Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.nl-core#0.11.0-beta.1 (63 ms)

Resources that use this resource

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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

Narrative

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

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "nl-core-SOAPReport",
  "text" : {
    "status" : "empty",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>"
  },
  "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"
            ]
          }
        ]
      }
    ]
  }
}

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