{
  "resourceType": "StructureDefinition",
  "id": "zib-MedicalDevice",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice",
  "version": "2.2.3",
  "name": "Zib MedicalDevice",
  "title": "HCIM MedicalDevice",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "MedicalDevice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.\r\n\r\nMedical aids are any internally implanted and external devices and/or aids used by the patient (in the past) to reduce the effects of functional limitations in organ systems or to facilitate the treatment of a disease.",
  "purpose": "Data on medical aids is recorded for several reasons. Knowledge of the presence of these implants enables tracing and taking the aid or device into account in diagnostic or therapeutic procedures, care and transport.\r\n\r\nExamples include: \r\n* Consequences for transportation, toilet use, etc., in the case of a wheelchair;\r\n* A pacemaker can be of medical importance, but also has consequences for planning radiological exams.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-medicaldevice-v3.1-2017EN",
      "uri": "https://zibs.nl/wiki/MedicalDevice-v3.1(2017EN)",
      "name": "HCIM MedicalDevice-v3.1(2017EN)"
    },
    {
      "identity": "hcim-basicelements-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
      "name": "HCIM BasicElements-v1.0(2017EN)"
    },
    {
      "identity": "hcim-medicaldevice-v3.0-2016EN",
      "uri": "https://zibs.nl/wiki/MedicalDevice-v3.0(2016EN)",
      "name": "HCIM MedicalDevice-v3.0(2016EN)"
    },
    {
      "identity": "hcim-medicaldevice-v1.2-2015EN",
      "uri": "https://zibs.nl/wiki/MedicalDevice-v1.2(2015EN)",
      "name": "HCIM MedicalDevice-v1.2(2015EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "DeviceUseStatement",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DeviceUseStatement",
        "path": "DeviceUseStatement",
        "short": "MedicalDevice",
        "alias": [
          "MedischHulpmiddel"
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.1",
            "comment": "MedicalAid"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.1",
            "comment": "MedicalAid"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.1",
            "comment": "MedicalDevice"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.extension",
        "path": "DeviceUseStatement.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DeviceUseStatement.extension:HealthcareProvider",
        "path": "DeviceUseStatement.extension",
        "sliceName": "HealthcareProvider",
        "short": "HealthcareProvider",
        "definition": "The healthcare provider at which use of the medical aid was initiated or where the aid was implanted.",
        "alias": [
          "Zorgaanbieder"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.8",
            "comment": "Location"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.8",
            "comment": "Location"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.8",
            "comment": "Location"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.extension:HealthProfessional",
        "path": "DeviceUseStatement.extension",
        "sliceName": "HealthProfessional",
        "short": "HealthProfessional",
        "definition": "The healthcare provider involved in the indication for use of the medical aid implant.",
        "alias": [
          "Zorgverlener"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.9",
            "comment": "HealthcareProvider"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.9",
            "comment": "HealthcareProvider"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.9",
            "comment": "HealthProfessional"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.extension:HealthProfessional.valueReference:valueReference",
        "path": "DeviceUseStatement.extension.valueReference",
        "sliceName": "valueReference"
      },
      {
        "id": "DeviceUseStatement.extension:reasonReference",
        "path": "DeviceUseStatement.extension",
        "sliceName": "reasonReference",
        "comment": "This extension is backported from the offical HL7 DeviceUseStatement specification in FHIR R4.",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/deviceUseStatement-reasonReferenceSTU3"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.identifier",
        "path": "DeviceUseStatement.identifier",
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.6",
            "comment": "IdentificationNumber"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.subject",
        "path": "DeviceUseStatement.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.11",
            "comment": "Subject"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.whenUsed",
        "path": "DeviceUseStatement.whenUsed",
        "short": "Time range defined by start and end date/time",
        "alias": [
          "Tijdsduur gedefinieerd door start- en einddatum/tijd"
        ],
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.14",
            "comment": "DateTime"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.whenUsed.start",
        "path": "DeviceUseStatement.whenUsed.start",
        "short": "StartDate",
        "definition": "The start date of the first use or implant of the medical aid. A ‘vague’ date, such as only the year, is permitted.",
        "alias": [
          "BeginDatum"
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.11",
            "comment": "StartDate"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.11",
            "comment": "StartDate"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.11",
            "comment": "StartDate"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.source",
        "path": "DeviceUseStatement.source",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-basicelements-v1.0-2017EN",
            "map": "NL-CM:0.0.2",
            "comment": "InformationSource"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.source.extension",
        "path": "DeviceUseStatement.source.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DeviceUseStatement.source.extension:practitionerRole",
        "path": "DeviceUseStatement.source.extension",
        "sliceName": "practitionerRole",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.device",
        "path": "DeviceUseStatement.device",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.2",
            "comment": "Product"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.indication.extension",
        "path": "DeviceUseStatement.indication.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DeviceUseStatement.indication.extension:indication_Problem",
        "path": "DeviceUseStatement.indication.extension",
        "sliceName": "indication_Problem",
        "short": "Indication-Probleem",
        "definition": "The medical reason for use of the medical device.",
        "alias": [
          "Indicatie"
        ],
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Problem"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.7",
            "comment": "Indication"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.7",
            "comment": "Indication"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.7",
            "comment": "Indication"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.bodySite",
        "path": "DeviceUseStatement.bodySite",
        "short": "AnatomicalLocation",
        "definition": "Patient’s anatomical location of the medical device used.",
        "alias": [
          "AnatomischeLocatie"
        ],
        "binding": {
          "strength": "extensible",
          "description": "Patient’s anatomical location of the medical aid used.",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.2--20171231000000",
            "display": "HulpmiddelAnatomischeLocatieCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.6",
            "comment": "AidAnatomicalLocation"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.6",
            "comment": "AidAnatomicalLocation"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.6",
            "comment": "AnatomicalLocation"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.bodySite.extension",
        "path": "DeviceUseStatement.bodySite.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DeviceUseStatement.bodySite.extension:Laterality",
        "path": "DeviceUseStatement.bodySite.extension",
        "sliceName": "Laterality",
        "short": "Laterality",
        "definition": "Laterality adds information about body side to the anatomic location, e.g. left",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.bodySite.extension:Laterality.valueCodeableConcept",
        "path": "DeviceUseStatement.bodySite.extension.valueCodeableConcept",
        "binding": {
          "strength": "extensible",
          "description": "MedicalDeviceLateralityCodelist",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.4--20171231000000",
            "display": "MedischHulpmiddelLateraliteitCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.12",
            "comment": "Laterality"
          }
        ]
      },
      {
        "id": "DeviceUseStatement.note.text",
        "path": "DeviceUseStatement.note.text",
        "short": "Comment",
        "definition": "Comment about use or information on the medical aid used.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-medicaldevice-v1.2-2015EN",
            "map": "NL-CM:10.1.10",
            "comment": "Explanation"
          },
          {
            "identity": "hcim-medicaldevice-v3.0-2016EN",
            "map": "NL-CM:10.1.10",
            "comment": "Explanation"
          },
          {
            "identity": "hcim-medicaldevice-v3.1-2017EN",
            "map": "NL-CM:10.1.10",
            "comment": "Comment"
          }
        ]
      }
    ]
  }
}