Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.zib2020#0.10.0-beta.1 (47 ms)

Resources that use this resource

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine	nl core SOAPReport.SOAPLine
http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport	zib SOAPReport

Resources that this resource uses

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/ext-SOAPReport.SOAPLineCode	ext SOAPReport.SOAPLineCode
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.6.2--20200901000000	SOEPRegelNaamCodelijst

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "zib-SOAPReport.SOAPLine",
  "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine",
  "name" : "ZibSOAPReportSOAPLine",
  "title" : "zib SOAPReport.SOAPLine",
  "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" : "This Observation resource represents the SOAPLine concept of the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) SOAPReport v1.0 (2020)](https://zibs.nl/wiki/SOAPReport-v1.0(2020EN)).",
  "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" : true,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "SOAPLine",
        "comment" : "Zib SOAPReport is implemented using two profiles: this profile implements the SOAPLine concept of the zib, while <http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport> represents the SOAPReport concept of the zib.",
        "alias" : [
          "SOEPRegel"
        ],
        "constraint" : [
          {
            "key" : "zib-SOAPReport-1",
            "severity" : "error",
            "human" : "In a SOAP report an ICPC code may be assigned, but only to the S and A line.",
            "expression" : "extension('http://nictiz.nl/fhir/StructureDefinition/ext-SOAPReport.SOAPLineCode').exists() implies (code.coding.where(code = '255362007' and system = 'http://snomed.info/sct').exists() or code.coding.where(code = '129265001' and system = 'http://snomed.info/sct').exists())"
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.4",
            "comment" : "SOAPLine"
          }
        ]
      },
      {
        "id" : "Observation.extension:soapLineCode",
        "path" : "Observation.extension",
        "sliceName" : "soapLineCode",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/ext-SOAPReport.SOAPLineCode"
            ]
          }
        ],
        "condition" : [
          "zib-SOAPReport-1"
        ]
      },
      {
        "id" : "Observation.extension:soapLineCode.value[x]",
        "path" : "Observation.extension.value[x]",
        "condition" : [
          "zib-SOAPReport-1"
        ]
      },
      {
        "id" : "Observation.status",
        "path" : "Observation.status",
        "comment" : "Unless explicitly recorded, a value of _final_ would be expected."
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "SOAPLineHeader",
        "definition" : "The name of the SOAP line as a coded description. In a SOAP report this can be one of the following: subjective, objective, assessment or plan.",
        "alias" : [
          "SOEPRegelNaam"
        ],
        "condition" : [
          "zib-SOAPReport-1"
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.6.2--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.6",
            "comment" : "SOAPLineHeader"
          }
        ]
      },
      {
        "id" : "Observation.code.coding",
        "path" : "Observation.code.coding",
        "condition" : [
          "zib-SOAPReport-1"
        ]
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.value[x]:valueString",
        "path" : "Observation.value[x]",
        "sliceName" : "valueString",
        "short" : "SOAPLineText",
        "definition" : "The actual content of the section as free formatted text.",
        "alias" : [
          "SOEPRegelTekst"
        ],
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.7",
            "comment" : "SOAPLineText"
          }
        ]
      }
    ]
  },
  "text" : {
  }
}

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