{
  "resourceType": "StructureDefinition",
  "id": "zib-Stoma",
  "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://nictiz.nl/fhir/StructureDefinition/zib-Stoma",
  "name": "ZibStoma",
  "title": "zib Stoma",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "A stoma is an unnatural, surgically created opening connecting a body cavity with the outside world. A stoma is created e.g. as an exit opening for feces or urine in the event that they cannot leave the body naturally. In the case of a tracheostomy, the stoma is intended to facilitate breathing if that is no longer possible via the oral, nasal and throat cavity.",
  "purpose": "This Condition resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Stoma v3.3 (2020)](https://zibs.nl/wiki/Stoma-v3.3(2020EN)).",
  "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-stoma-v3.3-2020EN",
      "uri": "https://zibs.nl/wiki/Stoma-v3.3(2020EN)",
      "name": "zib Stoma-v3.3(2020EN)"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "Stoma",
        "comment": "Please note that on a functional level, zib Stoma references zib MedicalDevice, but in FHIR this direction is reversed. Therefore, the concept StomaMaterial (NL-CM:5.2.3) is mapped on `DeviceUseStatement.reasonReference` in profile [zib-MedicalDevice](http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice) instead of in this profile.",
        "alias": [
          "Stoma"
        ],
        "mapping": [
          {
            "identity": "zib-stoma-v3.3-2020EN",
            "map": "NL-CM:5.2.1",
            "comment": "Stoma"
          }
        ]
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.category:stomaCode",
        "path": "Condition.category",
        "sliceName": "stomaCode",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "245857005"
            }
          ]
        }
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "short": "StomaType",
        "definition": "Stoma type indicates which body cavity the stoma is in and the kind of stoma used.",
        "alias": [
          "StomaType"
        ],
        "min": 1,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-stoma-v3.3-2020EN",
            "map": "NL-CM:5.2.2",
            "comment": "StomaType"
          }
        ]
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "short": "Location / AnatomicalLocation",
        "definition": "Anatomical location of the stoma on the patient.",
        "alias": [
          "AnatomischeLocatie"
        ],
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-stoma-v3.3-2020EN",
            "map": "NL-CM:5.2.9",
            "comment": "AnatomicalLocation"
          }
        ]
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetDateTime",
        "path": "Condition.onset[x]",
        "sliceName": "onsetDateTime",
        "short": "CreationDate",
        "definition": "The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.",
        "alias": [
          "AanlegDatum"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-stoma-v3.3-2020EN",
            "map": "NL-CM:5.2.5",
            "comment": "CreationDate"
          }
        ]
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "max": "1"
      },
      {
        "id": "Condition.note.text",
        "path": "Condition.note.text",
        "short": "Comment",
        "definition": "A comment on the stoma.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-stoma-v3.3-2020EN",
            "map": "NL-CM:5.2.7",
            "comment": "Comment"
          }
        ]
      }
    ]
  }
}