4.6. Retrieve Dental Care - Procedure

4.6.1. Overview

Id 900000102
Data service name without version (English) Retrieve Dental Care - Procedure
Data service name without version (Dutch) Verzamelen Mondzorg - Verrichting
Data service version 1.0.0-beta.2
System role(s) MZ-PRR-beta.2 (PHR)
MZ-PRB-beta.2 (XIS)
Used in Implementation Guide(s) Dental Care

4.6.2. Functional model

CIM zib Procedure in publication 2020 adjusted with dental-care specific terminology on ProcedureType, and without the MedicalDevice and Requester concepts
Functional version 1.0.0-beta.3

The Logical Model is included below.

id0..1string
extensionC0..*Extension
ProcedureStartDate0..1dateTime
ProcedureEndDate0..1dateTime
ProcedureType1..1CodeableConceptBinding
ProcedureMethod0..*CodeableConceptBinding
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
Location0..1CodeableConceptBinding
Laterality0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
ProblemType0..1CodeableConceptBinding
ProblemName1..1CodeableConceptBinding
FurtherSpecificationProblemName0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
Location0..1CodeableConceptBinding
Laterality0..1CodeableConceptBinding
ProblemStartDate0..1dateTime
ProblemEndDate0..1dateTime
ProblemStatus1..1CodeableConceptBinding
VerificationStatus0..1CodeableConceptBinding
Comment0..1string
LocationC0..1Reference(MedMijCoreLmHealthcareProvider)
PerformerC0..*Reference(MedMijCoreLmHealthProfessional)
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mz-lm-Procedure" />
<status value="empty" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure" />
<use value="official" />
<system value="urn:ietf:rfc:3986" />
<value value="urn:oid:2.16.528.1.1023.3.1.7" />
</identifier>
<name value="MzLmProcedure" />
<title value="Procedure" />
<status value="draft" />
<publisher value="MedMij" />
<name value="MedMij" />
<system value="email" />
<value value="info@medmij.nl" />
<use value="work" />
</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." />
<fhirVersion value="4.0.1" />
<identity value="zib-procedure-v5.2-2020EN" />
<uri value="https://zibs.nl/wiki/Procedure-v5.2(2020EN)" />
<name value="zib Procedure-v5.2(2020EN)" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<name value="Dataset Mondzorg MedMij 1.0.0-beta.3 20260413" />
</mapping>
<identity value="SNOMED" />
<uri value="http://snomed.info/sct" />
<name value="SNOMED CT" />
</mapping>
<kind value="logical" />
<abstract value="false" />
<type value="http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
<derivation value="specialization" />
<element id="mz-lm-Procedure">
<path value="mz-lm-Procedure" />
<short value="Procedure" />
<definition value="Therapeutic or diagnostic procedure undergone by the patient in dental care." />
<alias value="Verrichting" />
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.1" />
<comment value="Procedure" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-26" />
<comment value="Procedure" />
</mapping>
<identity value="SNOMED" />
<map value="71388002" />
<comment value="verrichting" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureStartDate">
<path value="mz-lm-Procedure.ProcedureStartDate" />
<short value="Procedure start date" />
<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." />
<alias value="VerrichtingStartDatum" />
<min value="0" />
<max value="1" />
<code value="dateTime" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.2" />
<comment value="ProcedureStartDate" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-27" />
<comment value="ProcedureStartDate" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureEndDate">
<path value="mz-lm-Procedure.ProcedureEndDate" />
<short value="Procedure end date" />
<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." />
<alias value="VerrichtingEindDatum" />
<min value="0" />
<max value="1" />
<code value="dateTime" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.3" />
<comment value="ProcedureEndDate" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-28" />
<comment value="ProcedureEndDate" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureType">
<path value="mz-lm-Procedure.ProcedureType" />
<short value="Procedure type" />
<definition value="The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis." />
<alias value="VerrichtingType" />
<min value="1" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="extensible" />
<valueSet value="http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare" />
</binding>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-29" />
<comment value="ProcedureType" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureMethod">
<path value="mz-lm-Procedure.ProcedureMethod" />
<short value="Procedure method" />
<definition value="The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, etc." />
<alias value="VerrichtingMethode" />
<min value="0" />
<max value="*" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.12" />
<comment value="ProcedureMethod" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-30" />
<comment value="ProcedureMethod" />
</mapping>
<identity value="SNOMED" />
<map value="260686004" />
<comment value="methode" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureAnatomicalLocation">
<path value="mz-lm-Procedure.ProcedureAnatomicalLocation" />
<short value="Procedure anatomical location" />
<definition value="Anatomical location which is the focus of the procedure." />
<alias value="VerrichtingAnatomischeLocatie" />
<min value="0" />
<max value="1" />
