3.1. Logical models
Logical Models represent data structures, and contain data elements and their constraints and relationships. They allow data requirements to be described from a functional perspective. In this IG, the functional dataset and the underlying use cases are represented by FHIR Logical Models (note that this link redirects to the R5 specification, as there is no dedicated page for Logical Models in the R4 specification). These use FHIR to capture the data structures (namely by specifying a StructureDefinition and underlying ElementDefinitions, for each data structure), but they are not (directly) attached to FHIR resources.
The Logical Models contain all functional concepts, including corresponding datatype, terminology binding (if applicable) and an id.
- For each concept, an id is assigned by MedMij. These ids are also added as mappings in the FHIR profiles, and therefore form the linking pin between Logical Models and FHIR profiles.
- For each concept it is indicated whether it is repeating (i.e. by setting its maximum cardinality to
1or*). Moreover, for each concept it is indicated whether it is (conditionally) required by setting the minimum cardinality to1(or adding a constraint which specifies when the concept is required). - The FHIR datatypes are used in the Logical Models, even though these might bring 'physical' constraints, formats, etc. into the abstract logical data models which are not intended or applicable on the logical level. For instance, elements of the Attachment datatype need to satisfy the att-1 constraint, which states that the element SHALL have a
contentType, provided the element has non-emptydata. Even though this constraint makes sense on a technical level, the aforementioned attributescontentTypeanddataare not present in a logical data model. Therefore, such constraints may be 'ignored' in the Logical Models; instead, these constraints are taken into account in the corresponding FHIR profiles. - Since the Logical Models defined in this IG are meant to represent the use case,
.abstractis set to false. - For all Logical Models the scope is implicitly set to a single patient. This relation is not explicitly modeled, similar to the approach of the zibs.
3.1.1. Caries Risk
| MzLmCariesRisk (mz-lm-CariesRisk) | Element | ||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| CariesRiskDateTime | 0..1 | dateTime | |
| CariesRiskValue | 1..1 | CodeableConceptBinding | |
| Performer | C | 0..1 | Reference(MedMijCoreLmHealthProfessional) |
| Comment | 0..* | string |
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<purpose value="This LogicalModel represents the CariesRisk Clinical Information Model (CIM) for patient use cases in the context of Dental Care." />
<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." />
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
</binding>
</mapping>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</element>
<definition value="Comment on the caries risk, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"purpose": "This LogicalModel represents the CariesRisk Clinical Information Model (CIM) for patient use cases in the context of Dental Care.",
"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.",
{
},
{
},
{
}
],
{
"Cariësrisico"
],
{
},
{
}
]
},
{
"CariësrisicoDatumTijd"
],
],
{
},
{
}
]
},
{
"CariësrisicoWaarde"
],
],
},
{
},
{
}
]
},
{
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
]
},
{
"definition": "Comment on the caries risk, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
"Toelichting"
],
],
{
},
{
}
]
}
]
}
}
3.1.2. Dental Fitness
| MzLmDentalFitness (mz-lm-DentalFitness) | Element | ||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| DentalFitnessDateTime | 0..1 | dateTime | |
| DentalFitnessValue | 1..1 | CodeableConceptBinding | |
| Performer | C | 0..1 | Reference(MedMijCoreLmHealthProfessional) |
| Comment | 0..* | string |
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<purpose value="This LogicalModel represents the DentalFitness Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is based on the [AMedP-4.4 standard](https://www.coemed.org/files/stanags/03_AMEDP/AMedP-4.4_EDB_V1_E.pdf) authored by NATO." />
<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." />
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
</binding>
</mapping>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</element>
<definition value="Comment on the dental fitness, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"purpose": "This LogicalModel represents the DentalFitness Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is based on the [AMedP-4.4 standard](https://www.coemed.org/files/stanags/03_AMEDP/AMedP-4.4_EDB_V1_E.pdf) authored by NATO.",
"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.",
{
},
{
},
{
}
],
{
"DentalFitness"
],
{
}
]
},
{
"DentalFitnessDatumTijd"
],
],
{
},
{
}
]
},
{
"DentalFitnessWaarde"
],
],
},
{
},
{
}
]
},
{
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
]
},
{
