Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.zib2020#0.11.0-beta.1 (62 ms)

Resources that use this resource

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

Resources that this resource uses

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference	Reference
http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole	zib HealthProfessional PractitionerRole
http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine	zib SOAPReport.SOAPLine
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.6.2--20200901000000	SOEPRegelNaamCodelijst

Narrative

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

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "zib-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/zib-SOAPReport",
  "name" : "ZibSOAPReport",
  "title" : "zib 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" : "This Composition resource represents 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" : "Composition",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Composition",
        "path" : "Composition",
        "short" : "SOAPReport",
        "comment" : "Zib SOAPReport is implemented using two profiles: this profile implements the SOAPReport concept of the zib, while <http://nictiz.nl/fhir/StructureDefinition/zib-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" : [
          "SOEPVerslag"
        ],
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.1",
            "comment" : "SOAPReport"
          }
        ]
      },
      {
        "id" : "Composition.status",
        "path" : "Composition.status",
        "comment" : "Unless the status is explicitly recorded it is expected that only _final_ reports are exchanged."
      },
      {
        "id" : "Composition.type",
        "path" : "Composition.type",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "11591000146107"
            }
          ]
        }
      },
      {
        "id" : "Composition.date",
        "path" : "Composition.date",
        "short" : "SOAPReportDateTime",
        "definition" : "Date and time when the report was recorded",
        "alias" : [
          "SOEPVerslagDatumTijd"
        ],
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.2",
            "comment" : "SOAPReportDateTime"
          }
        ]
      },
      {
        "id" : "Composition.author",
        "path" : "Composition.author",
        "short" : "Author",
        "definition" : "The healthcare provider who prepared the report and who is responsible for its content.",
        "alias" : [
          "Auteur"
        ],
        "max" : "1",
        "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/Device",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole"
            ]
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.3",
            "comment" : "Author"
          }
        ]
      },
      {
        "id" : "Composition.title",
        "path" : "Composition.title",
        "definition" : "Official human-readable label for the composition. Suggested value is the ICPC display name on the A entry."
      },
      {
        "id" : "Composition.section",
        "path" : "Composition.section",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Composition.section:soapLine",
        "path" : "Composition.section",
        "sliceName" : "soapLine",
        "short" : "SOAPLine",
        "alias" : [
          "SOEPRegel"
        ],
        "max" : "4",
        "mapping" : [
          {
            "identity" : "zib-soapreport-v1.0-2020EN",
            "map" : "NL-CM:13.6.4",
            "comment" : "SOAPLine"
          }
        ]
      },
      {
        "id" : "Composition.section:soapLine.code",
        "path" : "Composition.section.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"
        ],
        "min" : 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" : "Composition.section:soapLine.text",
        "path" : "Composition.section.text",
        "comment" : "This element SHOULD hold the information as found in the referenced [zib-SOAPReport.SOAPLine](http://nictiz.nl/StructureDefinition/zib-SOAPReport.SOAPLine) profile to provide a human-readable narrative of the Composition."
      },
      {
        "id" : "Composition.section:soapLine.entry",
        "path" : "Composition.section.entry",
        "definition" : "A reference to data that supports this section. At a minimum, there should be an entry for the SOAPReport.SOAPLine profile.",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine"
            ]
          }
        ]
      }
    ]
  }
}

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