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: Zib Alert - XML Profile

Active as of 2024-04-09

XML representation of the zib-Alert resource profile.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="zib-Alert"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag">Flag</a><a name="Flag"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/flag.html">Flag</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Alert</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.extension">Slices for extension</a><a name="Flag.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.extension:ConcernReference" title="Extension URL = http://hl7.org/fhir/StructureDefinition/flag-detail">ConcernReference</a><a name="Flag.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Condition<br/><span style="font-weight:bold">URL: </span>http://hl7.org/fhir/StructureDefinition/flag-detail</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck144.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.extension:ConcernReference.valueReference:valueReference" title="Slice valueReference">valueReference:valueReference</a><a name="Flag.extension.valueReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Value of extension</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.identifier">identifier</a><a name="Flag.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Business identifier</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.category" title="Indicates the type of alert, meaning a rough description of the cause or origin of the warning.">category</a><a name="Flag.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">AlertType<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000.html" title="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000">AlertTypeCodelijst</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>): Indicates the type of alert, meaning a rough description of the cause or origin of the warning.<br/><br/><br/><span style="font-weight:bold">Example Example of AlertType: </span><span style="color: darkgreen">{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://loinc.org&quot;,&quot;code&quot;:&quot;75323-6&quot;,&quot;display&quot;:&quot;condition&quot;,&quot;userSelected&quot;:false}]}</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.code" title="A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.
The warning can be entered in code (there are codes for frequently used alerts), but seeing the dynamic nature of the warnings cf. SARS and Ebola, these alerts will often be entered as free text.">code</a><a name="Flag.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">AlertName<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000.html" title="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000">AlertNaamCodelijst</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)<br/><span style="font-weight:bold">Example Example of AlertName: </span><span style="color: darkgreen">{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://snomed.info/sct&quot;,&quot;code&quot;:&quot;432415000&quot;,&quot;display&quot;:&quot;Methicillin resistant staphylococcus aureus carrier&quot;}]}</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.subject">subject</a><a name="Flag.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-nl-core-patient.html">nl-core-patient</a> | <a href="StructureDefinition-nl-core-location.html">nl-core-location</a> | <a href="http://hl7.org/fhir/STU3/group.html">Group</a> | <a href="StructureDefinition-nl-core-organization.html">nl-core-organization</a> | <a href="StructureDefinition-nl-core-practitioner.html">nl-core-practitioner</a> | <a href="http://hl7.org/fhir/STU3/plandefinition.html">PlanDefinition</a> | http://nictiz.nl/fhir/StructureDefinition/zib-Product | <a href="StructureDefinition-zib-Procedure.html">HCIM Procedure</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who/What is flag about?</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.subject.extension">Slices for extension</a><a name="Flag.subject.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck104.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.subject.extension:practitionerRole" title="Extension URL = http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference">practitionerRole</a><a name="Flag.subject.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-nl-core-practitionerrole.html">nl-core-practitionerrole</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span><br/><span style="font-weight:bold">URL: </span>http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.period">period</a><a name="Flag.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.period.start" title="The date and time at which the described condition was entered as a warning.
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year).">start</a><a name="Flag.period.start"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">StartDateTime<br/><span style="font-weight:bold">Example Example of StartDateTime: </span><span style="color: darkgreen">2017-02-07</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.encounter">encounter</a><a name="Flag.encounter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-zib-Encounter.html">HCIM Encounter</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Alert relevant during encounter</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.author">author</a><a name="Flag.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-zib-MedicalDeviceProduct.html">HCIM MedicalDevice Product</a> | <a href="StructureDefinition-nl-core-patient.html">nl-core-patient</a> | <a href="StructureDefinition-nl-core-practitioner.html">nl-core-practitioner</a> | <a href="StructureDefinition-nl-core-organization.html">nl-core-organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Flag creator</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck012.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.author.extension">Slices for extension</a><a name="Flag.author.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/STU3/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck004.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-zib-Alert-definitions.html#Flag.author.extension:practitionerRole" title="Extension URL = http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference">practitionerRole</a><a name="Flag.author.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-nl-core-practitionerrole.html">nl-core-practitionerrole</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Optional Extensions Element</span><br/><span style="font-weight:bold">URL: </span>http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url value="http://nictiz.nl/fhir/StructureDefinition/zib-Alert"/>
  <version value="1.3.15"/>
  <name value="Zib Alert"/>
  <title value="HCIM Alert"/>
  <status value="active"/>
  <date value="2024-04-09T16:00:20+02:00"/>
  <publisher value="HL7 Netherlands"/>
  <contact>
    <name value="Nictiz"/>
    <telecom>
      <system value="email"/>
      <value value="info@nictiz.nl"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Alert as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.

