Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HCIM AbilityToPerformMouthcareActivities MedicalDevice

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDevice Version: 1.3.15
Draft as of 2024-04-09 Computable Name: Zib AbilityToPerformMouthcareActivities MedicalDevice

Copyright/Legal: CC0

A MedicalDevice resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) AbilityToPerformMouthcareActivities v3.1(2017EN).

The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

(Source: Instruction card for oral hygiene, 2011)

Purpose of HCIM

Problems with oral health can lead to malnutrition or disease: if the patient has difficulty eating, insufficient nutrients are absorbed. A bad set of teeth can also have negative social consequences, such as no longer being able to talk properly, having bad breath or a patient being embarrassed because of their appearance. Information on limitations in a patient’s ability to keep up their own dental hygiene is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it offers the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient. If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to evaluate the efficiency of the treatment.

Purpose of this profile

This profile complements the Observation resource zib-AbilityToPerformMouthcareActivities with information about prostheses used. The actual prostheses are references to the resource zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement 0..* Zib MedicalDevice Prosthesis:MedicalDevice
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... HealthcareProvider 0..1 Reference(nl-core-organization) HealthcareProvider
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization
... HealthProfessional 0..1 (Complex) HealthProfessional
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference() HealthProfessional
.... url 1..1 uri identifies the meaning of the extension
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(HCIM AbilityToPerformMouthcareActivities) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of a the Device Usage

... subject 1..1 Reference(Group | nl-core-patient) Patient using device
... device 1..1 Reference(HCIM AbilityToPerformMouthcareActivities MedicalDeviceProduct) Reference to device used

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceUseStatement.statusrequiredDeviceUseStatementStatus
http://hl7.org/fhir/ValueSet/device-statement-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceUseStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorDeviceUseStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement 0..* Zib MedicalDevice Prosthesis:MedicalDevice
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... HealthcareProvider 0..1 Reference(nl-core-organization) HealthcareProvider
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization
... HealthProfessional 0..1 (Complex) HealthProfessional
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference() HealthProfessional
... extension:reasonReference 0..* Extension Extension
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri identifies the meaning of the extension
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(HCIM AbilityToPerformMouthcareActivities) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier for this record
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of a the Device Usage

... subject 1..1 Reference(Group | nl-core-patient) Patient using device
... whenUsed 0..1 Period Time range defined by start and end date/time
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 0..1 dateTime StartDate
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... timing[x] 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn 0..1 dateTime When statement was recorded
... source 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who made the statement
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... device 1..1 Reference(HCIM AbilityToPerformMouthcareActivities MedicalDeviceProduct) Reference to device used
... indication 0..* CodeableConcept Why device was used
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... indication_Problem 0..* Reference(HCIM Problem) Indication-Probleem
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Problem
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite 0..1 CodeableConcept AnatomicalLocation
Binding: HulpmiddelAnatomischeLocatieCodelijst (extensible): Patient’s anatomical location of the medical aid used.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... Laterality 0..1 (Complex) Laterality
URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept BodySite qualifier
Binding: MedischHulpmiddelLateraliteitCodelijst (extensible): MedicalDeviceLateralityCodelist

.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Addition details (comments, instructions)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text 1..1 string Comment

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceUseStatement.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceUseStatement.statusrequiredDeviceUseStatementStatus
http://hl7.org/fhir/ValueSet/device-statement-status
from the FHIR Standard
DeviceUseStatement.bodySiteextensibleHulpmiddelAnatomischeLocatieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.2--20171231000000
from this IG
DeviceUseStatement.bodySite.extension:Laterality.value[x]:valueCodeableConceptextensibleMedischHulpmiddelLateraliteitCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.4--20171231000000
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceUseStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorDeviceUseStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement 0..* Zib MedicalDevice Prosthesis:MedicalDevice
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... HealthcareProvider 0..1 Reference(nl-core-organization) HealthcareProvider
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization
... HealthProfessional 0..1 (Complex) HealthProfessional
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference() HealthProfessional
.... url 1..1 uri identifies the meaning of the extension
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(HCIM AbilityToPerformMouthcareActivities) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of a the Device Usage

... subject 1..1 Reference(Group | nl-core-patient) Patient using device
... device 1..1 Reference(HCIM AbilityToPerformMouthcareActivities MedicalDeviceProduct) Reference to device used

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceUseStatement.statusrequiredDeviceUseStatementStatus
http://hl7.org/fhir/ValueSet/device-statement-status
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceUseStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorDeviceUseStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement 0..* Zib MedicalDevice Prosthesis:MedicalDevice
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... HealthcareProvider 0..1 Reference(nl-core-organization) HealthcareProvider
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Organization
... HealthProfessional 0..1 (Complex) HealthProfessional
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Practitioner"
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference() HealthProfessional
... extension:reasonReference 0..* Extension Extension
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri identifies the meaning of the extension
.... Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1 Reference(HCIM AbilityToPerformMouthcareActivities) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier for this record
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of a the Device Usage

... subject 1..1 Reference(Group | nl-core-patient) Patient using device
... whenUsed 0..1 Period Time range defined by start and end date/time
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 0..1 dateTime StartDate
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... timing[x] 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn 0..1 dateTime When statement was recorded
... source 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who made the statement
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... device 1..1 Reference(HCIM AbilityToPerformMouthcareActivities MedicalDeviceProduct) Reference to device used
... indication 0..* CodeableConcept Why device was used
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... indication_Problem 0..* Reference(HCIM Problem) Indication-Probleem
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice-Problem
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite 0..1 CodeableConcept AnatomicalLocation
Binding: HulpmiddelAnatomischeLocatieCodelijst (extensible): Patient’s anatomical location of the medical aid used.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... Laterality 0..1 (Complex) Laterality
URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept BodySite qualifier
Binding: MedischHulpmiddelLateraliteitCodelijst (extensible): MedicalDeviceLateralityCodelist

.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Addition details (comments, instructions)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text 1..1 string Comment

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceUseStatement.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceUseStatement.statusrequiredDeviceUseStatementStatus
http://hl7.org/fhir/ValueSet/device-statement-status
from the FHIR Standard
DeviceUseStatement.bodySiteextensibleHulpmiddelAnatomischeLocatieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.2--20171231000000
from this IG
DeviceUseStatement.bodySite.extension:Laterality.value[x]:valueCodeableConceptextensibleMedischHulpmiddelLateraliteitCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.4--20171231000000
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorDeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceUseStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorDeviceUseStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron