<status value="draft" /> <date value="2022-10-17T09:09:13.9562003+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. Following the NEN-EN-ISO 18104 norm, it is possible to structure nursing interventions (or actions) in a hierarchy, where one intervention can be part of another intervention. In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction." /> <copyright value="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 value="4.0.1" /> <mapping> <identity value="HdBe-NursingIntervention" /> <uri value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-NursingIntervention" /> <name value="HdBe logical model NursingIntervention" /> </mapping> <mapping> <identity value="zib-NursingIntervention-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/NursingIntervention-v3.2(2020EN)" /> <name value="zib NursingIntervention-v3.2(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="CarePlan" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CarePlan" /> <derivation value="constraint" /> <differential> <element id="CarePlan"> <path value="CarePlan" /> <short value="NursingIntervention" /> <alias value="VerpleegkundigeInterventie" /> <constraint> <key value="hdbe-NursingIntervention-01" /> <severity value="error" /> <human value="The start and/or end date of a repeating schedule should be communicated in CarePlan.encounter as well." /> <expression value="activity.detail.scheduledTiming.repeat.boundsPeriod.exists() implies (period = activity.detail.scheduledTiming.repeat.boundsPeriod)" /> </constraint> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.1" /> <comment value="NursingIntervention" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention" /> </mapping> </element> <element id="CarePlan.status"> <path value="CarePlan.status" /> <comment value="Sending systems that don't record an explicit status can use the following guidance to infer a value from the CBB: * ProcedureEndDateTime present: * and in the future: _active_ * and in the past: _completed_ * ProcedureEndDateTime absent: * ProcedureStartDateTime present: _active_ * ProcedureStartDateTime absent: _unknown_" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.11" /> <comment value="ProcedureStartDateTime (implicit, main mapping is on CarePlan.period.start and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start)" /> </mapping> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.12" /> <comment value="ProcedureEndDateTime (implicit, main mapping is on CarePlan.period.end and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end)" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureStartDateTime" /> <comment value="procedure_start_date_time (implicit, main mapping is on CarePlan.period.start and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start)" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureEndDateTime" /> <comment value="procedure_end_date_time (implicit, main mapping is on CarePlan.period.end and optionally on CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end)" /> </mapping> </element> <element id="CarePlan.intent"> <path value="CarePlan.intent" /> <definition value="Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. For NursingIntervention, this will normally be _plan_, but the context may specify a more suitable intent." /> </element> <element id="CarePlan.category"> <path value="CarePlan.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="CarePlan.category:nursingIntervention"> <path value="CarePlan.category" /> <sliceName value="nursingIntervention" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="9632001" /> </coding> </patternCodeableConcept> </element> <element id="CarePlan.subject"> <path value="CarePlan.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Patient" /> </type> </element> <element id="CarePlan.period.start"> <path value="CarePlan.period.start" /> <short value="ProcedureStartDateTime" /> <definition value="The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start`." /> <alias value="ActieStartDatumTijd" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.11" /> <comment value="ProcedureStartDateTime" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureStartDateTime" /> </mapping> </element> <element id="CarePlan.period.end"> <path value="CarePlan.period.end" /> <short value="ProcedureEndDateTime" /> <definition value="The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures, in which case it should be repeated in `CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end`." /> <alias value="ActieEindDatumTijd" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.12" /> <comment value="ProcedureEndDateTime" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureEndDateTime" /> </mapping> </element> <element id="CarePlan.contributor"> <path value="CarePlan.contributor" /> <slicing> <discriminator> <type value="exists" /> <path value="extension('https://fhir.healthdata.be/StructureDefinition/ext-NursingIntervention-ContributorIsRequester')" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="CarePlan.contributor:requester"> <path value="CarePlan.contributor" /> <sliceName value="requester" /> <short value="Requester" /> <definition value="The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered." /> <comment value="Collaborative care plans may have multiple contributors. Each occurrence of the CBB HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [HdBe-HealthProfessional-PractitionerRole](https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [HdBe-HealthProfessional-Practitioner](https://fhir.healthdata.be/StructureDefinition/HdBe-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. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here." /> <alias value="Aanvrager" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-Practitioner" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.8" /> <comment value="Requester" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Requester" /> </mapping> </element> <element id="CarePlan.contributor:requester.extension"> <path value="CarePlan.contributor.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="CarePlan.contributor:requester.extension:contributorIsRequester"> <path value="CarePlan.contributor.extension" /> <sliceName value="contributorIsRequester" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.healthdata.be/StructureDefinition/ext-NursingIntervention-ContributorIsRequester" /> </type> </element> <element id="CarePlan.addresses"> <path value="CarePlan.addresses" /> <short value="Indication" /> <definition value="The nursing-related problem (indication) providing cause for the intervention." /> <alias value="Indicatie" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.6" /> <comment value="Indication" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Indication" /> </mapping> </element> <element id="CarePlan.goal"> <path value="CarePlan.goal" /> <short value="TreatmentObjective" /> <definition value="The description of the treatment goal that the intervention decision is based on." /> <alias value="Behandeldoel" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-TreatmentObjective" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.14" /> <comment value="TreatmentObjective" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.TreatmentObjective" /> </mapping> </element> <element id="CarePlan.activity"> <path value="CarePlan.activity" /> <comment value="A nursing intervention in the CBB always consists of a single activity. For this reason, the cardinality of `.activity` is restricted to 0..1." /> <max value="1" /> </element> <element id="CarePlan.activity.detail.extension"> <path value="CarePlan.activity.detail.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="CarePlan.activity.detail.extension:medicalDevice"> <path value="CarePlan.activity.detail.extension" /> <sliceName value="medicalDevice" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.healthdata.be/StructureDefinition/ext-CarePlan-MaterialUsed" /> </type> </element> <element id="CarePlan.activity.detail.extension:medicalDevice.value[x]"> <path value="CarePlan.activity.detail.extension.value[x]" /> <short value="MedicalDevice" /> <definition value="Description of the materials used for the nursing procedure, such as bandages." /> <alias value="MedischHulpmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.13" /> <comment value="MedicalDevice" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.MedicalDevice" /> </mapping> </element> <element id="CarePlan.activity.detail.code"> <path value="CarePlan.activity.detail.code" /> <short value="Intervention" /> <definition value="A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. It is possible to build a hierarchy of nursing interventions (where one intervention is part of another)." /> <alias value="Interventie" /> <binding> <strength value="required" /> <valueSet value="https://fhir.healthdata.be/ValueSet/InterventionSnomed" /> </binding> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.2" /> <comment value="Intervention" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Intervention" /> </mapping> </element> <element id="CarePlan.activity.detail.scheduled[x]"> <path value="CarePlan.activity.detail.scheduled[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming"> <path value="CarePlan.activity.detail.scheduled[x]" /> <sliceName value="scheduledTiming" /> <type> <code value="Timing" /> </type> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]"> <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod"> <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x]" /> <sliceName value="boundsPeriod" /> <type> <code value="Period" /> </type> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start"> <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x].start" /> <short value="ProcedureStartDateTime" /> <definition value="The CBB concept ProcedureStartDateTime should primarily be communicated using `CarePlan.period.start`, but it should be repeated here if it indicates the end of a series of repeating procedures." /> <alias value="ActieStartDatumTijd" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.11" /> <comment value="ProcedureStartDateTime" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureStartDateTime" /> </mapping> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end"> <path value="CarePlan.activity.detail.scheduled[x].repeat.bounds[x].end" /> <short value="ProcedureEndDateTime" /> <definition value="The CBB concept ProcedureEndDateTime should primarily be communicated using `CarePlan.period.end`, but it should be repeated here if it indicates the end of a series of repeating procedures." /> <alias value="ActieEindDatumTijd" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.12" /> <comment