<status value="active" /> <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 general practitioner encounter report is an S-O-A-P (Subjective, Objective, Assessment, Plan) structured report of a patient encounter. S-O-A-P is known as S-O-E-P (Subjectief, Objectief, Evaluatie, Plan) in Dutch. Each Composition.section corresponds with a letter from SOAP and may additionally be ICPC coded using the appropriate extension. If the encounter report relates to an episode of care then the association with EpisodeOfCare shall be in Composition.event.detail." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" /> <derivation value="constraint" /> <differential> <element id="Composition"> <path value="Composition" /> <alias value="Deelcontactverslag" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <fixedCode value="67781-5" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/gp-Encounter" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" /> </type> </element> <element id="Composition.author"> <path value="Composition.author" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> </element> <element id="Composition.author.extension"> <path value="Composition.author.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Composition.author.extension:practitionerRole"> <path value="Composition.author.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="Composition.title"> <path value="Composition.title" /> <definition value="Official human-readable label for the composition. Suggested value is either episode title, or the ICPC display name on the E-entry" /> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </element> <element id="Composition.attester.party.extension"> <path value="Composition.attester.party.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Composition.attester.party.extension:practitionerRole"> <path value="Composition.attester.party.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> </element> <element id="Composition.section.extension"> <path value="Composition.section.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Composition.section.extension:code_icpc_1_nl"> <path value="Composition.section.extension" /> <sliceName value="code_icpc_1_nl" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/code-icpc-1-nl" /> </type> </element> <element id="Composition.section.code"> <path value="Composition.section.code" /> <min value="1" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType" /> </extension> <strength value="required" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.103.11.2--20111012000000" /> <display value="JournaalregelType" /> </valueSetReference> </binding> </element> <element id="Composition.section.text"> <path value="Composition.section.text" /> <min value="1" /> </element> <element id="Composition.section.entry"> <path value="Composition.section.entry" /> <definition value="A reference to data that supports this section. At minimum, there should be an entry for the gp-JournalEntry(Observation) that the section.entry.text was based on. Note that this gp-JournalEntry in turn will connect to the ICPC coding if relevant. Other references are the nl-core-episodeofcare(EpisodeOfCare) that this section relates to, a diagnostic result on the "O" entry, or a medication agreement or a care plan on the "P" entry. While it is possible *not* to relate to an EpisodeOfCare, this is not likely due to the episode based record keeping by GPs." /> </element> </differential> </StructureDefinition>