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

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Resource Profile: HCIM AbilityToPerformMouthcareActivities MedicalDeviceProduct

A MedicalDeviceProduct 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 products can be linked to this resource using the resource zib-AbilityToPerformMouthcareActivities-MedicalDevice.

Usage:

• Refer to this Resource Profile: HCIM AbilityToPerformMouthcareActivities MedicalDevice
• Examples for this Resource Profile: Device/zib-abilitytoperformmouthcareactivities-medicaldeviceproduct-01

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Zib MedicalDevice Product

Name	Flags	Card.	Type	Description & Constraints
Device			Zib MedicalDevice Product
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Device		0..*	Zib MedicalDevice Product	Product
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier		0..*	Identifier	ProductID Slice: Unordered, Open by value:type
identifier:serialNumber		0..1	Identifier	serial number (21) part of the UDI
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/identifier-type
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: SNO
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	0..1	code	active | inactive | entered-in-error | unknown Binding: FHIRDeviceStatus (required): The availability status of the device.
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Device.identifier:serialNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Device.identifier:serialNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Device.status	required	FHIRDeviceStatus http://hl7.org/fhir/ValueSet/device-status from the FHIR Standard
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Device	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Device	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Device	If 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-4	error	Device	If 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()

Name	Flags	Card.	Type	Description & Constraints
Device		0..*	Zib MedicalDevice Product	Product
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier		0..*	Identifier	ProductID Slice: Unordered, Open by value:type
identifier:serialNumber		0..1	Identifier	serial number (21) part of the UDI
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/identifier-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: SNO
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
udi	Σ	0..1	BackboneElement	Unique Device Identifier (UDI) Barcode string
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
deviceIdentifier	Σ	0..1	string	application identifier (AI) (01) part of the udi
name	Σ	0..1	string	Device Name as appears on UDI label
jurisdiction		0..1	uri	Regional UDI authority
carrierHRF	Σ	0..1	string	ProductID
carrierAIDC	Σ	0..1	base64Binary	UDI Machine Readable Barcode String
issuer		0..1	uri	UDI Issuing Organization
entryType		0..1	code	barcode | rfid | manual + Binding: UDIEntryType (required): Codes to identify how UDI data was entered
status	?!Σ	0..1	code	active | inactive | entered-in-error | unknown Binding: FHIRDeviceStatus (required): The availability status of the device.
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
lotNumber		0..1	string	batch or lot number (10) part of the UDI
manufacturer		0..1	string	Name of device manufacturer
manufactureDate		0..1	dateTime	Date when the device was made
expirationDate		0..1	dateTime	expiration date (17) part of the UDI
model		0..1	string	Model id assigned by the manufacturer
version		0..1	string	Version number (i.e. software)
patient		0..1	Reference(nl-core-patient)	Patient to whom Device is affixed
owner		0..1	Reference(nl-core-organization)	Organization responsible for device
contact		0..*	ContactPoint	Details for human/organization for support
location		0..1	Reference(nl-core-location)	Where the resource is found
url		0..1	uri	Network address to contact device
note		0..*	Annotation	Device notes and comments
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	ProductDescription
safety	Σ	0..*	CodeableConcept	Safety Characteristics of Device Binding: DeviceSafety (example): Codes used to identify medical devices safety characterics. These codes are derived in part from the United States Food and Drug Administration recommendations and are provided here as a suggestive example.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Device.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Device.identifier:serialNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Device.identifier:serialNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Device.udi.entryType	required	UDIEntryType http://hl7.org/fhir/ValueSet/udi-entry-type from the FHIR Standard
Device.status	required	FHIRDeviceStatus http://hl7.org/fhir/ValueSet/device-status from the FHIR Standard
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG
Device.safety	example	DeviceSafety http://hl7.org/fhir/ValueSet/device-safety from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Device	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Device	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Device	If 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-4	error	Device	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Zib MedicalDevice Product

Summary

Differential View

This structure is derived from Zib MedicalDevice Product

Name	Flags	Card.	Type	Description & Constraints
Device			Zib MedicalDevice Product
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Device		0..*	Zib MedicalDevice Product	Product
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier		0..*	Identifier	ProductID Slice: Unordered, Open by value:type
identifier:serialNumber		0..1	Identifier	serial number (21) part of the UDI
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/identifier-type
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: SNO
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	0..1	code	active | inactive | entered-in-error | unknown Binding: FHIRDeviceStatus (required): The availability status of the device.
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Device.identifier:serialNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Device.identifier:serialNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Device.status	required	FHIRDeviceStatus http://hl7.org/fhir/ValueSet/device-status from the FHIR Standard
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Device	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Device	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Device	If 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-4	error	Device	If 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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Device		0..*	Zib MedicalDevice Product	Product
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
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier		0..*	Identifier	ProductID Slice: Unordered, Open by value:type
identifier:serialNumber		0..1	Identifier	serial number (21) part of the UDI
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/identifier-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: SNO
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
udi	Σ	0..1	BackboneElement	Unique Device Identifier (UDI) Barcode string
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
deviceIdentifier	Σ	0..1	string	application identifier (AI) (01) part of the udi
name	Σ	0..1	string	Device Name as appears on UDI label
jurisdiction		0..1	uri	Regional UDI authority
carrierHRF	Σ	0..1	string	ProductID
carrierAIDC	Σ	0..1	base64Binary	UDI Machine Readable Barcode String
issuer		0..1	uri	UDI Issuing Organization
entryType		0..1	code	barcode | rfid | manual + Binding: UDIEntryType (required): Codes to identify how UDI data was entered
status	?!Σ	0..1	code	active | inactive | entered-in-error | unknown Binding: FHIRDeviceStatus (required): The availability status of the device.
type		0..1	CodeableConcept	ProductType Binding: ProtheseTypeCodelijst (extensible): ProtheseTypeCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
lotNumber		0..1	string	batch or lot number (10) part of the UDI
manufacturer		0..1	string	Name of device manufacturer
manufactureDate		0..1	dateTime	Date when the device was made
expirationDate		0..1	dateTime	expiration date (17) part of the UDI
model		0..1	string	Model id assigned by the manufacturer
version		0..1	string	Version number (i.e. software)
patient		0..1	Reference(nl-core-patient)	Patient to whom Device is affixed
owner		0..1	Reference(nl-core-organization)	Organization responsible for device
contact		0..*	ContactPoint	Details for human/organization for support
location		0..1	Reference(nl-core-location)	Where the resource is found
url		0..1	uri	Network address to contact device
note		0..*	Annotation	Device notes and comments
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	ProductDescription
safety	Σ	0..*	CodeableConcept	Safety Characteristics of Device Binding: DeviceSafety (example): Codes used to identify medical devices safety characterics. These codes are derived in part from the United States Food and Drug Administration recommendations and are provided here as a suggestive example.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Device.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Device.identifier:serialNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Device.identifier:serialNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Device.udi.entryType	required	UDIEntryType http://hl7.org/fhir/ValueSet/udi-entry-type from the FHIR Standard
Device.status	required	FHIRDeviceStatus http://hl7.org/fhir/ValueSet/device-status from the FHIR Standard
Device.type	extensible	ProtheseTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.2--20171231000000 from this IG
Device.safety	example	DeviceSafety http://hl7.org/fhir/ValueSet/device-safety from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Device	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Device	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Device	If 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-4	error	Device	If 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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Zib MedicalDevice Product

Summary

Other representations of profile: CSV, Excel, Schematron