{ "resourceType": "StructureDefinition", "id": "mz-lm-Procedure", "text": { "status": "empty", "div": "
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
" }, "url": "http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure", "identifier": [ { "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-beta2-20260401", "name": "Dataset Mondzorg MedMij 1.0.0-beta.2 20260401" }, { "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", "snapshot": { "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" ], "min": 0, "max": "*", "base": { "path": "mz-lm-Procedure", "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.1", "comment": "Procedure" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-26", "comment": "Procedure" }, { "identity": "SNOMED", "map": "71388002", "comment": "verrichting" } ] }, { "id": "mz-lm-Procedure.id", "path": "mz-lm-Procedure.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": "mz-lm-Procedure.extension", "path": "mz-lm-Procedure.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": "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", "base": { "path": "mz-lm-Procedure.ProcedureStartDate", "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate" }, { "identity": "mz-dataset-100-beta2-20260401", "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", "base": { "path": "mz-lm-Procedure.ProcedureEndDate", "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.3", "comment": "ProcedureEndDate" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-28", "comment": "ProcedureEndDate" } ] }, { "id": "mz-lm-Procedure.ProcedureType", "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": "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.", "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": [ "VerrichtingType" ], "min": 1, "max": "1", "base": { "path": "mz-lm-Procedure.ProcedureType", "min": 1, "max": "1" }, "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": "extensible", "valueSet": "http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare" }, "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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-29", "comment": "ProcedureType" } ] }, { "id": "mz-lm-Procedure.ProcedureMethod", "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": "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.", "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": [ "VerrichtingMethode" ], "min": 0, "max": "*", "base": { "path": "mz-lm-Procedure.ProcedureMethod", "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/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--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": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.12", "comment": "ProcedureMethod" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-30", "comment": "ProcedureMethod" }, { "identity": "SNOMED", "map": "260686004", "comment": "methode" } ] }, { "id": "mz-lm-Procedure.ProcedureAnatomicalLocation", "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": "mz-lm-Procedure.ProcedureAnatomicalLocation", "short": "Procedure anatomical location", "definition": "Anatomical location which is the focus of the procedure.", "alias": [ "VerrichtingAnatomischeLocatie" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.ProcedureAnatomicalLocation", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.13", "comment": "ProcedureAnatomicalLocation" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-31", "comment": "ProcedureAnatomicalLocation" }, { "identity": "SNOMED", "map": "405813007", "comment": "directe locatie van verrichting" } ] }, { "id": "mz-lm-Procedure.ProcedureAnatomicalLocation.id", "path": "mz-lm-Procedure.ProcedureAnatomicalLocation.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": "mz-lm-Procedure.ProcedureAnatomicalLocation.extension", "path": "mz-lm-Procedure.ProcedureAnatomicalLocation.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": "mz-lm-Procedure.ProcedureAnatomicalLocation.modifierExtension", "path": "mz-lm-Procedure.ProcedureAnatomicalLocation.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "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" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "mz-lm-Procedure.ProcedureAnatomicalLocation.Location", "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": "mz-lm-Procedure.ProcedureAnatomicalLocation.Location", "short": "Location", "definition": "Localisation on/in the body.", "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": [ "Locatie" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.ProcedureAnatomicalLocation.Location", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.121.11.11--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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-32", "comment": "Location" }, { "identity": "SNOMED", "map": "363698007", "comment": "locatie van bevinding" } ] }, { "id": "mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality", "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": "mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality", "short": "Laterality", "definition": "Laterality adds information about body site to the anatomical location, e.g. left.", "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": [ "Lateraliteit" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-33", "comment": "Laterality" }, { "identity": "SNOMED", "map": "272741003", "comment": "lateraliteit" } ] }, { "id": "mz-lm-Procedure.Indication", "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": "mz-lm-Procedure.Indication", "short": "Indication", "definition": "The indication is the reason for the procedure.", "alias": [ "Indicatie" ], "min": 0, "max": "*", "base": { "path": "mz-lm-Procedure.Indication", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.9", "comment": "Indication" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-34", "comment": "Indication" }, { "identity": "SNOMED", "map": "363702006", "comment": "heeft focus" } ] }, { "id": "mz-lm-Procedure.Indication.id", "path": "mz-lm-Procedure.Indication.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": "mz-lm-Procedure.Indication.extension", "path": "mz-lm-Procedure.Indication.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": "mz-lm-Procedure.Indication.modifierExtension", "path": "mz-lm-Procedure.Indication.