FHIR IG Statistics: StructureDefinition/nl-core-SOAPReport.SOAPLine
Package | nictiz.fhir.nl.r4.nl-core |
Type | StructureDefinition |
Id | nl-core-SOAPReport.SOAPLine |
FHIR Version | R4 |
Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine |
URL | http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine |
Status | draft |
Name | NlcoreSOAPReportSOAPLine |
Title | nl core SOAPReport.SOAPLine |
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 <https://bits.nictiz.nl/browse/ZIB-1474>). The text above has been adjusted according to this insight. |
Purpose | A derived profile from [zib-SOAPReport.SOAPLine](http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine) 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 | Observation |
Kind | resource |
Resources that use this resource
Resources that this resource uses
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": "nl-core-SOAPReport.SOAPLine",
"text": {
"status": "empty",
"div": "<!-- snip (see above) -->"
},
"url": "http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport.SOAPLine",
"name": "NlcoreSOAPReportSOAPLine",
"title": "nl core 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": "A derived profile from [zib-SOAPReport.SOAPLine](http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine) 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": "Observation",
"baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-SOAPReport.SOAPLine",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation",
"path": "Observation",
"comment": "Zib SOAPReport is implemented using two profiles: this profile implements the SOAPLine concept of the zib, while <http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport> represents the SOAPReport concept of the zib.",
"alias": [
"nl-core-SOAPReport.SOAPLine"
]
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/Group",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/Location",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
]
}
]
}
]
}
}