{
  "resourceType": "StructureDefinition",
  "id": "medmij-core-lm-Base",
  "text": {
    "status": "empty",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>"
  },
  "url": "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-Base",
  "identifier": [
    {
      "use": "official",
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.528.1.1023.3.6.5"
    }
  ],
  "name": "MedMijCoreLmBase",
  "title": "Base",
  "status": "active",
  "publisher": "MedMij",
  "contact": [
    {
      "name": "MedMij",
      "telecom": [
        {
          "system": "email",
          "value": "info@medmij.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "All CIMs implicitly contain a number of basic concepts, such as an identification number or a reference to the patient the data belongs to. These are usually not included in the information models of the individual CIMs, but are supposed to be present. These are concepts that are of a more technical nature, sometimes have little or no clinical relevance, but are necessary for the sake of clarity and readability of the information. These basic concepts are collected in this Base model.\n\nWhenever similar concepts are in fact of clinical significance in the context of a certain CIM, they will be explicitly added in the information model of that CIM. An example of this is the inclusion of a healthcare provider reference to convey the relevant location in a CIM like Encounter or Procedure (next to the HealthcareProvider concept (medmij-core-dataelement-117) already present in this Base model), since the location where an encounter took place or where a procedure was carried out might be of clinical significance. Moreover, identification numbers with clinical significance such as AGB or UZI, might be added explicitly in certain CIMs (next to the IdentificationNumber concept (medmij-core-dataelement-115) already present in this Base model).",
  "purpose": "This LogicalModel represents the base model for patient use cases in the context of MedMij. It takes inspiration from the Dutch zibs ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) [BasicElements v1.0 (2017)](https://zibs.nl/wiki/BasicElements-v1.0(2017EN)) and [RegistrationData v1.1.2 (2024)](https://www.zibs.nl/wiki/RegistrationData-v1.1.2(2024EN)), as well as the [EHDS DataSet model](https://www.xt-ehr.eu/fhir/models/1.0.0/en/StructureDefinition-EHDSDataSet.html), and is adjusted such that it is suitable for implementation purposes in the context of MedMij. Note that there is no zib in publication 2020 equivalent to the zib BasicElements from publication 2017 or the zib RegistrationData from publication 2024, hence a custom base model has been introduced.",
  "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-basicelements-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
      "name": "zib BasicElements-v1.0(2017EN)"
    },
    {
      "identity": "zib-registrationdata-v1.1.2-2024EN",
      "uri": "https://www.zibs.nl/wiki/RegistrationData-v1.1.2(2024EN)",
      "name": "zib RegistrationData-v1.1.2(2024EN)"
    },
    {
      "identity": "ehds-dataset-v1.0.0",
      "uri": "https://www.xt-ehr.eu/fhir/models/1.0.0/en/StructureDefinition-EHDSDataSet.html",
      "name": "EHDS DataSet v1.0.0"
    },
    {
      "identity": "medmij-core-dataset-130-20261005",
      "name": "Dataset MedMij R4 Core 1.3.0 20261005"
    },
    {
      "identity": "SNOMED",
      "uri": "http://snomed.info/sct",
      "name": "SNOMED CT"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-Base",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "medmij-core-lm-Base",
        "path": "medmij-core-lm-Base",
        "short": "Base",
        "definition": "All CIMs implicitly contain a number of basic concepts, such as an identification number or a reference to the patient the data belongs to. These are usually not included in the information models of the individual CIMs, but are supposed to be present. These are concepts that are of a more technical nature, sometimes have little or no clinical relevance, but are necessary for the sake of clarity and readability of the information. These basic concepts are collected in this Base model.\n\nWhenever similar concepts are in fact of clinical significance in the context of a certain CIM, they will be explicitly added in the information model of that CIM. An example of this is the inclusion of a healthcare provider reference to convey the relevant location in a CIM like Encounter or Procedure (next to the HealthcareProvider concept (medmij-core-dataelement-117) already present in this Base model), since the location where an encounter took place or where a procedure was carried out might be of clinical significance. Moreover, identification numbers with clinical significance such as AGB or UZI, might be added explicitly in certain CIMs (next to the IdentificationNumber concept (medmij-core-dataelement-115) already present in this Base model).",
        "alias": [
          "Basis"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "medmij-core-lm-Base",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.1",
            "comment": "HCIMRoot"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.1",
            "comment": "RegistrationData"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet",
            "comment": "EHDSDataSet"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-114",
            "comment": "Base"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.id",
        "path": "medmij-core-lm-Base.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.extension",
        "path": "medmij-core-lm-Base.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.IdentificationNumber",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.IdentificationNumber",
        "short": "Identification number",
        "definition": "Globally unique number that identifies the instantiation of the CIM. The number is composed of an identification of the issuer organization and a unique number assigned by this organization.",
        "alias": [
          "Identificatienummer"
        ],
        "min": 1,
        "max": "*",
        "base": {
          "path": "medmij-core-lm-Base.IdentificationNumber",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.6",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.12",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.identifier",
            "comment": "identifier"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-115",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "SNOMED",
            "map": "396278008",
            "comment": "identificatienummer"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Patient",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.Patient",
        "short": "Patient",
        "definition": "The patient as subject of the information.",
        "comment": "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.",
        "alias": [
          "Patiënt"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "medmij-core-lm-Base.Patient",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-Patient"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.12",
            "comment": "Patient"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.subject",
            "comment": "subject"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-116",