"definition": "Comment on the dental fitness, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
"Toelichting"
],
],
{
},
{
}
]
}
]
}
}
3.1.3. Oral Hygiene
| MzLmOralHygiene (mz-lm-OralHygiene) | Element | ||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| OralHygieneDateTime | 0..1 | dateTime | |
| OralHygieneValue | 1..1 | CodeableConceptBinding | |
| Performer | C | 0..1 | Reference(MedMijCoreLmHealthProfessional) |
| Comment | 0..* | string |
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<purpose value="This LogicalModel represents the OralHygiene Clinical Information Model (CIM) for patient use cases in the context of Dental Care." />
<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." />
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
</binding>
</mapping>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</element>
<definition value="Comment on the oral hygiene, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"purpose": "This LogicalModel represents the OralHygiene Clinical Information Model (CIM) for patient use cases in the context of Dental Care.",
"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.",
{
},
{
},
{
}
],
{
"Mondhygiëne"
],
{
},
{
}
]
},
{
"MondhygiëneDatumTijd"
],
],
{
},
{
}
]
},
{
"MondhygiëneWaarde"
],
],
},
{
},
{
}
]
},
{
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
]
},
{
"definition": "Comment on the oral hygiene, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
"Toelichting"
],
],
{
},
{
}
]
}
]
}
}
3.1.4. Parafunctional Activity
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<purpose value="This LogicalModel represents the ParafunctionalActivity Clinical Information Model (CIM) for patient use cases in the context of Dental Care." />
<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." />
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</element>
<definition value="Comment on the parafunctional activity, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"purpose": "This LogicalModel represents the ParafunctionalActivity Clinical Information Model (CIM) for patient use cases in the context of Dental Care.",
"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.",
{
},
{
},
{
}
],
{
"ParafunctioneleActiviteit"
],
{
}
]
},
{
"ParafunctioneleActiviteitDatumTijd"
],
],
{
},
{
}
]
},
{
"ParafunctioneleActiviteitWaarde"
],
],
{
},
{
}
]
},
{
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
]
},
{
"definition": "Comment on the parafunctional activity, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
"Toelichting"
],
],
{
},
{
}
]
}
]
}
}
3.1.5. Periodic Periodontal Screening Score
| MzLmPeriodicPeriodontalScreeningScore (mz-lm-PeriodicPeriodontalScreeningScore) | Element | ||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| PeriodicPeriodontalScreeningScoreDateTime | 0..1 | dateTime | |
| PeriodicPeriodontalScreeningScoreValue | 1..1 | CodeableConceptBinding | |
| Performer | C | 0..1 | Reference(MedMijCoreLmHealthProfessional) |
| Comment | 0..* | string |
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<description value="Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually." />
<purpose value="This LogicalModel represents the PeriodicPeriodontalScreeningScore Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is based on the [Richtlijn Parodontale Screening, Diagnostiek en Behandeling in de Algemene praktijk](https://www.nvvp.org/voor-professionals/richtlijnen) authored by the NVvP." />
<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." />
</mapping>
</mapping>
</mapping>
<definition value="Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually." />
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
</binding>
</mapping>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</element>
<definition value="Comment on the PPS, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"description": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
"purpose": "This LogicalModel represents the PeriodicPeriodontalScreeningScore Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is based on the [Richtlijn Parodontale Screening, Diagnostiek en Behandeling in de Algemene praktijk](https://www.nvvp.org/voor-professionals/richtlijnen) authored by the NVvP.",
"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.",
{
},
{
},
{
}
],
{
"definition": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
"PeriodiekeParodontaleScreeningScore"
],
{
}
]
},
{
"PeriodiekeParodontaleScreeningScoreDatumTijd"
],
],
{
},
{
}
]
},
{
"PeriodiekeParodontaleScreeningScoreWaarde"
],
],
},
{
},
{
}
]
},
{
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
]
},
{
"definition": "Comment on the PPS, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
"Toelichting"
],
],
{
},
{
}
]
}
]
}
}
3.1.6. Procedure
The Procedure CIM is largely based on the zib Procedure from publication 2020, but uses other (dental care-specific) terminology to indicate the procedure type. Moreover, the MedicalDevice (NL-CM:14.1.7) and Requester (NL-CM:14.1.10) concepts from the zib have been omitted.