<code value="BackboneElement" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.13" />
<comment value="ProcedureAnatomicalLocation" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-31" />
<comment value="ProcedureAnatomicalLocation" />
</mapping>
<identity value="SNOMED" />
<map value="405813007" />
<comment value="directe locatie van verrichting" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureAnatomicalLocation.Location">
<path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Location" />
<short value="Location" />
<definition value="Localisation on/in the body." />
<alias value="Locatie" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
</binding>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-32" />
<comment value="Location" />
</mapping>
<identity value="SNOMED" />
<map value="363698007" />
<comment value="locatie van bevinding" />
</mapping>
</element>
<element id="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality">
<path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality" />
<short value="Laterality" />
<definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
<alias value="Lateraliteit" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-33" />
<comment value="Laterality" />
</mapping>
<identity value="SNOMED" />
<map value="272741003" />
<comment value="lateraliteit" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication">
<path value="mz-lm-Procedure.Indication" />
<short value="Indication" />
<definition value="The indication is the reason for the procedure." />
<alias value="Indicatie" />
<min value="0" />
<max value="*" />
<code value="BackboneElement" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.9" />
<comment value="Indication" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-34" />
<comment value="Indication" />
</mapping>
<identity value="SNOMED" />
<map value="363702006" />
<comment value="heeft focus" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemType">
<path value="mz-lm-Procedure.Indication.ProblemType" />
<short value="Problem type" />
<definition value="The type of problem." />
<alias value="ProbleemType" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-35" />
<comment value="ProblemType" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemName">
<path value="mz-lm-Procedure.Indication.ProblemName" />
<short value="Problem name" />
<definition value="The problem name defines the problem. Depending on the setting, different code systems can be used." />
<alias value="ProbleemNaam" />
<min value="1" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-36" />
<comment value="ProblemName" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.FurtherSpecificationProblemName">
<path value="mz-lm-Procedure.Indication.FurtherSpecificationProblemName" />
<short value="Further specification problem name" />
<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." />
<alias value="NadereSpecificatieProbleemNaam" />
<min value="0" />
<max value="1" />
<code value="string" />
</type>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-37" />
<comment value="FurtherSpecificationProblemName" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation">
<path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation" />
<short value="Problem anatomical location" />
<definition value="Anatomical location which is the focus of the problem." />
<alias value="ProbleemAnatomischeLocatie" />
<min value="0" />
<max value="1" />
<code value="BackboneElement" />
</type>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-38" />
<comment value="ProblemAnatomicalLocation" />
</mapping>
<identity value="SNOMED" />
<map value="405813007" />
<comment value="directe locatie van verrichting" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location">
<path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location" />
<short value="Location" />
<definition value="Localisation on/in the body." />
<alias value="Locatie" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
</binding>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-39" />
<comment value="Location" />
</mapping>
<identity value="SNOMED" />
<map value="363698007" />
<comment value="locatie van bevinding" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality">
<path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality" />
<short value="Laterality" />
<definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
<alias value="Lateraliteit" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-40" />
<comment value="Laterality" />
</mapping>
<identity value="SNOMED" />
<map value="272741003" />
<comment value="lateraliteit" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemStartDate">
<path value="mz-lm-Procedure.Indication.ProblemStartDate" />
<short value="Problem start date" />
<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." />
<alias value="ProbleemBeginDatum" />
<min value="0" />
<max value="1" />
<code value="dateTime" />
</type>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-41" />
<comment value="ProblemStartDate" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemEndDate">
<path value="mz-lm-Procedure.Indication.ProblemEndDate" />
<short value="Problem end date" />
<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. " />
<alias value="ProbleemEindDatum" />
<min value="0" />
<max value="1" />
<code value="dateTime" />
</type>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-42" />
<comment value="ProblemEndDate" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.ProblemStatus">
