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{
  "resourceType": "StructureDefinition",
  "id": "zib-Procedure",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2017-09-20T14:44:33.241+00:00"
  },
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure",
  "version": "1.0",
  "name": "ZIB-Procedure",
  "title": "HCIM Procedure",
  "status": "retired",
  "date": "2017-01-11T12:30:03.2275207+00:00",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Procedure as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0.\r\n\r\nThe concept Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. \r\nA procedure can be a simple blood pressure measurement, but also a complex heart surgery.",
  "copyright": "CC0",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "hcim-procedurefortransfer-v1.2-2015EN",
      "uri": "https://zibs.nl/wiki/ProcedureForTransfer-v1.2(2015EN)",
      "name": "HCIM ProcedureForTransfer-v1.2(2015EN)"
    },
    {
      "identity": "hcim-textresultfortransfer-v1.2-2015EN",
      "uri": "https://zibs.nl/wiki/TextResultForTransfer-v1.2.2(2015EN)",
      "name": "HCIM TextResultForTransfer-v1.2.2(2015EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "short": "Procedure",
        "definition": "Root concept of the ProcedureTransfer information model. This root concept contains all data elements of the ProcedureTransfer information model.",
        "alias": [
          "Verrichting"
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.1"
          }
        ]
      },
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.extension.RequestedBy",
        "path": "Procedure.extension",
        "sliceName": "RequestedBy",
        "short": "RequestedBy",
        "definition": "The healthcare provider who requested the procedure.",
        "alias": [
          "AangevraagdDoor"
        ],
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-Requester"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.10"
          }
        ]
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "definition": "A code that classifies the procedure for searching, sorting and display purposes. In the Basisgegevenset Zorg (BGZ) use case, this is use to search and retrieve Surgical Procedures.",
        "min": 1,
        "example": [
          {
            "label": "Example of category code",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "387713003",
                  "display": "Surgical procedure"
                }
              ]
            }
          }
        ]
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "short": "ProcedureType",
        "definition": "The name of the procedure.\r\n\r\nAs of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.",
        "alias": [
          "VerrichtingType"
        ],
        "min": 1,
        "binding": {
          "strength": "extensible",
          "description": "The name of the procedure using the Verrichtingenthesaurus DHD.",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20150401000000",
            "display": "VerrichtingTypeCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.4"
          }
        ]
      },
      {
        "id": "Procedure.code.coding",
        "path": "Procedure.code.coding",
        "definition": "A reference to a code defined by a terminology system."
      },
      {
        "id": "Procedure.code.coding.system",
        "path": "Procedure.code.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.code.coding.code",
        "path": "Procedure.code.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          }
        ]
      },
      {
        "id": "Procedure.performedPeriod",
        "path": "Procedure.performedPeriod",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Procedure.performedPeriod.start",
        "path": "Procedure.performedPeriod.start",
        "short": "ProcedureStartDate",
        "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.\r\nThe element offers the option to indicate the start of the period of a series of related procedures.",
        "alias": [
          "VerrichtingStartDatum"
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.2"
          }
        ]
      },
      {
        "id": "Procedure.performedPeriod.end",
        "path": "Procedure.performedPeriod.end",
        "short": "ProcedureEndDate",
        "definition": "The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.\r\nThe element offers the option to indicate the end of the period of a series of related procedures.",
        "alias": [
          "VerrichtingEindDatum"
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.3"
          }
        ]
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "actor.reference"
            }
          ],
          "rules": "open"
        },
        "min": 2
      },
      {
        "id": "Procedure.performer.HealthProfessional",
        "path": "Procedure.performer",
        "sliceName": "HealthProfessional",
        "short": "HealthProfessional",
        "definition": "The healthcare professional that carried ut the procedure.",
        "alias": [
          "UitgevoerdDoor"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.6"
          }
        ]
      },
      {
        "id": "Procedure.performer.HealthProfessional.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
          }
        ]
      },
      {
        "id": "Procedure.performer.HealthcareProvider",
        "path": "Procedure.performer",
        "sliceName": "HealthcareProvider",
        "short": "HealthcareProvider",
        "definition": "The healthcare center where the procedure was or is carried out.",
        "alias": [
          "Locatie"
        ],
        "min": 1,
        "max": "1",
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.5"
          }
        ]
      },
      {
        "id": "Procedure.performer.HealthcareProvider.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "short": "Indication",
        "definition": "The indication is the reason for the procedure.",
        "alias": [
          "Indicatie"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Concern"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.9"
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "short": "AnatomicalLocationOfTheProcedure",
        "definition": "Anatomical location which is the focus of the procedure.",
        "alias": [
          "VerrichtingAnatomischeLocatie"
        ],
        "binding": {
          "strength": "extensible",
          "description": "Anatomical location which is the focus of the procedure.",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20150401000000",
            "display": "VerrichtingAnatomischeLocatieCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.8"
          }
        ]
      },
      {
        "id": "Procedure.bodySite.coding",
        "path": "Procedure.bodySite.coding",
        "definition": "A reference to a code defined by a terminology system."
      },
      {
        "id": "Procedure.bodySite.coding.system",
        "path": "Procedure.bodySite.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.bodySite.coding.code",
        "path": "Procedure.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "definition": "Any report resulting from the procedure.",
        "comment": "Note that the HCIM TextResultForTransfer-v1.2 has this relationship reversed, so the relationship goes from report to procedure.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-TextResult-DiagnosticReport"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-textresultfortransfer-v1.2-2015EN",
            "map": "NL-CM:13.2.1"
          }
        ]
      },
      {
        "id": "Procedure.focalDevice",
        "path": "Procedure.focalDevice"
      },
      {
        "id": "Procedure.focalDevice.manipulated",
        "path": "Procedure.focalDevice.manipulated",
        "short": "Product",
        "definition": "The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.",
        "alias": [
          "Product"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalAidProduct"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-procedurefortransfer-v1.2-2015EN",
            "map": "NL-CM:14.1.7"
          }
        ]
      }
    ]
  }
}

name : ZIB-Procedure

{

}