| MzLmProcedure (mz-lm-Procedure) | Element | ||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| ProcedureStartDate | 0..1 | dateTime | |
| ProcedureEndDate | 0..1 | dateTime | |
| ProcedureType | 1..1 | CodeableConceptBinding | |
| ProcedureMethod | 0..* | CodeableConceptBinding | |
| ProcedureAnatomicalLocation | 0..1 | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| Location | 0..1 | CodeableConceptBinding | |
| Laterality | 0..1 | CodeableConceptBinding | |
| Indication | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| ProblemType | 0..1 | CodeableConceptBinding | |
| ProblemName | 1..1 | CodeableConceptBinding | |
| FurtherSpecificationProblemName | 0..1 | string | |
| ProblemAnatomicalLocation | 0..1 | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| Location | 0..1 | CodeableConceptBinding | |
| Laterality | 0..1 | CodeableConceptBinding | |
| ProblemStartDate | 0..1 | dateTime | |
| ProblemEndDate | 0..1 | dateTime | |
| ProblemStatus | 1..1 | CodeableConceptBinding | |
| VerificationStatus | 0..1 | CodeableConceptBinding | |
| Comment | 0..1 | string | |
| Location | C | 0..1 | Reference(MedMijCoreLmHealthcareProvider) |
| Performer | C | 0..* | Reference(MedMijCoreLmHealthProfessional) |
--- We have skipped the narrative for better readability of the resource ---
</text>
</identifier>
</telecom>
</contact>
<description value="Therapeutic or diagnostic procedure undergone by the patient in dental care." />
<purpose value="This LogicalModel represents the Procedure Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is largely based on the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Procedure v5.2 (2020)](https://zibs.nl/wiki/Procedure-v5.2(2020EN)) adjusted such that it is suitable for implementation purposes in the context of Dental Care. In particular, it uses dental care-specific terminology to indicate the ProcedureType, and the MedicalDevice and Requester concepts from the zib are omitted." />
<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." />
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted.\nThe element offers the option to indicate the start of the period of a series of related procedures." />
</type>
</mapping>
</mapping>
</element>
<definition value="The end date (and if possible end time) of the procedure. A 'vague' date, such as only the year, is permitted.\nThe element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedure that takes some time and is then always applied. If the procedure still continues, the value is left empty." />
</type>
</mapping>
</mapping>
</element>
<definition value="The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis." />
</type>
</binding>
</mapping>
</element>
<definition value="The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, etc." />
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000" />
</binding>
</mapping>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</mapping>
</element>
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
</binding>
</mapping>
</mapping>
</element>
<definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000" />
</binding>
</mapping>
</mapping>
</element>
</type>
</mapping>
</mapping>
</mapping>
</element>
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000" />
</binding>
</mapping>
</element>
<definition value="The problem name defines the problem. Depending on the setting, different code systems can be used." />
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000" />
</binding>
</mapping>
</element>
<definition value="Further specification of problem name when it is recorded via a thesaurus or code system in which the required level of detail is not (yet) available." />
</type>
</mapping>
</element>
</type>
</mapping>
</mapping>
</element>
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
</binding>
</mapping>
</mapping>
</element>
<definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000" />
</binding>
</mapping>
</mapping>
</element>
<definition value="Onset of the symptom, complaint, functional limitation, complication or date of diagnosis. A 'vague' date, such as only the year or the month and the year, is permitted." />
</type>
</mapping>
</element>
<definition value="Date on which the disorder to which the problem applies, is considered not to be present anymore. This date needs not to be the same as the date of the change in problem status. A 'vague' date, such as only the year or the month and the year, is permitted. " />
</type>
</mapping>
</element>