<path value="mz-lm-Procedure.Indication.ProblemStatus" />
<short value="Problem status" />
<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." />
<alias value="ProbleemStatus" />
<min value="1" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-43" />
<comment value="ProblemStatus" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.VerificationStatus">
<path value="mz-lm-Procedure.Indication.VerificationStatus" />
<short value="Verification status" />
<definition value="Clinical status of the problem or the diagnosis." />
<alias value="VerificatieStatus" />
<min value="0" />
<max value="1" />
<code value="CodeableConcept" />
</type>
<strength value="required" />
<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>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-44" />
<comment value="VerificationStatus" />
</mapping>
<identity value="SNOMED" />
<map value="408729009" />
<comment value="context van bevinding" />
</mapping>
</element>
<element id="mz-lm-Procedure.Indication.Comment">
<path value="mz-lm-Procedure.Indication.Comment" />
<short value="Comment" />
<definition value="Comment by the one who determined or updated the problem." />
<alias value="Toelichting" />
<min value="0" />
<max value="1" />
<code value="string" />
</type>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-45" />
<comment value="Comment" />
</mapping>
</element>
<element id="mz-lm-Procedure.Location">
<path value="mz-lm-Procedure.Location" />
<short value="Location" />
<definition value="The healthcare center where the procedure was, is or or will be carried out." />
<alias value="Locatie" />
<min value="0" />
<max value="1" />
<code value="Reference" />
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.5" />
<comment value="Location" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-46" />
<comment value="Location" />
</mapping>
</element>
<element id="mz-lm-Procedure.Performer">
<path value="mz-lm-Procedure.Performer" />
<short value="Performer" />
<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." />
<alias value="Uitvoerder" />
<min value="0" />
<max value="*" />
<code value="Reference" />
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.6" />
<comment value="Performer" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-47" />
<comment value="Performer" />
</mapping>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mz-lm-Procedure",
"text": {
"status": "empty",
--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure",
{
"use": "official",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.528.1.1023.3.1.7"
}
],
"name": "MzLmProcedure",
"title": "Procedure",
"status": "draft",
"publisher": "MedMij",
"contact": [
{
"name": "MedMij",
"telecom": [
{
"system": "email",
"value": "info@medmij.nl",
"use": "work"
}
]
}
],
"description": "Therapeutic or diagnostic procedure undergone by the patient in dental care.",
"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.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"uri": "https://zibs.nl/wiki/Procedure-v5.2(2020EN)",
"name": "zib Procedure-v5.2(2020EN)"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"name": "Dataset Mondzorg MedMij 1.0.0-beta.3 20260413"
},
{
"identity": "SNOMED",
"uri": "http://snomed.info/sct",
"name": "SNOMED CT"
}
],
"kind": "logical",
"abstract": false,
"type": "http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
"derivation": "specialization",
"element": [
{
"id": "mz-lm-Procedure",
"path": "mz-lm-Procedure",
"short": "Procedure",
"definition": "Therapeutic or diagnostic procedure undergone by the patient in dental care.",
"alias": [
"Verrichting"
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.1",
"comment": "Procedure"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-26",
"comment": "Procedure"
},
{
"identity": "SNOMED",
"map": "71388002",
"comment": "verrichting"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureStartDate",
"path": "mz-lm-Procedure.ProcedureStartDate",
"short": "Procedure start date",
"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.",
"alias": [
"VerrichtingStartDatum"
],
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.2",
"comment": "ProcedureStartDate"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-27",
"comment": "ProcedureStartDate"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureEndDate",
"path": "mz-lm-Procedure.ProcedureEndDate",
"short": "Procedure end date",
"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.",
"alias": [
"VerrichtingEindDatum"
],
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.3",
"comment": "ProcedureEndDate"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-28",
"comment": "ProcedureEndDate"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureType",
"path": "mz-lm-Procedure.ProcedureType",
"short": "Procedure type",
"definition": "The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis.",
"alias": [
"VerrichtingType"
],
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-29",
"comment": "ProcedureType"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureMethod",
"path": "mz-lm-Procedure.ProcedureMethod",
"short": "Procedure method",
"definition": "The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, etc.",
"alias": [
"VerrichtingMethode"
],
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000"
},
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.12",
"comment": "ProcedureMethod"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-30",
"comment": "ProcedureMethod"
},
{
"identity": "SNOMED",
