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Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.zib2020#0.11.0-beta.1 (94 ms)

Package nictiz.fhir.nl.r4.zib2020
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.11.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-request
Url http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-request
Status draft
Name ZibProcedurerequest
Title zib Procedure request
Experimental False
Realm nl
Authority hl7
Description Therapeutic or diagnostic procedure the patient will undergo (the complementary profile [zib-Procedure-event](http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event) can be used for therapeutic or diagnostic procedures that the patient has undergone). A procedure can be a simple blood pressure measurement, but also a complex heart surgery. In some care settings, the term treatment is used instead of the term procedure.
Purpose This ServiceRequest resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Procedure v5.2 (2020)](https://zibs.nl/wiki/Procedure-v5.2(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.
Type ServiceRequest
Kind resource

Resources that use this resource

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-request nl core Procedure request
http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice zib MedicalDevice
http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event zib Procedure event

Resources that this resource uses

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference Reference
http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation zib AnatomicalLocation
http://nictiz.nl/fhir/StructureDefinition/zib-CareTeam zib CareTeam
http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole zib HealthProfessional PractitionerRole
http://nictiz.nl/fhir/StructureDefinition/zib-HealthcareProvider zib HealthcareProvider
http://nictiz.nl/fhir/StructureDefinition/zib-Problem zib Problem
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 LocatieCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 VerrichtingMethodeCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000 VerrichtingTypeCodelijsten