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "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" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemType", "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": "mz-lm-Procedure.Indication.ProblemType", "short": "Problem type", "definition": "The type of problem.", "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": [ "ProbleemType" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.ProblemType", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-35", "comment": "ProblemType" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemName", "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": "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.", "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": [ "ProbleemNaam" ], "min": 1, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.ProblemName", "min": 1, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--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": "mz-dataset-100-beta2-20260401", "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.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "alias": [ "NadereSpecificatieProbleemNaam" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.FurtherSpecificationProblemName", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-37", "comment": "FurtherSpecificationProblemName" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation", "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": "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", "base": { "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-38", "comment": "ProblemAnatomicalLocation" }, { "identity": "SNOMED", "map": "405813007", "comment": "directe locatie van verrichting" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.id", "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.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": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.extension", "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.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": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.modifierExtension", "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "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" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location", "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": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location", "short": "Location", "definition": "Localisation on/in the body.", "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": [ "Locatie" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.121.11.11--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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-39", "comment": "Location" }, { "identity": "SNOMED", "map": "363698007", "comment": "locatie van bevinding" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality", "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": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality", "short": "Laterality", "definition": "Laterality adds information about body site to the anatomical location, e.g. left.", "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": [ "Lateraliteit" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--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": "mz-dataset-100-beta2-20260401", "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", "base": { "path": "mz-lm-Procedure.Indication.ProblemStartDate", "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": "mz-dataset-100-beta2-20260401", "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", "base": { "path": "mz-lm-Procedure.Indication.ProblemEndDate", "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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-42", "comment": "ProblemEndDate" } ] }, { "id": "mz-lm-Procedure.Indication.ProblemStatus", "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": "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.", "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": [ "ProbleemStatus" ], "min": 1, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.ProblemStatus", "min": 1, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-43", "comment": "ProblemStatus" } ] }, { "id": "mz-lm-Procedure.Indication.VerificationStatus", "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": "mz-lm-Procedure.Indication.VerificationStatus", "short": "Verification status", "definition": "Clinical status of the problem or the diagnosis.", "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": [ "VerificatieStatus" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.VerificationStatus", "min": 0, "max": "1" }, "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/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--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": "mz-dataset-100-beta2-20260401", "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.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "alias": [ "Toelichting" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Indication.Comment", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "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": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-45", "comment": "Comment" } ] }, { "id": "mz-lm-Procedure.Location", "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": "mz-lm-Procedure.Location", "short": "Location", "definition": "The healthcare center where the procedure was, is or or will be carried out.", "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": [ "Locatie" ], "min": 0, "max": "1", "base": { "path": "mz-lm-Procedure.Location", "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.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.5", "comment": "Location" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-46", "comment": "Location" } ] }, { "id": "mz-lm-Procedure.Performer", "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": "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.", "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": [ "Uitvoerder" ], "min": 0, "max": "*", "base": { "path": "mz-lm-Procedure.Performer", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" ] } ], "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.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "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-procedure-v5.2-2020EN", "map": "NL-CM:14.1.6", "comment": "Performer" }, { "identity": "mz-dataset-100-beta2-20260401", "map": "mz-dataelement-47", "comment": "Performer" } ] } ] }, "differential": { "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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-beta2-20260401", "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", "targetProfile": [ "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-beta2-20260401", "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", "targetProfile": [ "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-beta2-20260401", "map": "mz-dataelement-47", "comment": "Performer" } ] } ] } }