An alert describes a clinical or administrative fact brought to the attention of the users of the clinical systems to be taken into account when shaping diagnostic and therapeutic policy or in dealing with the patient, usually because of a safety risk. 
Disorders that describe the body’s sensitivity to a substance which results in a specific physiological reaction after being exposed to that substance are referred to as allergies. These are described in a separate information model. 
Warnings for non-allergic disorders can concern:
- A disorder (condition or diagnosis which can be considered as a contraindication for the use of groups of medication or undergoing a certain type of therapy), such as pregnancy or long QT syndrome
- Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system) 
- Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus)
- Other risks"/>
  <purpose
           value="Documenting and entering disorders or conditions that require attention is an important part of medical registration. It concerns the core of patient safety. In the execution of research and treatment, these patient characteristics - which are marked as a warning - constantly have to be taken into account. They provide information that is important for the patient’s condition and the options a healthcare provider has for therapy. Disorders that are registered or transferred as an Alert can also be described as a Problem. The difference is in the fact that the healthcare provider considers the problem as an Alert = warning. In many cases, transfer will be subject to strict privacy rules, as the warning will not always elicit an adequate reaction in the informed environment."/>
  <copyright value="CC0"/>
  <fhirVersion value="3.0.2"/>
  <mapping>
    <identity value="hcim-alert-v1.0-2015EN"/>
    <uri value="https://zibs.nl/wiki/Alert-v1.0(2015EN)"/>
    <name value="HCIM Alert-v1.0(2015EN)"/>
  </mapping>
  <mapping>
    <identity value="hcim-alert-v3.0-2016EN"/>
    <uri value="https://zibs.nl/wiki/Alert-v3.0(2016EN)"/>
    <name value="HCIM Alert-v3.0(2016EN)"/>
  </mapping>
  <mapping>
    <identity value="hcim-alert-v3.2-2017EN"/>
    <uri value="https://zibs.nl/wiki/Alert-v3.2(2017EN)"/>
    <name value="HCIM Alert-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>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Flag"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Flag"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Flag">
      <path value="Flag"/>
      <short value="Alert"/>
      <definition
                  value="Prospective warnings of potential issues when providing care to the patient."/>
      <alias value="Barriers to Care"/>
      <alias value="Alert"/>
      <alias value="Warning"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Flag"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=ISSUE, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.encounter"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
    </element>
    <element id="Flag.id">
      <path value="Flag.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Flag.meta">
      <path value="Flag.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Flag.implicitRules">
      <path value="Flag.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment
               value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Flag.language">
      <path value="Flag.language"/>
      <short value="Language of the resource content"/>
      <definition
                  value="The base language in which the resource is written."/>
      <comment
               value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>🔗 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>🔗 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Flag.text">
      <path value="Flag.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment
               value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Flag.contained">
      <path value="Flag.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment
               value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.extension">
      <path value="Flag.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element id="Flag.extension:ConcernReference">
      <path value="Flag.extension"/>
      <sliceName value="ConcernReference"/>
      <short value="Condition"/>
      <definition
                  value="The patient’s health problem or condition that is the subject of the alert. This could involve a patient’s problem, condition or diagnosis that is seen as a contraindication in prescribing medication or which has to be taken into account when shaping diagnostic and therapeutic policy. This can be in the patient’s own interest, or it can involve a problem or disorder that can make the patient a risk to their surroundings, such as an infection hazard. These are references to conditions included on the patient’s problem list.
If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the ConcernTransfer information model should be used."/>
      <alias value="Conditie"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
    </element>
    <element id="Flag.extension:ConcernReference.id">
      <path value="Flag.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.extension:ConcernReference.extension">
      <path value="Flag.extension.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.extension:ConcernReference.url">
      <path value="Flag.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comment
               value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Flag.extension:ConcernReference.valueReference:valueReference">
      <path value="Flag.extension.valueReference"/>
      <sliceName value="valueReference"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.modifierExtension">
      <path value="Flag.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.identifier">
      <path value="Flag.identifier"/>
      <short value="Business identifier"/>
      <definition
                  value="Identifier assigned to the flag for external use (outside the FHIR environment)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Flag.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN"/>
        <map value="NL-CM:0.0.6"/>
        <comment value="IdentificationNumber"/>
      </mapping>
    </element>
    <element id="Flag.status">
      <path value="Flag.status"/>
      <short value="active | inactive | entered-in-error"/>
      <definition value="Supports basic workflow."/>
      <comment
               value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Flag.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FlagStatus"/>
        </extension>
        <strength value="required"/>
        <description
                     value="Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error."/>
        <valueSetReference>🔗 
          <reference value="http://hl7.org/fhir/ValueSet/flag-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Flag.category">
      <path value="Flag.category"/>
      <short value="AlertType"/>
      <definition
                  value="Indicates the type of alert, meaning a rough description of the cause or origin of the warning."/>
      <alias value="AlertType"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Flag.category"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <example>
        <label value="Example of AlertType"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75323-6"/>
            <display value="condition"/>
            <userSelected value="false"/>
          </coding>
        </valueCodeableConcept>
      </example>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description
                     value="Indicates the type of alert, meaning a rough description of the cause or origin of the warning."/>
        <valueSetReference>🔗 
          <reference
                     value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
    </element>
    <element id="Flag.code">
      <path value="Flag.code"/>
      <short value="AlertName"/>
      <definition
                  value="A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.
