{ "resourceType": "StructureDefinition", "id": "HdBe-OutcomeOfCare", "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-OutcomeOfCare", "name": "HdBeOutcomeOfCare", "_name": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "HdBeUitkomstVanZorg" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "title": "HdBe OutcomeOfCare", "status": "draft", "publisher": "Healthdata.be (Sciensano)", "contact": [ { "name": "Service portal – healthdata.be", "telecom": [ { "system": "url", "value": "https://sciensano.service-now.com/sp", "use": "work" } ] } ], "description": "The OutcomeOfCare concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment objective provides insight into the effectively of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment objective and nursing interventions. \r\n#### Purpose\r\nHealthcare results are important parameters for evaluating the patient’s health and monitoring the effectivity of the medical treatment and nursing interventions.", "_description": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Het concept Uitkomst van zorg (zorgresultaten) beschrijft de vastgestelde status van de patiënt met betrekking tot een bepaald probleem. Het geeft door vergelijking met het behandeldoel inzicht in de effectiviteit van verpleegkundige interventies/activiteiten die ingezet zijn met betrekking tot dit probleem. Het is een onderdeel van het verpleegkundig proces, samen met verpleegkundige diagnoses/problemen, behandeldoel en verpleegkundige interventies.\r\n#### Purpose\r\nZorgresultaten zijn belangrijke parameters voor beoordelen van de gezondheidstoestand van de patiënt en het volgen van de effectiviteit van de medische behandeling en de verpleegkundige interventies." } ], "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/OutcomeOfCare", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "OutcomeOfCare", "path": "OutcomeOfCare", "short": "OutcomeOfCare", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "UitkomstVanZorg" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the OutcomeOfCare information model. This root concept contains all data elements of the OutcomeOfCare information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen UitkomstVanZorg. Dit rootconcept bevat alle gegevenselementen van de bouwsteen UitkomstVanZorg." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "base": { "path": "OutcomeOfCare", "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": "OutcomeOfCare.id", "path": "OutcomeOfCare.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": "OutcomeOfCare.extension", "path": "OutcomeOfCare.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": "OutcomeOfCare.HealthcareResult", "path": "OutcomeOfCare.HealthcareResult", "short": "HealthcareResult", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Zorgresultaat" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De tekstuele weergave van het zorgresultaat. Indien UitkomstVanZorg niet kan worden weergegeven als een meetwaarde of functionele dan wel mentale status, kan het in zorgresultaat als vrije tekst omschreven worden." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "OutcomeOfCare.HealthcareResult", "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": "OutcomeOfCare.HealthCondition", "path": "OutcomeOfCare.HealthCondition", "short": "HealthCondition", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Gezondheidstoestand" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "A description of the patient’s health condition in the form of a functional and/or mental status.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Een beschrijving van gezondheidstoestand van de patiënt in de vorm van een functionele en/of mentale status." } ], "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": 0, "max": "1", "base": { "path": "OutcomeOfCare.HealthCondition", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FunctionalOrMentalStatus" ] } ], "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": "OutcomeOfCare.Intervention", "path": "OutcomeOfCare.Intervention", "short": "Intervention", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Interventie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Een beschrijving van de verpleegkundige interventie waarvan de effectiviteit met het zorgresultaat beoordeeld wordt." } ], "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": 0, "max": "*", "base": { "path": "OutcomeOfCare.Intervention", "min": 0, "max": "*" }, "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)" } ] } ] }, "differential": { "element": [ { "id": "OutcomeOfCare", "path": "OutcomeOfCare", "short": "OutcomeOfCare", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "UitkomstVanZorg" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the OutcomeOfCare information model. This root concept contains all data elements of the OutcomeOfCare information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen UitkomstVanZorg. Dit rootconcept bevat alle gegevenselementen van de bouwsteen UitkomstVanZorg." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*" }, { "id": "OutcomeOfCare.HealthcareResult", "path": "OutcomeOfCare.HealthcareResult", "short": "HealthcareResult", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Zorgresultaat" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De tekstuele weergave van het zorgresultaat. Indien UitkomstVanZorg niet kan worden weergegeven als een meetwaarde of functionele dan wel mentale status, kan het in zorgresultaat als vrije tekst omschreven worden." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "string" } ] }, { "id": "OutcomeOfCare.HealthCondition", "path": "OutcomeOfCare.HealthCondition", "short": "HealthCondition", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Gezondheidstoestand" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "A description of the patient’s health condition in the form of a functional and/or mental status.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Een beschrijving van gezondheidstoestand van de patiënt in de vorm van een functionele en/of mentale status." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FunctionalOrMentalStatus" ] } ] }, { "id": "OutcomeOfCare.Intervention", "path": "OutcomeOfCare.Intervention", "short": "Intervention", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Interventie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Een beschrijving van de verpleegkundige interventie waarvan de effectiviteit met het zorgresultaat beoordeeld wordt." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-NursingIntervention" ] } ] } ] } }