"map": "260686004",
"comment": "methode"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureAnatomicalLocation",
"path": "mz-lm-Procedure.ProcedureAnatomicalLocation",
"short": "Procedure anatomical location",
"definition": "Anatomical location which is the focus of the procedure.",
"alias": [
"VerrichtingAnatomischeLocatie"
],
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.13",
"comment": "ProcedureAnatomicalLocation"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-31",
"comment": "ProcedureAnatomicalLocation"
},
{
"identity": "SNOMED",
"map": "405813007",
"comment": "directe locatie van verrichting"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureAnatomicalLocation.Location",
"path": "mz-lm-Procedure.ProcedureAnatomicalLocation.Location",
"short": "Location",
"definition": "Localisation on/in the body.",
"alias": [
"Locatie"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-32",
"comment": "Location"
},
{
"identity": "SNOMED",
"map": "363698007",
"comment": "locatie van bevinding"
}
]
},
{
"id": "mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality",
"path": "mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality",
"short": "Laterality",
"definition": "Laterality adds information about body site to the anatomical location, e.g. left.",
"alias": [
"Lateraliteit"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-33",
"comment": "Laterality"
},
{
"identity": "SNOMED",
"map": "272741003",
"comment": "lateraliteit"
}
]
},
{
"id": "mz-lm-Procedure.Indication",
"path": "mz-lm-Procedure.Indication",
"short": "Indication",
"definition": "The indication is the reason for the procedure.",
"alias": [
"Indicatie"
],
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.9",
"comment": "Indication"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-34",
"comment": "Indication"
},
{
"identity": "SNOMED",
"map": "363702006",
"comment": "heeft focus"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemType",
"path": "mz-lm-Procedure.Indication.ProblemType",
"short": "Problem type",
"definition": "The type of problem.",
"alias": [
"ProbleemType"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-35",
"comment": "ProblemType"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemName",
"path": "mz-lm-Procedure.Indication.ProblemName",
"short": "Problem name",
"definition": "The problem name defines the problem. Depending on the setting, different code systems can be used.",
"alias": [
"ProbleemNaam"
],
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-36",
"comment": "ProblemName"
}
]
},
{
"id": "mz-lm-Procedure.Indication.FurtherSpecificationProblemName",
"path": "mz-lm-Procedure.Indication.FurtherSpecificationProblemName",
"short": "Further specification problem name",
"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.",
"alias": [
"NadereSpecificatieProbleemNaam"
],
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-37",
"comment": "FurtherSpecificationProblemName"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation",
"path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation",
"short": "Problem anatomical location",
"definition": "Anatomical location which is the focus of the problem.",
"alias": [
"ProbleemAnatomischeLocatie"
],
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-38",
"comment": "ProblemAnatomicalLocation"
},
{
"identity": "SNOMED",
"map": "405813007",
"comment": "directe locatie van verrichting"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location",
"path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location",
"short": "Location",
"definition": "Localisation on/in the body.",
"alias": [
"Locatie"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-39",
"comment": "Location"
},
{
"identity": "SNOMED",
"map": "363698007",
"comment": "locatie van bevinding"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality",
"path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality",
"short": "Laterality",
"definition": "Laterality adds information about body site to the anatomical location, e.g. left.",
"alias": [
"Lateraliteit"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-40",
"comment": "Laterality"
},
{
"identity": "SNOMED",
"map": "272741003",
"comment": "lateraliteit"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemStartDate",
"path": "mz-lm-Procedure.Indication.ProblemStartDate",
"short": "Problem start date",
"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.",
"alias": [
"ProbleemBeginDatum"
],
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-41",
"comment": "ProblemStartDate"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemEndDate",
"path": "mz-lm-Procedure.Indication.ProblemEndDate",
"short": "Problem end date",
"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. ",
"alias": [
"ProbleemEindDatum"
],
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-42",
"comment": "ProblemEndDate"
}
]
},
{
"id": "mz-lm-Procedure.Indication.ProblemStatus",
"path": "mz-lm-Procedure.Indication.ProblemStatus",
"short": "Problem status",
"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.",
"alias": [
"ProbleemStatus"
],
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-43",
"comment": "ProblemStatus"
}
]
},
{
"id": "mz-lm-Procedure.Indication.VerificationStatus",
"path": "mz-lm-Procedure.Indication.VerificationStatus",
"short": "Verification status",
"definition": "Clinical status of the problem or the diagnosis.",
"alias": [
"VerificatieStatus"
],
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-44",