The warning can be entered in code (there are codes for frequently used alerts), but seeing the dynamic nature of the warnings cf. SARS and Ebola, these alerts will often be entered as free text."/>
      <comment
               value="If non coded, use CodeableConcept.text.  This element should always be included in the narrative."/>
      <alias value="AlertNaam"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Flag.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <example>
        <label value="Example of AlertName"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="432415000"/>
            <display
                     value="Methicillin resistant staphylococcus aureus carrier"/>
          </coding>
        </valueCodeableConcept>
      </example>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>🔗 
          <reference
                     value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
    </element>
    <element id="Flag.subject">
      <path value="Flag.subject"/>
      <short value="Who/What is flag about?"/>
      <definition
                  value="The patient, location, group , organization , or practitioner, etc. this is about record this flag is associated with."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Flag.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <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-location"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <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-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Procedure"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=SBJ].role[classCode=PAT | LOCE | ASSIGNED]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="Flag.subject.id">
      <path value="Flag.subject.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.subject.extension">
      <path value="Flag.subject.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element id="Flag.subject.extension:practitionerRole">
      <path value="Flag.subject.extension"/>
      <sliceName value="practitionerRole"/>
      <short value="Optional Extensions Element"/>
      <definition
                  value="Optional Extension Element - found in all resources."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.subject.reference">
      <path value="Flag.subject.reference"/>
      <short value="Literal reference, Relative, internal or absolute URL"/>
      <definition
                  value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
      <comment
               value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.reference"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <condition value="ref-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.subject.identifier">
      <path value="Flag.subject.identifier"/>
      <short value="Logical reference, when literal reference is not known"/>
      <definition
                  value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
      <comment
               value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".identifier"/>
      </mapping>
    </element>
    <element id="Flag.subject.display">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="Flag.subject.display"/>
      <short value="Text alternative for the resource"/>
      <definition
                  value="Plain text narrative that identifies the resource in addition to the resource reference."/>
      <comment
               value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.display"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.period">
      <path value="Flag.period"/>
      <short value="Time period when flag is active"/>
      <definition
                  value="The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Flag.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Flag.period.id">
      <path value="Flag.period.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.period.extension">
      <path value="Flag.period.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.period.start">
      <path value="Flag.period.start"/>
      <short value="StartDateTime"/>
      <definition
                  value="The date and time at which the described condition was entered as a warning.
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year)."/>
      <comment
               value="If the low element is missing, the meaning is that the low boundary is not known."/>
      <alias value="BeginDatumTijd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Period.start"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <example>
        <label value="Example of StartDateTime"/>
        <valueDateTime value="2017-02-07"/>
      </example>
      <condition value="per-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="DR.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./low"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
    </element>
    <element id="Flag.period.end">
      <path value="Flag.period.end"/>
      <short value="End time with inclusive boundary, if not ongoing"/>
      <definition
                  value="The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."/>
      <comment
               value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Period.end"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <meaningWhenMissing
                          value="If the end of the period is missing, it means that the period is ongoing"/>
      <condition value="per-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="DR.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./high"/>
      </mapping>
    </element>
    <element id="Flag.encounter">
      <path value="Flag.encounter"/>
      <short value="Alert relevant during encounter"/>
      <definition value="This alert is only relevant during the encounter."/>
      <comment
               value="If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Flag.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Flag.author">
      <path value="Flag.author"/>
      <short value="Flag creator"/>
      <definition
                  value="The person, organization or device that created the flag."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Flag.author"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"/>
      </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-organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN"/>
        <map value="NL-CM:0.0.7"/>
        <comment value="Author"/>
      </mapping>
    </element>
    <element id="Flag.author.id">
      <path value="Flag.author.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Flag.author.extension">
      <path value="Flag.author.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element id="Flag.author.extension:practitionerRole">
      <path value="Flag.author.extension"/>
      <sliceName value="practitionerRole"/>
      <short value="Optional Extensions Element"/>
      <definition
                  value="Optional Extension Element - found in all resources."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.author.reference">
      <path value="Flag.author.reference"/>
      <short value="Literal reference, Relative, internal or absolute URL"/>
      <definition
                  value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
      <comment
               value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.reference"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <condition value="ref-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Flag.author.identifier">
      <path value="Flag.author.identifier"/>
      <short value="Logical reference, when literal reference is not known"/>
      <definition
                  value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
      <comment
               value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".identifier"/>
      </mapping>
    </element>
    <element id="Flag.author.display">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="Flag.author.display"/>
      <short value="Text alternative for the resource"/>
      <definition
                  value="Plain text narrative that identifies the resource in addition to the resource reference."/>
      <comment
               value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.display"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Flag">
      <path value="Flag"/>
      <short value="Alert"/>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.1"/>
        <comment value="Alert"/>
      </mapping>
    </element>
    <element id="Flag.extension">
      <path value="Flag.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Flag.extension:ConcernReference">
      <path value="Flag.extension"/>
      <sliceName value="ConcernReference"/>
      <short value="Condition"/>
      <definition
                  value="The patient’s health problem or condition that is the subject of the alert. This could involve a patient’s problem, condition or diagnosis that is seen as a contraindication in prescribing medication or which has to be taken into account when shaping diagnostic and therapeutic policy. This can be in the patient’s own interest, or it can involve a problem or disorder that can make the patient a risk to their surroundings, such as an infection hazard. These are references to conditions included on the patient’s problem list.
