<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="The functional or mental status provides insight into the patient’s functional and mental limitations." /> <purpose value="This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) FunctionalOrMentalStatus v3.2 (2020)](https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.2(2020EN))." /> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.2(2020EN)" /> <name value="zib FunctionalOrMentalStatus-v3.2(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="FunctionalOrMentalStatus" /> <alias value="FunctioneleOfMentaleStatus" /> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.1" /> <comment value="FunctionalOrMentalStatus" /> </mapping> </element> <element id="Observation.extension:medicalDevice"> <path value="Observation.extension" /> <sliceName value="medicalDevice" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo" /> </type> <isModifier value="false" /> </element> <element id="Observation.extension:medicalDevice.value[x]"> <path value="Observation.extension.value[x]" /> <short value="MedicalDevice" /> <definition value="Medical aid the patient has or will receive to reduce the impact of the disability or disorder." /> <alias value="Hulpmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice" /> </type> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.5" /> <comment value="MedicalDevice" /> </mapping> </element> <element id="Observation.category"> <path value="Observation.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <constraint> <key value="zib-FunctionalOrMentalStatus-1" /> <severity value="warning" /> <human value="Either a category for functional status finding or mental status finding is present." /> <expression value="where(coding.system = 'http://snomed.info/sct' and coding.code = '118228005').exists() xor where(coding.system = 'http://snomed.info/sct' and coding.code = '384821006').exists()" /> </constraint> </element> <element id="Observation.category:functionalStatusFinding"> <path value="Observation.category" /> <sliceName value="functionalStatusFinding" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="118228005" /> </coding> </patternCodeableConcept> <condition value="zib-FunctionalOrMentalStatus-1" /> </element> <element id="Observation.category:mentalStatusFinding"> <path value="Observation.category" /> <sliceName value="mentalStatusFinding" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="384821006" /> </coding> </patternCodeableConcept> <condition value="zib-FunctionalOrMentalStatus-1" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <short value="StatusName" /> <definition value="Coded description of the functional or mental status or limitation. 
Code systems used include: - SNOMED CT - ICF (International Classification of Functioning, Disability and Health) - NOC (Nursing Outcomes Classification) - OMAHA" /> <alias value="StatusNaam" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.4--20200901000000" /> </binding> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName" /> </mapping> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <short value="StatusDate" /> <definition value="Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted." /> <alias value="StatusDatum" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.6" /> <comment value="StatusDate" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.value[x]" /> <sliceName value="valueCodeableConcept" /> <short value="StatusValue" /> <definition value="The extent to which the patient is limited by the functional or mental condition. If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system." /> <alias value="StatusWaarde" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.3--20200901000000" /> </binding> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue" /> </mapping> </element> <element id="Observation.note"> <path value="Observation.note" /> <max value="1" /> </element> <element id="Observation.note.text"> <path value="Observation.note.text" /> <short value="Comment" /> <definition value="Explanatory comments as a description of the functional or mental status." /> <alias value="Toelichting" /> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.4" /> <comment value="Comment" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.