"comment": "VerificationStatus"
},
{
"identity": "SNOMED",
"map": "408729009",
"comment": "context van bevinding"
}
]
},
{
"id": "mz-lm-Procedure.Indication.Comment",
"path": "mz-lm-Procedure.Indication.Comment",
"short": "Comment",
"definition": "Comment by the one who determined or updated the problem.",
"alias": [
"Toelichting"
],
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-45",
"comment": "Comment"
}
]
},
{
"id": "mz-lm-Procedure.Location",
"path": "mz-lm-Procedure.Location",
"short": "Location",
"definition": "The healthcare center where the procedure was, is or or will be carried out.",
"alias": [
"Locatie"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider"
]
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.5",
"comment": "Location"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-46",
"comment": "Location"
}
]
},
{
"id": "mz-lm-Procedure.Performer",
"path": "mz-lm-Procedure.Performer",
"short": "Performer",
"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.",
"alias": [
"Uitvoerder"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
]
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.6",
"comment": "Performer"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-47",
"comment": "Performer"
}
]
}
]
}
}

4.6.3. Technical specification

FHIR profile(s) http://medmij.nl/fhir/StructureDefinition/mz-Procedure
FHIR package medmij.fhir.nl.r4.dentalcare version 1.0.0-beta.3 or compatible
FHIR version R4
Search request GET [base]/Procedure?category=http://snomed.info/sct|225362009
Must Support
  • .identifier
  • .code
  • .subject
  • .performedPeriod
  • .performedDateTime
  • .performer.actor
  • .location
  • .reasonReference
  • .meta.tag (only the care type)
CapabilityStatement(s) Dental Care Procedure Retrieve
Dental Care Procedure Serve

The FHIR profile is included below.

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
procedureMethodC0..*Extension(CodeableConcept)
modifierExtension?! C0..*Extension
identifierΣ0..*Identifier
instantiatesCanonicalΣ0..*canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire)
instantiatesUriΣ0..*uri
basedOnΣ C0..*Reference(CarePlan | ServiceRequest)
partOfΣ C0..*Reference(MedicationAdministration | Observation | Procedure)
statusΣ ?!1..1codeBinding
statusReasonΣ0..1CodeableConcept
categoryΣ1..1CodeableConceptPattern
codeΣ1..1CodeableConceptBinding
subjectΣ C1..1Reference(Group | Patient | NlcorePatient)
encounterΣ C0..1Reference(Encounter)
performedAgeAge
performedRangeRange
performedStringstring
id0..1string
extensionC0..*Extension
startΣ C0..1dateTime
endΣ C0..1dateTime
performedDateTimeΣ0..1dateTime
recorderΣ C0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
asserterΣ C0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
functionΣ0..1CodeableConcept
actorΣ C1..1Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | NlcoreHealthProfessionalPractitionerRole)
onBehalfOfC0..1Reference(Organization)
locationΣ C0..1Reference(Location | NlcoreHealthcareProvider)
reasonCodeΣ0..*CodeableConcept
reasonReferenceΣ C0..*Reference(Condition | DiagnosticReport | DocumentReference | Observation | Procedure | NlcoreProblem)
bodySiteΣ0..1NlcoreAnatomicalLocationBinding
outcomeΣ0..1CodeableConcept
reportC0..*Reference(Composition | DiagnosticReport | DocumentReference)
complication0..*CodeableConcept
complicationDetailC0..*Reference(Condition)
followUp0..*CodeableConcept
note0..*Annotation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
action0..1CodeableConceptBinding
manipulatedC1..1Reference(Device)
usedReferenceC0..*Reference(Device | Medication | Substance)
usedCode0..*CodeableConcept
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mz-Procedure" />
<status value="empty" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://medmij.nl/fhir/StructureDefinition/mz-Procedure" />
<name value="MzProcedure" />
<title value="mz Procedure" />
<status value="draft" />
<publisher value="MedMij" />
<name value="MedMij" />
<system value="email" />
<value value="info@medmij.nl" />
<use value="work" />
</telecom>
</contact>
<description value="Therapeutic or diagnostic procedure undergone by the patient in dental care." />
<purpose value="This Procedure resource represents the Procedure Clinical Information Model (CIM) for patient use cases in the context of Dental Care. This profile 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)), but has no dependency on the corresponding nl-core-Procedure-event profile because it contains non-compatible changes with respect to ProcedureType. Where compatible, mappings to zib concepts are defined (next to the mappings to the Dental Care data set). Moreover, guidance and mappings corresponding to the MedicalDevice and Requester concepts, as well as the reversed reference for zib TextResult, which are present in the nl-core profile, have been omitted from this profile." />
<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" />
<identity value="zib-procedure-v5.2-2020EN" />
<uri value="https://zibs.nl/wiki/Procedure-v5.2(2020EN)" />
<name value="zib Procedure-v5.2(2020EN)" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<name value="Dataset Mondzorg MedMij 1.0.0-beta.3 20260413" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Procedure" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
<derivation value="constraint" />
<element id="Procedure">
<path value="Procedure" />
<short value="Procedure" />
<alias value="Verrichting" />
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.1" />
