<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="A derived profile on zib-TextResult to represent the the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) OutcomeOfCare version 3.1, release 2017. The OutcomeOfCare concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment objective provides insight into the effectively of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment objective and nursing interventions." /> <purpose value="Healthcare results are important parameters for evaluating the patient’s health and monitoring the effectivity of the medical treatment and nursing interventions." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <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> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-TextResult" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport"> <path value="DiagnosticReport" /> <short value="OutcomeOfCare" /> <alias value="UitkomstVanZorg" /> <constraint> <key value="hicm-outcomeofcare-1" /> <severity value="error" /> <human value="Provide a HealthcareResult text or a reference, not both" /> <expression value="conclusion.empty() or result.empty()" /> </constraint> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.1" /> <comment value="OutcomeOfCare" /> </mapping> </element> <element id="DiagnosticReport.extension"> <path value="DiagnosticReport.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="DiagnosticReport.extension:Intervention"> <path value="DiagnosticReport.extension" /> <sliceName value="Intervention" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/event-partOf" /> </type> </element> <element id="DiagnosticReport.extension:Intervention.valueReference:valueReference"> <path value="DiagnosticReport.extension.valueReference" /> <sliceName value="valueReference" /> <short value="Interventie" /> <definition value="A description of the nursing intervention of which the effectivity is evaluated with the healthcare result." /> <alias value="Interventie" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention" /> </type> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.4" /> <comment value="Interventie" /> </mapping> </element> <element id="DiagnosticReport.basedOn"> <path value="DiagnosticReport.basedOn" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-careplan" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" /> </type> </element> <element id="DiagnosticReport.code.coding"> <path value="DiagnosticReport.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="DiagnosticReport.code.coding:outcomOfCareCode"> <path value="DiagnosticReport.code.coding" /> <sliceName value="outcomOfCareCode" /> <min value="1" /> <max value="1" /> </element> <element id="DiagnosticReport.code.coding:outcomOfCareCode.system"> <path value="DiagnosticReport.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="DiagnosticReport.code.coding:outcomOfCareCode.code"> <path value="DiagnosticReport.code.coding.code" /> <min value="1" /> <fixedCode value="27574-3" /> </element> <element id="DiagnosticReport.code.coding:outcomOfCareCode.display"> <path value="DiagnosticReport.code.coding.display" /> <defaultValueString value="Skilled nursing treatment plan Progress note and attainment of goals (narrative)" /> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <min value="1" /> </element> <element id="DiagnosticReport.result"> <path value="DiagnosticReport.result" /> <slicing> <discriminator> <type value="profile" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> <max value="1" /> </element> <element id="DiagnosticReport.result:MeasurementValue"> <path value="DiagnosticReport.result" /> <sliceName value="MeasurementValue" /> <short value="MeasurementValue" /> <definition value="Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit." /> <alias value="Meetwaarde" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement" /> </type> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.2" /> <comment value="MeasurementValue" /> </mapping> </element> <element id="DiagnosticReport.result:HealthCondition"> <path value="DiagnosticReport.result" /> <sliceName value="HealthCondition" /> <short value="HealthCondition" /> <definition value="A description of the patient’s health condition in the form of a functional and/or mental status." /> <alias value="Gezondheidstoestand" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus" /> </type> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.3" /> <comment value="HealthCondition" /> </mapping> </element> <element id="DiagnosticReport.conclusion"> <path value="DiagnosticReport.conclusion" /> <short value="HealthcareResult" /> <definition value="The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result." /> <alias value="Zorgresultaat" /> <mapping> <identity value="hcim-outcomeofcare-v3.1-2017EN" /> <map value="NL-CM:13.4.5" /> <comment value="HealthcareResult" /> </mapping> </element> </differential> </StructureDefinition>