Narrative

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

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "zib-Procedure-request",
  "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/zib-Procedure-request",
  "name" : "ZibProcedurerequest",
  "title" : "zib Procedure request",
  "status" : "draft",
  "publisher" : "Nictiz",
  "contact" : [
    {
      "name" : "Nictiz",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nictiz.nl",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Therapeutic or diagnostic procedure the patient will undergo (the complementary profile [zib-Procedure-event](http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event) can be used for therapeutic or diagnostic procedures that the patient has undergone). A procedure can be a simple blood pressure measurement, but also a complex heart surgery.\r\nIn some care settings, the term treatment is used instead of the term procedure.",
  "purpose" : "This ServiceRequest resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Procedure v5.2 (2020)](https://zibs.nl/wiki/Procedure-v5.2(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-procedure-v5.2-2020EN",
      "uri" : "https://zibs.nl/wiki/Procedure-v5.2(2020EN)",
      "name" : "zib Procedure-v5.2(2020EN)"
    }
  ],
  "kind" : "resource",
  "abstract" : true,
  "type" : "ServiceRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "ServiceRequest",
        "path" : "ServiceRequest",
        "short" : "Procedure",
        "comment" : "The zib Procedure is mapped both to this ServiceRequest profile and a profile on Procedure (<http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event>) to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the zib mappings.\r\n\r\nThe planned and performed procedures can be linked using `Procedure.basedOn`.",
        "alias" : [
          "Verrichting"
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.1",
            "comment" : "Procedure"
          }
        ]
      },
      {
        "id" : "ServiceRequest.status",
        "path" : "ServiceRequest.status",
        "definition" : "This element is implictly mapped to the zib concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate (NL-CM:14.1.3). Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _active_.\r\n* When the ProcedureStartDate is in the past, `.status` will usually be set to _completed_.\r\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\r\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the ProcedureRequest.",
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.2",
            "comment" : "ProcedureStartDate (implicit, main mapping is on ServiceRequest.occurrencePeriod.start and ServiceRequest.occurrenceDateTime)"
          },
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.3",
            "comment" : "ProcedureEndDate (implicit, main mapping is on ServiceRequest.occurrencePeriod.end)"
          }
        ]
      },
      {
        "id" : "ServiceRequest.intent",
        "path" : "ServiceRequest.intent",
        "definition" : "Unless intent is explicitly recorded and a more appropriate code is known, the value can be set to _order_ because a Procedure should authorize an action for a patient, pharmacist, professional administrator et cetera."
      },
      {
        "id" : "ServiceRequest.code",
        "path" : "ServiceRequest.code",
        "short" : "ProcedureType",
        "definition" : "The name of the procedure. Choices are the DHD procedure thesaurus, the procedures file (CBV), the Care activities file (NZa), the Dutch Mental Health and Addiction Care procedures list (GGZ) and the procedures list of the Dutch College of General Practitioners (NHG).",
        "alias" : [
          "VerrichtingType"
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.4",
            "comment" : "ProcedureType"
          }
        ]
      },
      {
        "id" : "ServiceRequest.orderDetail",
        "path" : "ServiceRequest.orderDetail",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "ServiceRequest.orderDetail:procedureMethod",
        "path" : "ServiceRequest.orderDetail",
        "sliceName" : "procedureMethod",
        "short" : "ProcedureMethod",
        "definition" : "The method or technique that will be used to perform the procedure, e.g. approach, lavage, pressuring, etc.",
        "alias" : [
          "VerrichtingMethode"
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.12",
            "comment" : "ProcedureMethod"
          }
        ]
      },
      {
        "id" : "ServiceRequest.occurrence[x]",
        "path" : "ServiceRequest.occurrence[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrencePeriod",
        "path" : "ServiceRequest.occurrence[x]",
        "sliceName" : "occurrencePeriod",
        "type" : [
          {
            "code" : "Period"
          }
        ]
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrencePeriod.start",
        "path" : "ServiceRequest.occurrence[x].start",
        "short" : "ProcedureStartDate",
        "definition" : "The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures.",
        "comment" : "If the zib Procedure concerns a procedure performed over a period, `ServiceRequest.occurencePeriod.start` and `ServiceRequest.occurencePeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `ServiceRequest.occurrenceDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
        "alias" : [
          "VerrichtingStartDatum"
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.2",
            "comment" : "ProcedureStartDate"
          }
        ]
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrencePeriod.end",
        "path" : "ServiceRequest.occurrence[x].end",
        "short" : "ProcedureEndDate",
        "definition" : "The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty.",
        "comment" : "If the zib Procedure concerns a procedure performed over a period, `ServiceRequest.occurencePeriod.start` and `ServiceRequest.occurencePeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `ServiceRequest.occurrenceDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
        "alias" : [
          "VerrichtingEindDatum"
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.3",
            "comment" : "ProcedureEndDate"
          }
        ]
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrenceDateTime",
        "path" : "ServiceRequest.occurrence[x]",
        "sliceName" : "occurrenceDateTime",
        "short" : "ProcedureStartDate",
        "definition" : "The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.",
        "comment" : "If the zib Procedure concerns a procedure performed over a period, `ServiceRequest.occurencePeriod.start` and `ServiceRequest.occurencePeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `ServiceRequest.occurrenceDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
        "alias" : [
          "VerrichtingStartDatum"
        ],
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.2",
            "comment" : "ProcedureStartDate"
          }
        ]
      },
      {
        "id" : "ServiceRequest.requester",
        "path" : "ServiceRequest.requester",
        "short" : "Requester",
        "definition" : "The healthcare provider who requested the procedure.",
        "comment" : "The zib mapping contains a known cardinality difference (`0..*` versus `0..1`). The zib will be aligned in a future version with the cardinality of FHIR, therefore this profile pre-adopts the `0..1` cardinality for the requester. \r\n\r\nEach occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [zib-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [zib-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the zib-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.",
        "alias" : [
          "Aanvrager"
        ],
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference"
            ],
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.10",
            "comment" : "Requester"
          }
        ]
      },
      {
        "id" : "ServiceRequest.performer",
        "path" : "ServiceRequest.performer",
        "short" : "Performer",
        "definition" : "The healthcare provider who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.",
        "comment" : "If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. This deviates from the zib definition where multiple references to the zib Healthprofessional should be interperted as all the performers of the procedure. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
        "alias" : [
          "Uitvoerder"
        ],
        "type" : [
          {
            "code" : "Reference",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference"
            ],
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/HealthcareService",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole",
              "http://nictiz.nl/fhir/StructureDefinition/zib-CareTeam"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.6",
            "comment" : "Performer"
          }
        ]
      },
      {
        "id" : "ServiceRequest.locationReference",
        "path" : "ServiceRequest.locationReference",
        "short" : "Location",
        "definition" : "The healthcare center where the procedure was, is or or will be carried out.",
        "alias" : [
          "Locatie"
        ],
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Location",
              "http://nictiz.nl/fhir/StructureDefinition/zib-HealthcareProvider"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.5",
            "comment" : "Location"
          }
        ]
      },
      {
        "id" : "ServiceRequest.reasonReference",
        "path" : "ServiceRequest.reasonReference",
        "short" : "Indication",
        "definition" : "The indication is the reason for the procedure.",
        "alias" : [
          "Indicatie"
        ],
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Condition",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://nictiz.nl/fhir/StructureDefinition/zib-Problem"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.9",
            "comment" : "Indication"
          }
        ]
      },
      {
        "id" : "ServiceRequest.bodySite",
        "path" : "ServiceRequest.bodySite",
        "short" : "Location / ProcedureAnatomicalLocation",
        "definition" : "Anatomical location which is the focus of the procedure.",
        "alias" : [
          "VerrichtingAnatomischeLocatie"
        ],
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-procedure-v5.2-2020EN",
            "map" : "NL-CM:14.1.13",
            "comment" : "ProcedureAnatomicalLocation"
          }
        ]
      }
    ]
  }
}

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