To alow a search (_include) on a Goal resources that are related to the CarePlan activities.

To alow a search (_include) resources that are use to describe outcomes of CarePlan activities..

To alow a search (_include) on the materials used in nursing procedures, such as bandages.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToDressOneself v3.1(2017EN). Being able to get dressed independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, drinking, and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToDrink v3.1(2017EN). Being able to independently prepare and drink beverages is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToEat v3.1(2017EN). Being able to independently prepare and consume food is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including drinking, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToGroome v1.0(2017EN). Personal grooming activity means taking care of skin, nails and hair (and beard or mustache, if applicable). This is a part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. Washing hair does not fall into this category; it falls under the ability to wash oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToManageMedication v1.0(2017EN). Managing one’s own medication is part of self-healthcare. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including cooking, using the telephone and shopping are also known as instrumentel activities of daily living (IADL). These tasks support an independent life style. Many people can still live independently even though they need help with one or two of these IADL’s.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToGroome v1.0(2017EN). The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently. (Source: Instruction card for oral hygiene, 2011)

A MedicalDevice resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) AbilityToPerformMouthcareActivities v3.1(2017EN). The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently. (Source: Instruction card for oral hygiene, 2011)

A MedicalDeviceProduct resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) AbilityToPerformMouthcareActivities v3.1(2017EN). The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently. (Source: Instruction card for oral hygiene, 2011)

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) AbilityToPerformNursingActivities v1.0(2017EN). When taking care of a patient with a disease or disability, parents, children and other caretakers often carry out nursing interventions. Adults and older children may carry out nursing interventions by themselves. Therefore skills training is needed for caregivers/ children. Qualification is required for correct performing of an intervention and also knowledge about what to do in case of complications. The assessment of the degree to which the intervention can be performed independently refers only to the indicated intervention.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToUseToilet v3.1(2017EN). Being able to urinate, defecate and keep up hygiene during a menstrual cycle independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen AbilityToWashOneSelf v3.1(2017EN). Being able to bathe independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. This activity and activities such as those including eating, drinking, and dressing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

AdvanceDirective (formerly know as LivingWill) as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. A living will is a verbal or written description of the patient’s wishes with regard to future medical action or end of their life. A living will is mainly used for situations in which the patient is no longer able to speak about these decisions with their healthcare provider.

AlcoholUse as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version v3.1, release 2017. In the context of this information model, alcohol is the collective term for alcoholic beverages consumed as a leisure product. This information model describes the information asked of the patient about their alcohol use.

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

AllergyIntolerance as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. An allergy or intolerance describes a patient’s tendency towards hypersensitivity to a certain substance, so that an unwanted physiological reaction is expected after exposure to the substance, while most people would not exhibit such a reaction to that amount. The observed physiological changes are usually the result of an immunological reaction. The substances can be categorized as follows:

• Medicine
• Medicine category
• Ingredient/addition
• Nutrition
• Environmental factor
• Animal
• Plants
• Chemicals
• Inhaled allergenic

An Obervation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ApgarScore v1.0(2017EN). The Apgar score represents the overall clinical status of a newborn child. This is evaluated one, five and ten minutes after birth based on 5 parameters: Appearance, Pulse, Grimace, Activity, Respiration. If the score measured at 5 minutes is < 8, the Apgar score is measured again at 10, 15, 20 minutes etc. until the score = 8.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen BlaasFunctie v3.1(2017EN). The primary function of the bladder is temporary storage of urine. A second important function of the bladder is secretion of the stored urine at the moment there is cause to do so. These functions can be disrupted due to various causes.

UrineCatheter describes the presence of a urine catheter. If this is the case, the date of placement, urine catheter location, comment and catheter identification information can be described in addition to the type of catheter.

Resource describes what product is used as an urine catheter.

This profile is derived from the HL7 Vital Signs profile for Blood Pressure in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) BloodPresurre version 3.1, release 2017 and to provide extensions for missing concepts if needed. The blood pressure is a parameter for determining the condition of the blood circulation and is expressed in systolic and diastolic pressure in mmHg.

This profile is derived from the HL7 Vital Signs profile for BodyLenght in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) BodyHeight v3.1, release 2017, and to provide extensions for missing concepts.

This profile is derived from the HL7 Vital Signs profile for Body temperature in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) BodyTemperature v3.1, release 2017, and to provide extensions for missing concepts.

This profile is derived from the HL7 Vital Signs profile for BodyWeight in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) BodyWeight v3.1, release 2017, and to provide extensions for missing concepts.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen DarmFunctie v3.1(2017EN). An important function of the rectum in particular is the temporary storage and excretion of feces, at the moment there is cause to do so. Disrupting the bowel functions can lead to fecal incontinence and constipation.

