FHIR IG Statistics: StructureDefinition/gp-JournalEntry
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Source
{
"resourceType": "StructureDefinition",
"id": "gp-JournalEntry",
"url": "http://nictiz.nl/fhir/StructureDefinition/gp-JournalEntry",
"version": "2.0.4",
"name": "gp-JournalEntry",
"title": "gp-JournalEntry",
"status": "active",
"publisher": "Nictiz",
"contact": [
{
"name": "Nictiz",
"telecom": [
{
"system": "url",
"value": "https://www.nictiz.nl",
"use": "work"
}
]
}
],
"description": "JournalEntry S-O-A-P (Dutch S-O-E-P) as defined in the NHG HIS Referentiemodel.",
"fhirVersion": "3.0.2",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation.extension",
"path": "Observation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Observation.extension:nl-core-episodeofcare",
"path": "Observation.extension",
"sliceName": "nl-core-episodeofcare",
"comment": "It is recommended to use the nl-core-episodeofcare extension to reference nl-core-episodeofcare (EpisodeOfCare) instances rather than the `context` element, as this approach will be enforced in FHIR R4.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare"
}
]
},
{
"id": "Observation.identifier",
"path": "Observation.identifier",
"max": "1"
},
{
"id": "Observation.basedOn",
"path": "Observation.basedOn",
"max": "0"
},
{
"id": "Observation.status",
"path": "Observation.status",
"short": "final",
"definition": "The status of the journal entry",
"fixedCode": "final"
},
{
"id": "Observation.code",
"path": "Observation.code",
"short": "NHG SOAP Code",
"definition": "Subjective, Objective, Evaluation, Plan",
"binding": {
"strength": "required",
"description": "NHG SOAP codes",
"valueSetReference": {
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.103.11.2--20111012000000",
"display": "JournaalregelType"
}
}
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"type": [
{
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}
]
},
{
"id": "Observation.context",
"path": "Observation.context",
"short": "Encounter during which this observation is made",
"definition": "The encounter during which this journal entry was made.",
"comment": "It is recommended to use the nl-core-episodeofcare extension to reference nl-core-episodeofcare (EpisodeOfCare) instances rather than the `context` element, as this approach will be enforced in FHIR R4.",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
}
]
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"definition": "Sending the effective date is recommended, but is otherwise understood to fall in the encounter date range.",
"mustSupport": true
},
{
"id": "Observation.issued",
"path": "Observation.issued",
"max": "0"
},
{
"id": "Observation.value[x]:valueString",
"path": "Observation.valueString",
"sliceName": "valueString",
"short": "Journal Entry text",
"definition": "The text as recorded or generated for this journal entry.",
"alias": [
"Journaalregel tekst"
],
"min": 1,
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.dataAbsentReason",
"path": "Observation.dataAbsentReason",
"max": "0"
},
{
"id": "Observation.interpretation",
"path": "Observation.interpretation",
"max": "0"
},
{
"id": "Observation.comment",
"path": "Observation.comment",
"max": "0"
},
{
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"max": "0"
},
{
"id": "Observation.method",
"path": "Observation.method",
"max": "0"
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"max": "0"
},
{
"id": "Observation.device",
"path": "Observation.device",
"max": "0"
},
{
"id": "Observation.referenceRange",
"path": "Observation.referenceRange",
"max": "0"
},
{
"id": "Observation.related",
"path": "Observation.related",
"max": "0"
},
{
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "code"
}
],
"rules": "open"
},
"definition": "Journal entry Evaluation often has an ICPC code that qualifies it. Journal entry Subjective is sometimes qualified using an ICPC code too.",
"max": "2"
},
{
"id": "Observation.component:ICPC_S",
"path": "Observation.component",
"sliceName": "ICPC_S",
"max": "1"
},
{
"id": "Observation.component:ICPC_S.code",
"path": "Observation.component.code",
"definition": "ICPC code qualifying journal entry Subjective",
"patternCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/ActCode",
"code": "ADMDX",
"display": "admitting diagnosis"
}
]
}
},
{
"id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept",
"path": "Observation.component.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding",
"path": "Observation.component.valueCodeableConcept.coding",
"min": 1,
"max": "1"
},
{
"id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding.system",
"path": "Observation.component.valueCodeableConcept.coding.system",
"min": 1,
"fixedUri": "http://hl7.org/fhir/sid/icpc-1-nl"
},
{
"id": "Observation.component:ICPC_S.value[x]:valueCodeableConcept.coding.code",
"path": "Observation.component.valueCodeableConcept.coding.code",
"min": 1
},
{
"id": "Observation.component:ICPC_E",
"path": "Observation.component",
"sliceName": "ICPC_E",
"max": "1"
},
{
"id": "Observation.component:ICPC_E.code",
"path": "Observation.component.code",
"definition": "ICPC code qualifying journal entry Evaluation",
"patternCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/ActCode",
"code": "DISDX",
"display": "discharge diagnosis"
}
]
}
},
{
"id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept",
"path": "Observation.component.valueCodeableConcept",
"sliceName": "valueCodeableConcept",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding",
"path": "Observation.component.valueCodeableConcept.coding",
"min": 1,
"max": "1"
},
{
"id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding.system",
"path": "Observation.component.valueCodeableConcept.coding.system",
"min": 1,
"fixedUri": "http://hl7.org/fhir/sid/icpc-1-nl"
},
{
"id": "Observation.component:ICPC_E.value[x]:valueCodeableConcept.coding.code",
"path": "Observation.component.valueCodeableConcept.coding.code",
"min": 1
}
]
}
}
FHIR