{ "resourceType": "StructureDefinition", "id": "HdBe-AbilityToPerformNursingActivities", "language": "en-US", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod", "valuePeriod": { "start": "2020-08-31T22:00:00+00:00" } } ], "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AbilityToPerformNursingActivities", "name": "HdBeAbilityToPerformNursingActivities", "_name": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "HdBeVermogenTotVerpleegtechnischeHandelingen" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "title": "HdBe AbilityToPerformNursingActivities", "status": "draft", "date": "2022-07-07T15:04:03.2592055+00:00", "publisher": "Healthdata.be (Sciensano)", "contact": [ { "name": "Service portal – healthdata.be", "telecom": [ { "system": "url", "value": "https://sciensano.service-now.com/sp", "use": "work" } ] } ], "description": "When taking care of a patient with a disease or disability, parents, children and other caretakers often carry out nursing interventions. Adults and older children may carry out nursing interventions by themselves. Therefore skills training is needed for caregivers/ children. Qualification is required for correct performing of an intervention and also knowledge about what to do in case of complications. \r\nThe assessment of the degree to which the intervention can be performed independently refers only to the indicated intervention.\r\n#### Purpose\r\nInformation about the qualification of skill for performing a specific nursing intervention is necessary to provide parents, children and other caregivers appropriate support for the care of the patient.\r\n#### Evidence Base\r\nIn order to indicate to whom the defined skills relate, use is made of one of the implicit concepts of the information model: the subject of the data. Usually, this is the patient in which case it will not be explicitly mentioned. If the data relates to a different person, this can be indicated by means of a reference to e.g. the information model Contactperson.", "_description": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Bij de zorg voor een patiënt met een bepaalde aandoening of beperking worden vaak ‘verpleegtechnische’ handelingen door ouders, kinderen en/of mantelzorgers uitgevoerd. Volwassenen en oudere kinderen kunnen soms zelf ook bepaalde handelingen moeten uitvoeren. Het leren om handelingen uit te voeren vraagt om gerichte training/scholing. Bekwaamheid betreft niet alleen de correcte uitvoer van een bepaalde handeling, maar ook kennis over wat te doen bij complicaties. De beoordeling van de mate waarin de handeling zelfstandig uitgevoerd kan worden heeft uitsluitend betrekking op de aangegeven handeling.\r\n#### Purpose\r\nInformatie over de mate van bekwaamheid van het uitvoeren van een bepaalde verpleegtechnische handeling is nodig om ouders, kinderen en/of mantelzorgers passende ondersteuning te bieden bij de verzorging van de patiënt.\r\n#### Evidence Base\r\nOm aan te duiden op wie de vastgelegde bekwaamheid betrekking heeft, wordt gebruikt gemaakt van één van de impliciete concepten van de bouwsteen, namelijk het subject van de gegevens. Meestal is dit de patient en zal deze niet expliciet vermeld worden. Indien de gegevens betrekking hebben op een ander kan dit worden aangegeven door middel van een verwijzing naar b.v. de bouwsteen contactpersoon." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "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", "kind": "logical", "abstract": true, "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/AbilityToPerformNursingActivities", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "AbilityToPerformNursingActivities", "path": "AbilityToPerformNursingActivities", "short": "AbilityToPerformNursingActivities", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VermogenTotVerpleegtechnischeHandelingen" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the AbilityToPerformNursingActivities information model. This root concept contains all data elements of the AbilityToPerformNursingActivities information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen VermogenTotVerpleegtechnischeHandelingen. Dit rootconcept bevat alle gegevenselementen van de bouwsteen VermogenTotVerpleegtechnischeHandelingen." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "base": { "path": "AbilityToPerformNursingActivities", "min": 0, "max": "*" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "AbilityToPerformNursingActivities.id", "path": "AbilityToPerformNursingActivities.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "AbilityToPerformNursingActivities.extension", "path": "AbilityToPerformNursingActivities.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "AbilityToPerformNursingActivities.NursingIntervention", "path": "AbilityToPerformNursingActivities.NursingIntervention", "short": "NursingIntervention", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VerpleegkundigeInterventie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Specification of nursing interventions where the skills relate to.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Specificatie van de verpleegkundige handelingen waar bekwaamheid betrekking op heeft" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 1, "max": "1", "base": { "path": "AbilityToPerformNursingActivities.NursingIntervention", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-NursingIntervention" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "AbilityToPerformNursingActivities.PerformNursingActivity", "path": "AbilityToPerformNursingActivities.PerformNursingActivity", "short": "PerformNursingActivity", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VerrichtenVPKHandeling" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Qualification of the degree of independence when performing certain (nursing) interventions.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Kwalificatie vanmate van onafhankelijkheid bij de uitvoer van bepaalde (verpleegtechnische) handelingen." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 1, "max": "1", "base": { "path": "AbilityToPerformNursingActivities.PerformNursingActivity", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "required", "description": "PerformNursingActivity codes", "valueSet": "https://fhir.healthdata.be/ValueSet/VerrichtenVPKHandeling" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] } ] }, "differential": { "element": [ { "id": "AbilityToPerformNursingActivities", "path": "AbilityToPerformNursingActivities", "short": "AbilityToPerformNursingActivities", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VermogenTotVerpleegtechnischeHandelingen" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the AbilityToPerformNursingActivities information model. This root concept contains all data elements of the AbilityToPerformNursingActivities information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen VermogenTotVerpleegtechnischeHandelingen. Dit rootconcept bevat alle gegevenselementen van de bouwsteen VermogenTotVerpleegtechnischeHandelingen." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*" }, { "id": "AbilityToPerformNursingActivities.NursingIntervention", "path": "AbilityToPerformNursingActivities.NursingIntervention", "short": "NursingIntervention", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VerpleegkundigeInterventie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Specification of nursing interventions where the skills relate to.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Specificatie van de verpleegkundige handelingen waar bekwaamheid betrekking op heeft" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-NursingIntervention" ] } ] }, { "id": "AbilityToPerformNursingActivities.PerformNursingActivity", "path": "AbilityToPerformNursingActivities.PerformNursingActivity", "short": "PerformNursingActivity", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "VerrichtenVPKHandeling" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Qualification of the degree of independence when performing certain (nursing) interventions.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Kwalificatie vanmate van onafhankelijkheid bij de uitvoer van bepaalde (verpleegtechnische) handelingen." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "description": "PerformNursingActivity codes", "valueSet": "https://fhir.healthdata.be/ValueSet/VerrichtenVPKHandeling" } } ] } }