An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen Brandwond v3.2(2017EN). A burn wound is a wound caused by skin being exposed to heat for a certain time above a certain critical temperature. Heat above this critical temperature (+/- 40°C) will cause damage to the skin. There are different types of burn wounds, which are categorized according to the depth of the burn wound. The depth of the burn wound depends on:

• the temperature of the impacting heat;
• the duration of the impact of heat on the skin;
• the source of the burn (e.g. fire, fluid).

A(n) Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ChecklistPainBehavior-v1.0(2017EN) The CPB (Checklist Pain Behaviour) is a pain assessment tool, that is used to assess pain in children with a limited expressive repertoire or with a profound cognitive impairment, by observing their behaviour The CPB has ten observations that need te be addressed. The final score indicates whether the observed child suffers pain and ‘how much’. The score is often combined with a VAS score that is completed by the nurses on basis of clinical experience.

The Comfort Behaviour scale /Comfortneo scale is an assessment tool, that is used to assess the pain behaviour of neonates (new born). The Comfort Behaviour scale has 7 observation points that that need to be addressed. For each on observation is value is assigned from a 5-point scale, the final score indicates whether the observed child suffers pain and ‘how much’. The score is combined with an NRS score that is completed by the nurses on basis of clinical experience.

An Observation resource as defined by the Dutch HCIM DevelopmentChild-v1.1(2017EN)

DrugUse as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. Drugs (or: narcotics, amphetamines, intoxicants, highs, hallucinogenics, illegal substances or dope) is a collective term for drugs and chemical substances with a more or less ‘drugging’ (anesthetic, boosting and/or hallucinogenic) effect and which can lead to addiction. Drug [Online] Available at: nl.Wikipedia.org/wiki/drug [Accessed: 11 February 2015]. This information model describes the information asked of the patient about their drug use.

Contact as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions. Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes past contacts. Future contacts can be documented in the PlannedCareActivity information model.

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) FLACCpainScale v1.0(2017EN). The FLACC (Faces, Legs, Activity, Cry and Consolability) is a pain assessment tool, that is used to assess pain in children aged 0-7 years old by observing their behaviour. The FLACC has five subscales that need to be addressed. The final score indicates whether the observed child suffers pain and ‘how much’. The score is often combined with a NRS-score that is completed by the nurses on basis of clinical experience.

FamilySituation defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0, release 2017. Traditionally, a family is defined as a group of people of one or more adults who carry responsibility for caring for and raising one or more children. Currently, the term is used more broadly for all forms of cohabitation which form a recognizable social unit, of people who are or who are not related and who have long-lasting, affective bonds and provide each other with support and care.

FamilySituationChild defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.1, release 2017. Traditionally, a family is defined as a group of people of one or more adults who carry responsibility for caring for and raising one or more children. Children can have multiple family situations when they live partly with their father and partly with their mother e.g. after a divorce. Currently, the term is used more broadly for all forms of cohabitation which form a recognizable social unit, of people who are or who are not related and who have long-lasting, affective bonds and provide each other with support and care.

An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen VoedingsPatroonZuigeling v1.0(2017EN). A healthy diet means that we do not consume too much or too little (energy intake balanced with energy use) and that the composition of food (mainly important nutrients) follows the recommendations from the Health Council. For an infant, this means that the child receives breastfeeding or formula milk or a combination thereof.

A feeding tube is a special catheter used to:

• administer liquid food to people who are incapable of oral intake of food or liquid,
• administer medication,
• drain (siphon) or pump out gastric juice. There are different ways to place a feeding tube. A feeding tube can be inserted through the nose, in the stomach or in the intestines (duodenum, jejunum). Percutaneous endoscopic gastrostomy (PEG) is a technique in which a feeding tube is placed into the stomach through the abdominal wall. This thin tube (PEG tube) is used to feed a patient who is incapable of oral food intake for a prolonged period of time.

This resource is part of FeedingTubeSystem as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.

An Observation type resource as defined by the Dutch Health Care Information Model FluidBalance 1.0 - 2017EN

Freedom restricting measures are (physical or verbal) measures used to deliberately restrict the freedom of the patient in question. Many forms of freedom restricting measures fall under this definition, including but not limited to: involuntary treatment (e.g. forced medication) physical restraints (side rails fully up) physical fixation (arm restraints in order to prevent removal of drip) electronic surveillance to monitor the whereabouts of the patient. In hospitals, these often include the use of side rails, a cushion belt (around the waist) or a Posey bed. Often sedatives are administered in combination with the freedom restricting measures. For small children it often involves fixation of e.g. hands to prevent the extraction of a nasogastric tube. The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies to ‘BOPZ’-marked facilities and also applies to some (closed) wards in nursing homes. Mental healthcare facilities use a national registration system to register the restraints called Argus registration. Permission of the patient or his/hers legal representative is required before starting freedom restricting measures. The patient’s high-risk behavior providing cause for the restraints is not described in this concept.