If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the ConcernTransfer information model should be used."/>
      <alias value="Conditie"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
      </type>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.3"/>
        <comment value="Condition"/>
      </mapping>
    </element>
    <element
             id="Flag.extension:ConcernReference.valueReference:valueReference">
      <path value="Flag.extension.valueReference"/>
      <sliceName value="valueReference"/>
    </element>
    <element id="Flag.identifier">
      <path value="Flag.identifier"/>
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN"/>
        <map value="NL-CM:0.0.6"/>
        <comment value="IdentificationNumber"/>
      </mapping>
    </element>
    <element id="Flag.category">
      <path value="Flag.category"/>
      <short value="AlertType"/>
      <definition
                  value="Indicates the type of alert, meaning a rough description of the cause or origin of the warning."/>
      <alias value="AlertType"/>
      <example>
        <label value="Example of AlertType"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75323-6"/>
            <display value="condition"/>
            <userSelected value="false"/>
          </coding>
        </valueCodeableConcept>
      </example>
      <binding>
        <strength value="extensible"/>
        <description
                     value="Indicates the type of alert, meaning a rough description of the cause or origin of the warning."/>
        <valueSetReference>🔗 
          <reference
                     value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.6"/>
        <comment value="AlertType"/>
      </mapping>
    </element>
    <element id="Flag.code">
      <path value="Flag.code"/>
      <short value="AlertName"/>
      <definition
                  value="A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.
The warning can be entered in code (there are codes for frequently used alerts), but seeing the dynamic nature of the warnings cf. SARS and Ebola, these alerts will often be entered as free text."/>
      <alias value="AlertNaam"/>
      <example>
        <label value="Example of AlertName"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="432415000"/>
            <display
                     value="Methicillin resistant staphylococcus aureus carrier"/>
          </coding>
        </valueCodeableConcept>
      </example>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>🔗 
          <reference
                     value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.4"/>
        <comment value="AlertName"/>
      </mapping>
    </element>
    <element id="Flag.subject">
      <path value="Flag.subject"/>
      <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-location"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <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-practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Product"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Procedure"/>
      </type>
    </element>
    <element id="Flag.subject.extension">
      <path value="Flag.subject.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Flag.subject.extension:practitionerRole">
      <path value="Flag.subject.extension"/>
      <sliceName value="practitionerRole"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"/>
      </type>
    </element>
    <element id="Flag.period.start">
      <path value="Flag.period.start"/>
      <short value="StartDateTime"/>
      <definition
                  value="The date and time at which the described condition was entered as a warning.
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year)."/>
      <alias value="BeginDatumTijd"/>
      <example>
        <label value="Example of StartDateTime"/>
        <valueDateTime value="2017-02-07"/>
      </example>
      <mapping>
        <identity value="hcim-alert-v1.0-2015EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.0-2016EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
      <mapping>
        <identity value="hcim-alert-v3.2-2017EN"/>
        <map value="NL-CM:8.3.5"/>
        <comment value="StartDateTime"/>
      </mapping>
    </element>
    <element id="Flag.encounter">
      <path value="Flag.encounter"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"/>
      </type>
    </element>
    <element id="Flag.author">
      <path value="Flag.author"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"/>
      </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-organization"/>
      </type>
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN"/>
        <map value="NL-CM:0.0.7"/>
        <comment value="Author"/>
      </mapping>
    </element>
    <element id="Flag.author.extension">
      <path value="Flag.author.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Flag.author.extension:practitionerRole">
      <path value="Flag.author.extension"/>
      <sliceName value="practitionerRole"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"/>
      </type>
    </element>
  </differential>
</StructureDefinition>