<definition value="The problem status describes the condition of the problem:\n1. Active problems are problems of which the patient experiences symptoms or for which evidence exists.\n2. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or of which there is no evidence of existence anymore." />
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20200901000000" />
</binding>
</mapping>
</element>
</type>
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000" />
</binding>
</mapping>
</mapping>
</element>
</type>
</mapping>
</element>
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider" />
</type>
</mapping>
</mapping>
</element>
<definition value="The health professional who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the health professional." />
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
--- We have skipped the narrative for better readability of the resource ---
},
],
{
}
],
"purpose": "This LogicalModel represents the Procedure Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is largely based on the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Procedure v5.2 (2020)](https://zibs.nl/wiki/Procedure-v5.2(2020EN)) adjusted such that it is suitable for implementation purposes in the context of Dental Care. In particular, it uses dental care-specific terminology to indicate the ProcedureType, and the MedicalDevice and Requester concepts from the zib are omitted.",
"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.",
{
},
{
},
{
}
],
{
"Verrichting"
],
{
},
{
},
{
}
]
},
{
"definition": "The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted.\nThe element offers the option to indicate the start of the period of a series of related procedures.",
"VerrichtingStartDatum"
],
],
{
},
{
}
]
},
{
"definition": "The end date (and if possible end time) of the procedure. A 'vague' date, such as only the year, is permitted.\nThe element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedure that takes some time and is then always applied. If the procedure still continues, the value is left empty.",
"VerrichtingEindDatum"
],
],
{
},
{
}
]
},
{
"definition": "The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis.",
"VerrichtingType"
],
],
},
{
}
]
},
{
"definition": "The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, etc.",
"VerrichtingMethode"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000"
},
{
},
{
},
{
}
]
},
{
"VerrichtingAnatomischeLocatie"
],
],
{
},
{
},
{
}
]
},
{
"Locatie"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
},
{
},
{
}
]
},
{
"Lateraliteit"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000"
},
{
},
{
}
]
},
{
"Indicatie"
],
],
{
},
{
},
{
}
]
},
{
"ProbleemType"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000"
},
{
}
]
},
{
"definition": "The problem name defines the problem. Depending on the setting, different code systems can be used.",
"ProbleemNaam"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000"
},
{
}
]
},
{
"definition": "Further specification of problem name when it is recorded via a thesaurus or code system in which the required level of detail is not (yet) available.",
"NadereSpecificatieProbleemNaam"
],
],
{
}
]
},
{
"ProbleemAnatomischeLocatie"
],
],
{
},
{
}
]
},
{
"Locatie"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
},
{
},
{
}
]
},
{
"Lateraliteit"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000"
},
{
},
{
}
]
},
{
"definition": "Onset of the symptom, complaint, functional limitation, complication or date of diagnosis. A 'vague' date, such as only the year or the month and the year, is permitted.",
"ProbleemBeginDatum"
],
],
{
}
]
},
{
"definition": "Date on which the disorder to which the problem applies, is considered not to be present anymore. This date needs not to be the same as the date of the change in problem status. A 'vague' date, such as only the year or the month and the year, is permitted. ",
"ProbleemEindDatum"
],
],
{
}
]
},
{
"definition": "The problem status describes the condition of the problem:\n1. Active problems are problems of which the patient experiences symptoms or for which evidence exists.\n2. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or of which there is no evidence of existence anymore.",
"ProbleemStatus"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20200901000000"
},
{
}
]
},
{
"VerificatieStatus"
],
],
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000"
},
{
},
{
}
]
},
{
"Toelichting"
],
],
]
},
{
"Locatie"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider"
]
}
],
{
},
{
}
]
},
{
"definition": "The health professional who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the health professional.",
"Uitvoerder"
],
{
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
{
},
{
}
]
}
]
}
}