            "comment": "Patient"
          },
          {
            "identity": "SNOMED",
            "map": "131195008",
            "comment": "onderwerp van informatie"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.HealthcareProvider",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.HealthcareProvider",
        "short": "Healthcare provider",
        "definition": "The healthcare provider where the information is recorded and/or that is responsible for the information.",
        "comment": "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.",
        "alias": [
          "Zorgaanbieder",
          "Zorgorganisatie"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "medmij-core-lm-Base.HealthcareProvider",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.9",
            "comment": "HealthProfessionalAsAuthor (implicit, actual mapping is on HealthProfessionalAsAuthor::HealthProfessional.HealthcareProvider (NL-CM:17.1.6))"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.2",
            "comment": "Author (implicit, actual mapping is on Author::HealthProfessional.HealthcareProvider (NL-CM:17.1.6))"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.authorEHDSOrganisation",
            "comment": "authorEHDSOrganisation"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-117",
            "comment": "HealthcareProvider"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.Effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Effective",
        "definition": "The time or period the event to which the information relates took place. This is the medically relevant time or period.",
        "alias": [
          "Tijdsindicatie"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "medmij-core-lm-Base.Effective[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-118",
            "comment": "Effective"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectiveDateTime",
        "path": "medmij-core-lm-Base.Effective[x]",
        "sliceName": "EffectiveDateTime",
        "short": "Effective date time",
        "definition": "The time the event to which the information relates took place. This is the medically relevant time.",
        "alias": [
          "DatumTijd"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "medmij-core-lm-Base.Effective[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.14",
            "comment": "DateTime"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-119",
            "comment": "EffectiveDateTime"
          },
          {
            "identity": "SNOMED",
            "map": "439771001",
            "comment": "datum van gebeurtenis"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.Effective[x]",
        "sliceName": "EffectivePeriod",
        "short": "Effective period",
        "definition": "The period the event to which the information relates took place. This is the medically relevant period.",
        "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
        "alias": [
          "Periode"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "medmij-core-lm-Base.Effective[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "per-1",
            "severity": "error",
            "human": "If present, start SHALL have a lower value than end",
            "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source": "http://hl7.org/fhir/StructureDefinition/Period"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR"
          },
          {
            "identity": "rim",
            "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-120",
            "comment": "EffectivePeriod"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.id",
        "path": "medmij-core-lm-Base.Effective[x].id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.extension",
        "path": "medmij-core-lm-Base.Effective[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.start",
        "path": "medmij-core-lm-Base.Effective[x].start",
        "short": "Start date time",
        "definition": "The start date (and if possible start time) of the event to which the information relates. This is the medically relevant start date time.",
        "comment": "The EffectivePeriod.start is often referred to as StartDateTime.",
        "alias": [
          "StartDatumTijd"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Period.start",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1",
          "per-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR.1"
          },
          {
            "identity": "rim",
            "map": "./low"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-121",
            "comment": "StartDateTime"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.end",
        "path": "medmij-core-lm-Base.Effective[x].end",
        "short": "End date time",
        "definition": "The end date (and if possible end time) of the event to which the information relates. This is the medically relevant end date time. If the event still continues, the end date is not populated.",
        "comment": "The EffectivePeriod.end is often referred to as EndDateTime.",
        "alias": [
          "EindDatumTijd"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Period.end",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
        "condition": [
          "ele-1",
          "per-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR.2"
          },
          {
            "identity": "rim",
            "map": "./high"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-122",
            "comment": "EndDateTime"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.CareType",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "medmij-core-lm-Base.CareType",
        "short": "Care type",
        "definition": "The type of the healthcare provider responsible for the delivered care, or more specifically, the specialty of the department and/or health professional that delivered care. It enables patients and systems to interpret the origin and context of medical data.",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "alias": [
          "Zorgtype"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "medmij-core-lm-Base.CareType",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20200901000000"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-123",
            "comment": "CareType"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "medmij-core-lm-Base",
        "path": "medmij-core-lm-Base",
        "short": "Base",
        "definition": "All CIMs implicitly contain a number of basic concepts, such as an identification number or a reference to the patient the data belongs to. These are usually not included in the information models of the individual CIMs, but are supposed to be present. These are concepts that are of a more technical nature, sometimes have little or no clinical relevance, but are necessary for the sake of clarity and readability of the information. These basic concepts are collected in this Base model.\n\nWhenever similar concepts are in fact of clinical significance in the context of a certain CIM, they will be explicitly added in the information model of that CIM. An example of this is the inclusion of a healthcare provider reference to convey the relevant location in a CIM like Encounter or Procedure (next to the HealthcareProvider concept (medmij-core-dataelement-117) already present in this Base model), since the location where an encounter took place or where a procedure was carried out might be of clinical significance. Moreover, identification numbers with clinical significance such as AGB or UZI, might be added explicitly in certain CIMs (next to the IdentificationNumber concept (medmij-core-dataelement-115) already present in this Base model).",
