<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="FunctionalOrMentalStatus as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. The functional or mental status provides insight into the patient’s functional and mental limitations." /> <purpose value="The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment. Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.1(2017EN)" /> <name value="HCIM FunctionalOrMentalStatus-v3.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <uri value="https://zibs.nl/wiki/OutcomeOfCare-v3.1(2017EN)" /> <name value="HCIM OutcomeOfCare-v3.1 (2017EN)" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.0(2016EN)" /> <name value="HCIM FunctionalOrMentalStatus-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <uri value="https://zibs.nl/wiki/FunctionalOrMentalStatus-v1.0.1(2015EN)" /> <name value="HCIM FunctionalOrMentalStatus-v1.0.1(2015EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.nl/fhir/StructureDefinition/nl-core-observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="FunctionalOrMentalStatus" /> <alias value="FunctioneleOfMentaleStatus" /> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.1" /> <comment value="FunctionalOrMentalStatus" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.1" /> <comment value="FunctionalOrMentalStatus" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.1" /> <comment value="FunctionalOrMentalStatus" /> </mapping> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.3" /> <comment value="HealthCondition" /> </mapping> </element> <element id="Observation.extension:MedicalDevice"> <path value="Observation.extension" /> <sliceName value="MedicalDevice" /> <short value="MedicalDevice" /> <definition value="Medical aid the patient has to reduce the impact of the disability or disorder." /> <alias value="Hulpmiddel" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus-MedicalDevice" /> </type> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.5" /> <comment value="MedicalAid" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.5" /> <comment value="MedicalAid" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.5" /> <comment value="MedicalDevice" /> </mapping> </element> <element id="Observation.category"> <path value="Observation.category" /> <comment value="Either a SNOMED code for functional or mental status is provided for indexing and retrieval of this concept." /> <min value="1" /> </element> <element id="Observation.category.coding"> <path value="Observation.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.category.coding:functionalCode"> <path value="Observation.category.coding" /> <sliceName value="functionalCode" /> <short value="Functional Finding" /> <definition value="Category SNOMED code used for indexing/retrieval of observed functional status." /> <max value="1" /> </element> <element id="Observation.category.coding:functionalCode.system"> <path value="Observation.category.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.category.coding:functionalCode.code"> <path value="Observation.category.coding.code" /> <fixedCode value="118228005" /> </element> <element id="Observation.category.coding:functionalCode.display"> <path value="Observation.category.coding.display" /> <defaultValueString value="Functional finding (finding)" /> </element> <element id="Observation.category.coding:mentalCode"> <path value="Observation.category.coding" /> <sliceName value="mentalCode" /> <short value="Mental state, behavior and/or psychosocial function finding" /> <definition value="Category SNOMED code used for indexing/retrieval of observed mental status." /> <max value="1" /> </element> <element id="Observation.category.coding:mentalCode.system"> <path value="Observation.category.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.category.coding:mentalCode.code"> <path value="Observation.category.coding.code" /> <fixedCode value="384821006" /> </element> <element id="Observation.category.coding:mentalCode.display"> <path value="Observation.category.coding.display" /> <defaultValueString value="Mental state, behavior and/or psychosocial function finding (finding)" /> </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" /> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName" /> </mapping> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.code.coding:statusNaamOMAHACodelijst"> <path value="Observation.code.coding" /> <sliceName value="statusNaamOMAHACodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="OMAHA (2.16.840.1.113883.6.98): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1--20171231000000" /> <display value="StatusNaamOMAHACodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.code.coding:statusNaamOMAHACodelijst.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.6.98" /> </element> <element id="Observation.code.coding:statusNaamNOCCodelijst"> <path value="Observation.code.coding" /> <sliceName value="statusNaamNOCCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="NOC (2.16.840.1.113883.6.16): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2--20171231000000" /> <display value="StatusNaamNOCCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.code.coding:statusNaamNOCCodelijst.