<comment value="Procedure" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-26" />
<comment value="Procedure" />
</mapping>
</element>
<element id="Procedure.extension">
<path value="Procedure.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Procedure.extension:procedureMethod">
<path value="Procedure.extension" />
<sliceName value="procedureMethod" />
<min value="0" />
<max value="*" />
<code value="Extension" />
<profile value="http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod" />
</type>
</element>
<element id="Procedure.status">
<path value="Procedure.status" />
<definition value="This element is implictly mapped to the zib concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate (NL-CM:14.1.3). Unless the status is explicitly recorded, the following guidance applies:\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _preparation_.\n* When ProcedureStartDate is in the past and ProcedureEndDate is in the future, `.status` will usually be set to _in-progress_.\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\n* When ProcedureStartDate is in the past and ProcedureEndDate is missing, it may be assumed that the Procedure was recorded as a point in time and `.status` will usually be set to _completed_.\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the Procedure." />
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.2" />
<comment value="ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)" />
</mapping>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.3" />
<comment value="ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-27" />
<comment value="ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-28" />
<comment value="ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)" />
</mapping>
</element>
<element id="Procedure.category">
<path value="Procedure.category" />
<min value="1" />
<system value="http://snomed.info/sct" />
<code value="225362009" />
</coding>
</patternCodeableConcept>
</element>
<element id="Procedure.code">
<path value="Procedure.code" />
<short value="ProcedureType" />
<definition value="The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis." />
<comment value="Since the _required_ binding of VerrichtingTypeCodelijsten in the nl-core profile does not contain the procedure types relevant for dental care, this profile is not derived from the nl-core profile." />
<alias value="VerrichtingType" />
<min value="1" />
<strength value="extensible" />
<valueSet value="http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare" />
</binding>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-29" />
<comment value="ProcedureType" />
</mapping>
</element>
<element id="Procedure.subject">
<path value="Procedure.subject" />
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
</type>
</element>
<element id="Procedure.performed[x]">
<path value="Procedure.performed[x]" />
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Procedure.performed[x]:performedPeriod">
<path value="Procedure.performed[x]" />
<sliceName value="performedPeriod" />
<min value="0" />
<max value="1" />
<code value="Period" />
</type>
</element>
<element id="Procedure.performed[x]:performedPeriod.start">
<path value="Procedure.performed[x].start" />
<short value="ProcedureStartDate" />
<definition value="The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures." />
<comment value="If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed)." />
<alias value="VerrichtingStartDatum" />
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.2" />
<comment value="ProcedureStartDate" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-27" />
<comment value="ProcedureStartDate" />
</mapping>
</element>
<element id="Procedure.performed[x]:performedPeriod.end">
<path value="Procedure.performed[x].end" />
<short value="ProcedureEndDate" />
<definition value="The end date (and if possible end time) of the procedure. A 'vague' date, such as only the year, is permitted. The 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." />
<comment value="If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed)." />
<alias value="VerrichtingEindDatum" />
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.3" />
<comment value="ProcedureEndDate" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-28" />
<comment value="ProcedureEndDate" />
</mapping>
</element>
<element id="Procedure.performed[x]:performedDateTime">
<path value="Procedure.performed[x]" />
<sliceName value="performedDateTime" />
<short value="ProcedureStartDate" />
<definition value="The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted. `Procedure.performedDateTime` is used for instantaneous or very short lasting procedures." />
<comment value="If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed)." />
<alias value="VerrichtingStartDatum" />
<min value="0" />
<max value="1" />
<code value="dateTime" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.2" />
<comment value="ProcedureStartDate" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-27" />
<comment value="ProcedureStartDate" />
</mapping>
</element>
<element id="Procedure.performer.actor">
<path value="Procedure.performer.actor" />
<short value="Performer" />
<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." />
<comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-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.\n\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." />
<alias value="Uitvoerder" />
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.6" />