        "alias": [
          "Basis"
        ],
        "mapping": [
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.1",
            "comment": "HCIMRoot"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.1",
            "comment": "RegistrationData"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet",
            "comment": "EHDSDataSet"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-114",
            "comment": "Base"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.IdentificationNumber",
        "path": "medmij-core-lm-Base.IdentificationNumber",
        "short": "Identification number",
        "definition": "Globally unique number that identifies the instantiation of the CIM. The number is composed of an identification of the issuer organization and a unique number assigned by this organization.",
        "alias": [
          "Identificatienummer"
        ],
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mapping": [
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.6",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.12",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.identifier",
            "comment": "identifier"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-115",
            "comment": "IdentificationNumber"
          },
          {
            "identity": "SNOMED",
            "map": "396278008",
            "comment": "identificatienummer"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Patient",
        "path": "medmij-core-lm-Base.Patient",
        "short": "Patient",
        "definition": "The patient as subject of the information.",
        "alias": [
          "Patiënt"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-Patient"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.12",
            "comment": "Patient"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.subject",
            "comment": "subject"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-116",
            "comment": "Patient"
          },
          {
            "identity": "SNOMED",
            "map": "131195008",
            "comment": "onderwerp van informatie"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.HealthcareProvider",
        "path": "medmij-core-lm-Base.HealthcareProvider",
        "short": "Healthcare provider",
        "definition": "The healthcare provider where the information is recorded and/or that is responsible for the information.",
        "alias": [
          "Zorgaanbieder",
          "Zorgorganisatie"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.9",
            "comment": "HealthProfessionalAsAuthor (implicit, actual mapping is on HealthProfessionalAsAuthor::HealthProfessional.HealthcareProvider (NL-CM:17.1.6))"
          },
          {
            "identity": "zib-registrationdata-v1.1.2-2024EN",
            "map": "NL-CM:22.1.2",
            "comment": "Author (implicit, actual mapping is on Author::HealthProfessional.HealthcareProvider (NL-CM:17.1.6))"
          },
          {
            "identity": "ehds-dataset-v1.0.0",
            "map": "EHDSDataSet.header.authorEHDSOrganisation",
            "comment": "authorEHDSOrganisation"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-117",
            "comment": "HealthcareProvider"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]",
        "path": "medmij-core-lm-Base.Effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Effective",
        "definition": "The time or period the event to which the information relates took place. This is the medically relevant time or period.",
        "alias": [
          "Tijdsindicatie"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-118",
            "comment": "Effective"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectiveDateTime",
        "path": "medmij-core-lm-Base.Effective[x]",
        "sliceName": "EffectiveDateTime",
        "short": "Effective date time",
        "definition": "The time the event to which the information relates took place. This is the medically relevant time.",
        "alias": [
          "DatumTijd"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.14",
            "comment": "DateTime"
          },
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-119",
            "comment": "EffectiveDateTime"
          },
          {
            "identity": "SNOMED",
            "map": "439771001",
            "comment": "datum van gebeurtenis"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod",
        "path": "medmij-core-lm-Base.Effective[x]",
        "sliceName": "EffectivePeriod",
        "short": "Effective period",
        "definition": "The period the event to which the information relates took place. This is the medically relevant period.",
        "alias": [
          "Periode"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-120",
            "comment": "EffectivePeriod"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.start",
        "path": "medmij-core-lm-Base.Effective[x].start",
        "short": "Start date time",
        "definition": "The start date (and if possible start time) of the event to which the information relates. This is the medically relevant start date time.",
        "comment": "The EffectivePeriod.start is often referred to as StartDateTime.",
        "alias": [
          "StartDatumTijd"
        ],
        "mapping": [
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-121",
            "comment": "StartDateTime"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.Effective[x]:EffectivePeriod.end",
        "path": "medmij-core-lm-Base.Effective[x].end",
        "short": "End date time",
        "definition": "The end date (and if possible end time) of the event to which the information relates. This is the medically relevant end date time. If the event still continues, the end date is not populated.",
        "comment": "The EffectivePeriod.end is often referred to as EndDateTime.",
        "alias": [
          "EindDatumTijd"
        ],
        "mapping": [
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-122",
            "comment": "EndDateTime"
          }
        ]
      },
      {
        "id": "medmij-core-lm-Base.CareType",
        "path": "medmij-core-lm-Base.CareType",
        "short": "Care type",
        "definition": "The type of the healthcare provider responsible for the delivered care, or more specifically, the specialty of the department and/or health professional that delivered care. It enables patients and systems to interpret the origin and context of medical data.",
        "alias": [
          "Zorgtype"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20200901000000"
        },
        "mapping": [
          {
            "identity": "medmij-core-dataset-130-20261005",
            "map": "medmij-core-dataelement-123",
            "comment": "CareType"
          }
        ]
      }
    ]
  }
}