Nursing Report

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 for the information models that are not present in ART-DECOR, 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 STU3 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 data type, 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 1 or *). Moreover, for each concept it is indicated whether it is (conditionally) required by setting the minimum cardinality to 1 (or adding a constraint which specifies when the concept is required).
The FHIR data types 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 data type need to satisfy the att-1 constraint, which states that the element SHALL have a contentType, provided the element has non-empty data. Even though this constraint makes sense on a technical level, the aforementioned attributes contentType and data are 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, .abstract is 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. Nursing Report

A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse.

LzLmNursingReport (lz-lm-NursingReport)			Element	Element id lz-lm-NursingReport Short description Nursing report Alternate names Dagrapportage Definition A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse. Data type Element Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a lz-dataset-100-rc3-20260811: lz-dataelement-1 SNOMED: 11591000146107
id		0..1	string	There are no (further) constraints on this element Element id lz-lm-NursingReport.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Comments Note that FHIR strings may not exceed 1MB in size Data type string Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
extension	C	0..*	Extension	There are no (further) constraints on this element Element id lz-lm-NursingReport.extension Short description Additional Content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
ReportTitle		0..1	string	Element id lz-lm-NursingReport.ReportTitle Short description Report title Alternate names RapportageTitel Definition The title of the nursing report. Comments The title should be human readable and clear to the patient. Data type string Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a lz-dataset-100-rc3-20260811: lz-dataelement-2
ReportDateTime		1..1	dateTime	Element id lz-lm-NursingReport.ReportDateTime Short description Report date time Alternate names RapportageDatumTijd Definition The date/time on which the nursing report is registered. Data type dateTime Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a lz-dataset-100-rc3-20260811: lz-dataelement-3
Performer	C	1..1	Reference(MedMijCoreLmHealthcareProvider \| MedMijCoreLmHealthProfessional)	Element id lz-lm-NursingReport.Performer Short description Performer Alternate names Uitvoerder Definition The health professional or organization who registered the nursing report. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(MedMijCoreLmHealthcareProvider \| MedMijCoreLmHealthProfessional) Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) lz-dataset-100-rc3-20260811: lz-dataelement-4
ReportContent		1..1	string	Element id lz-lm-NursingReport.ReportContent Short description Report content Alternate names RapportageInhoud Definition The content of the nursing report. Comments Note that FHIR strings may not exceed 1MB in size Data type string Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a lz-dataset-100-rc3-20260811: lz-dataelement-19

Mapping name	Concept id	Logical element	Comments
lz-dataset-100-rc3-20260811	lz-dataelement-1	NursingReport	NursingReport
lz-dataset-100-rc3-20260811	lz-dataelement-2	NursingReport.ReportTitle	ReportTitle
lz-dataset-100-rc3-20260811	lz-dataelement-3	NursingReport.ReportDateTime	ReportDateTime
lz-dataset-100-rc3-20260811	lz-dataelement-4	NursingReport.Performer	Performer
lz-dataset-100-rc3-20260811	lz-dataelement-19	NursingReport.ReportContent	ReportContent
SNOMED	11591000146107	NursingReport	patiëntcontactverslag

<id value="lz-lm-NursingReport" />
<text>
<status value="empty" />

--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://medmij.nl/fhir/StructureDefinition/lz-lm-NursingReport" />
<identifier>
<use value="official" />
<system value="urn:ietf:rfc:3986" />
<value value="urn:oid:2.16.528.1.1023.3.4.1" />
</identifier>
<version value="1.0.0-rc.3" />
<name value="LzLmNursingReport" />
<title value="NursingReport" />
<status value="active" />
<publisher value="MedMij" />
<contact>
<name value="MedMij" />
<telecom>
<system value="email" />
<value value="info@medmij.nl" />
<use value="work" />
</telecom>
</contact>
<description value="A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse." />
<purpose value="This LogicalModel represents the NursingReport Clinical Information Model (CIM) for patient use cases in the context of Long-term Healthcare. It is based on the [ANW v2024.1](https://nuts-foundation.gitbook.io/bolts/anw/v2024.1#id-5.2-wegschrijven-van-informatie) specification." />
<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="3.0.2" />
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<name value="Dataset Langdurige Zorg MedMij 1.0.0-rc.3 20260811" />
</mapping>
<mapping>
<identity value="SNOMED" />
<uri value="http://snomed.info/sct" />
<name value="SNOMED CT" />
</mapping>
<kind value="logical" />
<abstract value="false" />
<type value="lz-lm-NursingReport" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
<derivation value="specialization" />
<differential>
<element id="lz-lm-NursingReport">
<path value="lz-lm-NursingReport" />
<short value="Nursing report" />
<definition value="A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse." />
<alias value="Dagrapportage" />
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<map value="lz-dataelement-1" />
<comment value="NursingReport" />
</mapping>
<mapping>
<identity value="SNOMED" />
<map value="11591000146107" />
<comment value="patiëntcontactverslag" />
</mapping>
</element>
<element id="lz-lm-NursingReport.ReportTitle">
<path value="lz-lm-NursingReport.ReportTitle" />
<short value="Report title" />
<definition value="The title of the nursing report." />
<comment value="The title should be human readable and clear to the patient." />
<alias value="RapportageTitel" />
<min value="0" />
<max value="1" />
<type>
<code value="string" />
</type>
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<map value="lz-dataelement-2" />
<comment value="ReportTitle" />
</mapping>
</element>
<element id="lz-lm-NursingReport.ReportDateTime">
<path value="lz-lm-NursingReport.ReportDateTime" />
<short value="Report date time" />
<definition value="The date/time on which the nursing report is registered." />
<alias value="RapportageDatumTijd" />
<min value="1" />
<max value="1" />
<type>
<code value="dateTime" />
</type>
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<map value="lz-dataelement-3" />
<comment value="ReportDateTime" />
</mapping>
</element>
<element id="lz-lm-NursingReport.Performer">
<path value="lz-lm-NursingReport.Performer" />
<short value="Performer" />
<definition value="The health professional or organization who registered the nursing report." />
<alias value="Uitvoerder" />
<min value="1" />
<max value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
</type>
<type>
<code value="Reference" />
<targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider" />
</type>
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<map value="lz-dataelement-4" />
<comment value="Performer" />
</mapping>
</element>
<element id="lz-lm-NursingReport.ReportContent">
<path value="lz-lm-NursingReport.ReportContent" />
<short value="Report content" />
<definition value="The content of the nursing report." />
<alias value="RapportageInhoud" />
<min value="1" />
<max value="1" />
<type>
<code value="string" />
</type>
<mapping>
<identity value="lz-dataset-100-rc3-20260811" />
<map value="lz-dataelement-19" />
<comment value="ReportContent" />
</mapping>
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "lz-lm-NursingReport",
"text": {
"status": "empty",