<comment value="Performer" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-47" />
<comment value="Performer" />
</mapping>
</element>
<element id="Procedure.location">
<path value="Procedure.location" />
<short value="Location" />
<definition value="The healthcare center where the procedure was or is carried out." />
<alias value="Locatie" />
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.5" />
<comment value="Location" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-46" />
<comment value="Location" />
</mapping>
</element>
<element id="Procedure.reasonReference">
<path value="Procedure.reasonReference" />
<short value="Indication" />
<definition value="The indication is the reason for the procedure." />
<alias value="Indicatie" />
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" />
</type>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.9" />
<comment value="Indication" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-34" />
<comment value="Indication" />
</mapping>
</element>
<element id="Procedure.bodySite">
<path value="Procedure.bodySite" />
<short value="Location / ProcedureAnatomicalLocation" />
<definition value="Anatomical location which is the focus of the procedure." />
<alias value="VerrichtingAnatomischeLocatie" />
<max value="1" />
<code value="CodeableConcept" />
<profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
</type>
<strength value="required" />
<valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
</binding>
<identity value="zib-procedure-v5.2-2020EN" />
<map value="NL-CM:14.1.13" />
<comment value="ProcedureAnatomicalLocation" />
</mapping>
<identity value="mz-dataset-100-beta3-20260413" />
<map value="mz-dataelement-31" />
<comment value="ProcedureAnatomicalLocation" />
</mapping>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mz-Procedure",
"text": {
"status": "empty",
--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://medmij.nl/fhir/StructureDefinition/mz-Procedure",
"name": "MzProcedure",
"title": "mz Procedure",
"status": "draft",
"publisher": "MedMij",
"contact": [
{
"name": "MedMij",
"telecom": [
{
"system": "email",
"value": "info@medmij.nl",
"use": "work"
}
]
}
],
"description": "Therapeutic or diagnostic procedure undergone by the patient in dental care.",
"purpose": "This Procedure resource represents the Procedure Clinical Information Model (CIM) for patient use cases in the context of Dental Care. This profile 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)), but has no dependency on the corresponding nl-core-Procedure-event profile because it contains non-compatible changes with respect to ProcedureType. Where compatible, mappings to zib concepts are defined (next to the mappings to the Dental Care data set). Moreover, guidance and mappings corresponding to the MedicalDevice and Requester concepts, as well as the reversed reference for zib TextResult, which are present in the nl-core profile, have been omitted from this profile.",
"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",
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"uri": "https://zibs.nl/wiki/Procedure-v5.2(2020EN)",
"name": "zib Procedure-v5.2(2020EN)"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"name": "Dataset Mondzorg MedMij 1.0.0-beta.3 20260413"
}
],
"kind": "resource",
"abstract": false,
"type": "Procedure",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
"derivation": "constraint",
"element": [
{
"id": "Procedure",
"path": "Procedure",
"short": "Procedure",
"alias": [
"Verrichting"
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.1",
"comment": "Procedure"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-26",
"comment": "Procedure"
}
]
},
{
"id": "Procedure.extension",
"path": "Procedure.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Procedure.extension:procedureMethod",
"path": "Procedure.extension",
"sliceName": "procedureMethod",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod"
]
}
]
},
{
"id": "Procedure.status",
"path": "Procedure.status",
"definition": "This element is implictly mapped to the zib concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate (NL-CM:14.1.3). Unless the status is explicitly recorded, the following guidance applies:\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _preparation_.\n* When ProcedureStartDate is in the past and ProcedureEndDate is in the future, `.status` will usually be set to _in-progress_.\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\n* When ProcedureStartDate is in the past and ProcedureEndDate is missing, it may be assumed that the Procedure was recorded as a point in time and `.status` will usually be set to _completed_.\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the Procedure.",
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.2",
"comment": "ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)"
},
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.3",
"comment": "ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-27",
"comment": "ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-28",
"comment": "ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)"
}
]
},
{
"id": "Procedure.category",
"path": "Procedure.category",
"min": 1,
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225362009"
}
]
}
},
{
"id": "Procedure.code",
"path": "Procedure.code",
"short": "ProcedureType",
"definition": "The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis.",
