed or agreed with the patient. The SOAP report is mainly used in general practice care. Note: the zib doesn't state explicitly if zib SOAPReport pertains a consult or a partial consult, but it has become clear that the zib, and thus this profile, should be interpreted as a partial consult with relation to a single problem (see ). The text above has been adjusted according to this insight.
Purpose A derived profile from [zib-SOAPReport](http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport) 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.
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 Composition
Kind resource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter nl core Encounter
http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole nl core HealthProfessional PractitionerRole
http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient nl core Patient
http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine nl core SOAPReport.SOAPLine
http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference Reference
http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport zib SOAPReport


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "nl-core-SOAPReport",
  "url" : "http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport",
  "name" : "NlcoreSOAPReport",
  "title" : "nl core SOAPReport",
  "status" : "draft",
  "publisher" : "Nictiz",
  "contact" : [
    {
      "name" : "Nictiz",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nictiz.nl",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "A SOAP report is a textual report of a (partial) consult with relation to a single problem according to the SOAP structure. SOAP (acronym for subjective, objective, assessment, plan) is a method used by health professionals to structurally record information that comes up during contact between the patient and a health professionals in the patient's record. The following standardized format is used for reporting:\r\n\r\n* Subjective: the patient's complaint and request for help and the amnesic data\r\n* Objective: the findings from the physical and supplementary examination.\r\n* Assessment: the working hypothesis and the thinking process, for example a differential diagnosis of the healthcare professional.\r\n* Plan: the diagnostic plan or treatment plan and what has been discussed or agreed with the patient.\r\n\r\nThe SOAP report is mainly used in general practice care.\r\n\r\nNote: the zib doesn't state explicitly if zib SOAPReport pertains a consult or a partial consult, but it has become clear that the zib, and thus this profile, should be interpreted as a partial consult with relation to a single problem (see <https://bits.nictiz.nl/browse/ZIB-1474>). The text above has been adjusted according to this insight.",
  "purpose" : "A derived profile from [zib-SOAPReport](http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport) 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.",
  "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.",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "zib-soapreport-v1.0-2020EN",
      "uri" : "https://zibs.nl/wiki/SOAPReport-v1.0(2020EN)",
      "name" : "zib SOAPReport-v1.0(2020EN)"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Composition",
        "path" : "Composition",
        "comment" : "Zib SOAPReport is implemented using two profiles: this profile implements the SOAPReport concept of the zib, while <http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine> represents the SOAPLine concept of the zib which is referenced by `.section.entry`. \r\nThe Composition resource SHOULD hold a summary in the `.section.text` elements of the information found in the referenced SOAPReport.SOAPLine profile.",
        "alias" : [
          "nl-core-SOAPReport"
        ]
      },
      {
        "id" : "Composition.subject",
        "path" : "Composition.subject",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
            ]
          }
        ]
      },
      {
        "id" : "Composition.encounter",
        "path" : "Composition.encounter",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Encounter",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter"
            ]
          }
        ]
      },
      {
        "id" : "Composition.author",
        "path" : "Composition.author",
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference"
            ],
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
            ]
          }
        ]
      },
      {
        "id" : "Composition.title",
        "path" : "Composition.title",
        "definition" : "Official human-readable label for the composition. Suggested value is either episode title, or the ICPC display name on the A entry."
      },
      {
        "id" : "Composition.section:soapLine",
        "path" : "Composition.section",
        "sliceName" : "soapLine"
      },
      {
        "id" : "Composition.section:soapLine.text",
        "path" : "Composition.section.text",
        "comment" : "This element SHOULD hold the information as found in the referenced [nl-core-SOAPReport.SOAPLine](http://nictiz.nl/StructureDefinition/nl-core-SOAPReport.SOAPLine) profile to provide a human-readable narrative of the Composition."
      },
      {
        "id" : "Composition.section:soapLine.entry",
        "path" : "Composition.section.entry",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine"
            ]
          }
        ]
      }
    ]
  },
  "text" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.