--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://medmij.nl/fhir/StructureDefinition/lz-lm-NursingReport",
"identifier": [
{
"use": "official",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.528.1.1023.3.4.1"
}
],
"version": "1.0.0-rc.3",
"name": "LzLmNursingReport",
"title": "NursingReport",
"status": "active",
"publisher": "MedMij",
"contact": [
{
"name": "MedMij",
"telecom": [
{
"system": "email",
"value": "info@medmij.nl",
"use": "work"
}
]
}
],
"description": "A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse.",
"purpose": "This LogicalModel represents the NursingReport Clinical Information Model (CIM) for patient use cases in the context of Long-term Healthcare. It is based on the [ANW v2024.1](https://nuts-foundation.gitbook.io/bolts/anw/v2024.1#id-5.2-wegschrijven-van-informatie) specification.",
"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": "3.0.2",
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"name": "Dataset Langdurige Zorg MedMij 1.0.0-rc.3 20260811"
},
{
"identity": "SNOMED",
"uri": "http://snomed.info/sct",
"name": "SNOMED CT"
}
],
"kind": "logical",
"abstract": false,
"type": "lz-lm-NursingReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
"derivation": "specialization",
"differential": {
"element": [
{
"id": "lz-lm-NursingReport",
"path": "lz-lm-NursingReport",
"short": "Nursing report",
"definition": "A report documenting a patient contact in a long-term healthcare nursing setting. The report can be recorded by different types of health professionals and is not necessarily written by a nurse.",
"alias": [
"Dagrapportage"
],
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"map": "lz-dataelement-1",
"comment": "NursingReport"
},
{
"identity": "SNOMED",
"map": "11591000146107",
"comment": "patiëntcontactverslag"
}
]
},
{
"id": "lz-lm-NursingReport.ReportTitle",
"path": "lz-lm-NursingReport.ReportTitle",
"short": "Report title",
"definition": "The title of the nursing report.",
"comment": "The title should be human readable and clear to the patient.",
"alias": [
"RapportageTitel"
],
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"map": "lz-dataelement-2",
"comment": "ReportTitle"
}
]
},
{
"id": "lz-lm-NursingReport.ReportDateTime",
"path": "lz-lm-NursingReport.ReportDateTime",
"short": "Report date time",
"definition": "The date/time on which the nursing report is registered.",
"alias": [
"RapportageDatumTijd"
],
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"map": "lz-dataelement-3",
"comment": "ReportDateTime"
}
]
},
{
"id": "lz-lm-NursingReport.Performer",
"path": "lz-lm-NursingReport.Performer",
"short": "Performer",
"definition": "The health professional or organization who registered the nursing report.",
"alias": [
"Uitvoerder"
],
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
},
{
"code": "Reference",
"targetProfile": "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider"
}
],
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"map": "lz-dataelement-4",
"comment": "Performer"
}
]
},
{
"id": "lz-lm-NursingReport.ReportContent",
"path": "lz-lm-NursingReport.ReportContent",
"short": "Report content",
"definition": "The content of the nursing report.",
"alias": [
"RapportageInhoud"
],
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "lz-dataset-100-rc3-20260811",
"map": "lz-dataelement-19",
"comment": "ReportContent"
}
]
}
]
}

}