value="ProcedureEndDateTime" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.ProcedureEndDateTime" /> </mapping> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.frequency"> <path value="CarePlan.activity.detail.scheduled[x].repeat.frequency" /> <short value="Interval / Frequency" /> <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> <comment value="Both the concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> <alias value="Interval" /> <alias value="Frequentie" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.3" /> <comment value="Interval" /> </mapping> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.4" /> <comment value="Frequency" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Interval" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Frequency" /> </mapping> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.period"> <path value="CarePlan.activity.detail.scheduled[x].repeat.period" /> <short value="Interval / Frequency" /> <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> <comment value="Both the concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> <alias value="Interval" /> <alias value="Frequentie" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.3" /> <comment value="Interval" /> </mapping> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.4" /> <comment value="Frequency" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Interval" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Frequency" /> </mapping> </element> <element id="CarePlan.activity.detail.scheduled[x]:scheduledTiming.repeat.periodUnit"> <path value="CarePlan.activity.detail.scheduled[x].repeat.periodUnit" /> <short value="Interval / Frequency" /> <definition value="* Interval indicates the time between planned procedures. When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. * The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." /> <comment value="Both the concepts Interval and Frequency are communicated using a combination of `.frequency`, `.period` and `.periodUnit`. If the Interval concept is communicated, `.frequency` SHOULD have a fixed value of 1 (see "Meaning when missing" for `.frequency`)." /> <alias value="Interval" /> <alias value="Frequentie" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.3" /> <comment value="Interval" /> </mapping> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.4" /> <comment value="Frequency" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Interval" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Frequency" /> </mapping> </element> <element id="CarePlan.activity.detail.performer"> <path value="CarePlan.activity.detail.performer" /> <slicing> <discriminator> <type value="type" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> <max value="1" /> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Performer" /> </mapping> </element> <element id="CarePlan.activity.detail.performer:caregiver"> <path value="CarePlan.activity.detail.performer" /> <sliceName value="caregiver" /> <short value="Caregiver" /> <definition value="The caregiver carrying out the nursing procedure." /> <alias value="Verzorger" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-ContactPerson" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.16" /> <comment value="Caregiver" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Performer.Caregiver" /> </mapping> </element> <element id="CarePlan.activity.detail.performer:healthcareProfessional"> <path value="CarePlan.activity.detail.performer" /> <sliceName value="healthcareProfessional" /> <short value="HealthcareOrganization" /> <definition value="The health professional carrying out the nursing procedure." /> <alias value="Zorgverlener" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-Practitioner" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.7" /> <comment value="HealthcareOrganization" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Performer.HealthcareOrganization" /> </mapping> </element> <element id="CarePlan.activity.detail.performer:patient"> <path value="CarePlan.activity.detail.performer" /> <sliceName value="patient" /> <short value="Patient" /> <definition value="The patient carrying out the nursing procedure." /> <alias value="Patient" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Patient" /> </type> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.17" /> <comment value="Patient" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Performer.Patient" /> </mapping> </element> <element id="CarePlan.activity.detail.description"> <path value="CarePlan.activity.detail.description" /> <short value="Instruction" /> <definition value="Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver." /> <alias value="Instructie" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.18" /> <comment value="Instruction" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Instruction" /> </mapping> </element> <element id="CarePlan.note"> <path value="CarePlan.note" /> <max value="1" /> </element> <element id="CarePlan.note.text"> <path value="CarePlan.note.text" /> <short value="Comment" /> <definition value="Comment on the nursing intervention." /> <alias value="Toelichting" /> <mapping> <identity value="zib-nursingintervention-v3.2-2020EN" /> <map value="NL-CM:14.2.5" /> <comment value="Comment" /> </mapping> <mapping> <identity value="HdBe-NursingIntervention" /> <map value="NursingIntervention.Comment" /> </mapping> </element> </differential> </StructureDefinition>