<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="Stoma is defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. 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 value="Information on present stomas is recorded to inform other health professionals. This information is of importance in determining the care required for the patient. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <uri value="https://zibs.nl/wiki/Stoma-v3.2(2017EN)" /> <name value="HCIM Stoma-v3.2(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> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="Stoma" /> <alias value="Stoma" /> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.1" /> <comment value="Stoma" /> </mapping> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.6" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding:stomaCode"> <path value="Observation.code.coding" /> <sliceName value="stomaCode" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding:stomaCode.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.code.coding:stomaCode.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="245857005" /> </element> <element id="Observation.code.coding:stomaCode.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <defaultValueString value="Stoma (morphologic abnormality)" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effectiveDateTime" /> <sliceName value="effectiveDateTime" /> <short value="CreationDate" /> <definition value="The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted." /> <alias value="AanlegDatum" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.5" /> <comment value="CreationDate" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.14" /> <comment value="DateTime" /> </mapping> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </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-practitioner" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.7" /> <comment value="Author" /> </mapping> </element> <element id="Observation.performer.extension"> <path value="Observation.performer.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.performer.extension:practitionerRole"> <path value="Observation.performer.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="Stoma type" /> <definition value="Stoma type indicates which body cavity the stoma is in and the kind of stoma used." /> <alias value="StomaType" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <example> <label value="Zib example of double-barrelled colostomy" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="261072008" /> <display value="double-barrelled colostomy" /> </coding> </valueCodeableConcept> </example> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ObservationCode" /> </extension> <strength value="extensible" /> <description value="Stoma type code list" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1--20171231000000" /> <display value="StomaTypeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.2" /> <comment value="StomaType" /> </mapping> </element> <element id="Observation.comment"> <path value="Observation.comment" /> <short value="Comment" /> <definition value="A comment on the stoma." /> <alias value="Toelichting" /> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.7" /> <comment value="Comment" /> </mapping> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <short value="AnatomicalLocation" /> <definition value="Anatomical location of the stoma on the patient." /> <alias value="AnatomischeLocatie" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite" /> </extension> <strength value="extensible" /> <description value="Codes describing anatomical locations for a stoma" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2--20171231000000" /> <display value="StomaAnatomischeLocatieCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.4" /> <comment value="AnatomicalLocation" /> </mapping> </element> <element id="Observation.bodySite.extension"> <path value="Observation.bodySite.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.bodySite.extension:Laterality"> <path value="Observation.bodySite.extension" /> <sliceName value="Laterality" /> <short value="Laterality" /> <alias value="Lateraliteit" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier" /> </type> <mapping> <identity value="hcim-stoma-v3.2-2017EN" /> <map value="NL-CM:5.2.8" /> <comment value="Laterality" /> </mapping> </element> <element id="Observation.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept"> <path value="Observation.bodySite.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <description value="StomaLateralityCodelist" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3--20171231000000" /> <display value="StomaLateralityCodelist" /> </valueSetReference> </binding> </element> </differential> </StructureDefinition>