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.6.16" /> </element> <element id="Observation.code.coding:statusNaamICFCodelijst"> <path value="Observation.code.coding" /> <sliceName value="statusNaamICFCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="ICF (2.16.840.1.113883.6.254): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3--20171231000000" /> <display value="StatusNaamICFCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.code.coding:statusNaamICFCodelijst.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/sid/icf-nl" /> </element> <element id="Observation.code.coding:statusNaamSnomedCodelijst"> <path value="Observation.code.coding" /> <sliceName value="statusNaamSnomedCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="SNOMED CT (2.16.840.1.113883.6.96): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4--20171231000000" /> <display value="StatusNaamSnomedCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.code.coding:statusNaamSnomedCodelijst.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <short value="Patient" /> <alias value="Patiënt" /> </element> <element id="Observation.effective[x]:effectivePeriod"> <path value="Observation.effectivePeriod" /> <sliceName value="effectivePeriod" /> <comment value="HCIM FunctionalOrMentalStatus does not include an end StatusDate. The `effectivePeriod.start` can be used as StatusDate. This profile allows to use an end date as well." /> <type> <code value="Period" /> </type> </element> <element id="Observation.effective[x]:effectivePeriod.start"> <path value="Observation.effectivePeriod.start" /> <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" /> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.6" /> <comment value="StatusDate" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.6" /> <comment value="StatusDate" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.6" /> <comment value="StatusDate" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <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 aid, the evaluation of the extent of the limitation will take place without this aid." /> <alias value="StatusWaarde" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue" /> </mapping> </element> <element id="Observation.value[x].coding"> <path value="Observation.value[x].coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x].coding:statusWaardeOMAHACodelijst"> <path value="Observation.value[x].coding" /> <sliceName value="statusWaardeOMAHACodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="OMAHA (2.16.840.1.113883.6.98): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5--20171231000000" /> <display value="StatusWaardeOMAHACodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.value[x].coding:statusWaardeOMAHACodelijst.system"> <path value="Observation.value[x].coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.6.98" /> </element> <element id="Observation.value[x].coding:statusWaardeNOCCodelijst"> <path value="Observation.value[x].coding" /> <sliceName value="statusWaardeNOCCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="NOC (2.16.840.1.113883.6.16): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7--20171231000000" /> <display value="StatusWaardeNOCCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.value[x].coding:statusWaardeNOCCodelijst.system"> <path value="Observation.value[x].coding.system" /> <min value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.6.16" /> </element> <element id="Observation.value[x].coding:statusWaardeICFCodelijst"> <path value="Observation.value[x].coding" /> <sliceName value="statusWaardeICFCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="ICF (2.16.840.1.113883.6.254): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6--20171231000000" /> <display value="StatusWaardeICFCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.value[x].coding:statusWaardeICFCodelijst.system"> <path value="Observation.value[x].coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/sid/icf-nl" /> </element> <element id="Observation.value[x].coding:statusWaardeSnomedCodelijst"> <path value="Observation.value[x].coding" /> <sliceName value="statusWaardeSnomedCodelijst" /> <max value="1" /> <binding> <strength value="required" /> <description value="SNOMED CT (2.16.840.1.113883.6.96): All values" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8--20171231000000" /> <display value="StatusWaardeSnomedCodelijst" /> </valueSetReference> </binding> </element> <element id="Observation.value[x].coding:statusWaardeSnomedCodelijst.system"> <path value="Observation.value[x].coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <short value="Comment" /> <definition value="Explanatory comments as a description of the functional or mental status." /> <alias value="Toelichting" /> <mapping> <identity value="hcim-functionalormentalstatus-v1.0.1-2015EN" /> <map value="NL-CM:4.26.4" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.0-2016EN" /> <map value="NL-CM:4.26.4" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-functionalormentalstatus-v3.1-2017EN" /> <map value="NL-CM:4.26.4" /> <comment value="Comment" /> </mapping> </element> </differential> </StructureDefinition>