"comment": "Since the _required_ binding of VerrichtingTypeCodelijsten in the nl-core profile does not contain the procedure types relevant for dental care, this profile is not derived from the nl-core profile.",
"alias": [
"VerrichtingType"
],
"min": 1,
"binding": {
"strength": "extensible",
"valueSet": "http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare"
},
"mapping": [
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-29",
"comment": "ProcedureType"
}
]
},
{
"id": "Procedure.subject",
"path": "Procedure.subject",
"type": [
{
"code": "Reference",
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/Group",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
]
}
]
},
{
"id": "Procedure.performed[x]",
"path": "Procedure.performed[x]",
"slicing": {
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Procedure.performed[x]:performedPeriod",
"path": "Procedure.performed[x]",
"sliceName": "performedPeriod",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
]
},
{
"id": "Procedure.performed[x]:performedPeriod.start",
"path": "Procedure.performed[x].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. The element offers the option to indicate the start of the period of a series of related procedures.",
"comment": "If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
"alias": [
"VerrichtingStartDatum"
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.2",
"comment": "ProcedureStartDate"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-27",
"comment": "ProcedureStartDate"
}
]
},
{
"id": "Procedure.performed[x]:performedPeriod.end",
"path": "Procedure.performed[x].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. The 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.",
"comment": "If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
"alias": [
"VerrichtingEindDatum"
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.3",
"comment": "ProcedureEndDate"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-28",
"comment": "ProcedureEndDate"
}
]
},
{
"id": "Procedure.performed[x]:performedDateTime",
"path": "Procedure.performed[x]",
"sliceName": "performedDateTime",
"short": "ProcedureStartDate",
"definition": "The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted. `Procedure.performedDateTime` is used for instantaneous or very short lasting procedures.",
"comment": "If the zib Procedure concerns a procedure performed over a period, `Procedure.performedPeriod.start` and `Procedure.performedPeriod.end` are used to represent zib concepts ProcedureStartDate and ProcedureEndDate. For instantaneous or very short lasting procedures, `Procedure.performedDateTime` is used for ProcedureStartDate (ProcedureEndDate doesn't have a meaning in this case; ProcedureStartDate is the moment the procedure is performed).",
"alias": [
"VerrichtingStartDatum"
],
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.2",
"comment": "ProcedureStartDate"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-27",
"comment": "ProcedureStartDate"
}
]
},
{
"id": "Procedure.performer.actor",
"path": "Procedure.performer.actor",
"short": "Performer",
"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.",
"comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-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.\n\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.",
"alias": [
"Uitvoerder"
],
"type": [
{
"code": "Reference",
"http://hl7.org/fhir/StructureDefinition/Practitioner",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://hl7.org/fhir/StructureDefinition/Organization",
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
]
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.6",
"comment": "Performer"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-47",
"comment": "Performer"
}
]
},
{
"id": "Procedure.location",
"path": "Procedure.location",
"short": "Location",
"definition": "The healthcare center where the procedure was or is carried out.",
"alias": [
"Locatie"
],
"type": [
{
"code": "Reference",
"http://hl7.org/fhir/StructureDefinition/Location",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider"
]
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.5",
"comment": "Location"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-46",
"comment": "Location"
}
]
},
{
"id": "Procedure.reasonReference",
"path": "Procedure.reasonReference",
"short": "Indication",
"definition": "The indication is the reason for the procedure.",
"alias": [
"Indicatie"
],
"type": [
{
"code": "Reference",
"http://hl7.org/fhir/StructureDefinition/Condition",
"http://hl7.org/fhir/StructureDefinition/Observation",
"http://hl7.org/fhir/StructureDefinition/Procedure",
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"http://hl7.org/fhir/StructureDefinition/DocumentReference",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem"
]
}
],
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.9",
"comment": "Indication"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-34",
"comment": "Indication"
}
]
},
{
"id": "Procedure.bodySite",
"path": "Procedure.bodySite",
"short": "Location / ProcedureAnatomicalLocation",
"definition": "Anatomical location which is the focus of the procedure.",
"alias": [
"VerrichtingAnatomischeLocatie"
],
"max": "1",
"type": [
{
"code": "CodeableConcept",
"profile": [
"http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
},
"mapping": [
{
"identity": "zib-procedure-v5.2-2020EN",
"map": "NL-CM:14.1.13",
"comment": "ProcedureAnatomicalLocation"
},
{
"identity": "mz-dataset-100-beta3-20260413",
"map": "mz-dataelement-31",
"comment": "ProcedureAnatomicalLocation"
}
]
}
]
}
}