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{
  "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
      }
    ]
  }
}

name : gp-JournalEntry

{

}