FunctionalOrMentalStatus as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. The functional or mental status provides insight into the patient’s functional and mental limitations.

General Measurment as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) GeneralMeasurment version 3.0, release 2017. A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model is not intended for laboratory determinations to be carried out on the material taken from the patient.

The head circumference is the size of the head as measured around the head.

A HearingFunction resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) HearingFunction v3.1(2017EN). Hearing is the ability to observe sound, with the purpose of communicating with others, localizing the source of the sound and recognizing certain sounds. This pertains to observing the sound waves, and not processing the sounds in the brain. A hearing disorder can lead to things including communication problems.

A HearingFunction resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) HearingFunction v3.1(2017EN). Hearing is the ability to observe sound, with the purpose of communicating with others, localizing the source of the sound and recognizing certain sounds. This pertains to observing the sound waves, and not processing the sounds in the brain. A hearing disorder can lead to things including communication problems.

A HearingFunction resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) HearingFunction v3.1(2017EN). Hearing is the ability to observe sound, with the purpose of communicating with others, localizing the source of the sound and recognizing certain sounds. This pertains to observing the sound waves, and not processing the sounds in the brain. A hearing disorder can lead to things including communication problems.

This profile is derived from the HL7 Vital Signs profile for heart rate in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) Heartrate v3.1, release 2017, and to provide extensions for missing concepts.

HelpFromOthers as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0, release 2017. There are often multiple people or parties involved in the care for a patient with a disorder or disability, particularly in the event of home care. Their efforts enable the patient to function more or less independently. This includes not only caregivers, but also professional help such as that offered by home care organizations, nurses, aids and helpers. Current doctors and staff from the facility to which a patient is admitted do not fall under this concept.

In nearly all cases, a lengthy or life-threatening illness is a traumatic experience for the patient and their environment. Every patient deals with this in their own way. The way in which a person deals with problems and stress is also referred to as coping. Illness perception entails both the way the patient sees their situation and the way in which the patient and their environment deal with the situation (coping strategies).

A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

The Specimen details from the LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

The Specimen Microorganism details from the LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

The Substance details from the LaboratoryTestResult.specimen.microorganism as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

LivingSituation as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. The living situation is the physical environment in which the patient normally lives, sleeps, keeps their clothing, etc.

A Observation resource as defined by the Dutch HCIM MUSTScore-v3.0(2017EN). The Malnutrition Universal Screening Tool (MUST) is a (validated) diagnostic screening tool for determining the extent of a patient’s malnutrition. For this screening tool, every patient’s Body Mass Index (BMI) and weight loss percentage is calculated, after which the patient is assigned a disease factor. The MUST helps to recognize and treat malnutrition at an early stage. (Source: Guidelines for Screening and Treating Malnutrition.)

MedicalDevice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. Medical aids are any internally implanted and external devices and/or aids used by the patient (in the past) to reduce the effects of functional limitations in organ systems or to facilitate the treatment of a disease.

This resource is part of MedicalDevice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. Medical aids are any internally implanted and external devices and/or aids used by the patient (in the past) to reduce the effects of functional limitations in organ systems or to facilitate the treatment of a disease.

MedicalDevice Request as defined by the Dutch Health and Care Information model for PlannedCareActivity (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) Mobility v3.1(2017EN). Mobility describes the abilities and any limitations in all aspects of mobility, such as changing position, walking and moving forward, in some cases with the help of an aid.

NursingIntervention as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017 with an addaption by the ‘VNN redactieraad 2018’, where a informationmodel is proposed without the NursingProcedure container and attached mandatory Activity concept. A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures. In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.

NutritionAdvice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. A nutritional advice is a description of nourishment for the patient, which must meet specific requirements in view of the health condition of the patient. Allergies and food intolerances or chewing and swallowing problems may be a reason for special nutrition.

A derived profile on Zib-TextResult to represent the the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) OutcomeOfCare version 3.1, release 2017. The OutcomeOfCare concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment objective provides insight into the effectively of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment objective and nursing interventions.

This profile is derived from the HL7 Vital Signs profile for oxygen saturation in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) OxygenSaturation v3.1, release 2017, and to provide extensions for missing concepts.

This profile is derived from the HL7 Observation profile in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) PainScore version 3.1, release 2017 and to provide extensions for missing concepts if needed. The pain score is a general measurement for pain experience, not a description of specific, localized pain.

ParticipationInSociety as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. Participation in society pertains to the patient’s initiative to participate in social activities in daily life, such as practicing a profession and hobbies. Participation in society also describes the patient’s social network.

Payer as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.

A Condition resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Observation resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN). Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen DecubitusWond v3.2(2017EN). A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction. A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers.

Problem as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare provider (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy. A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems:

• A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia.
• A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth;
• A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.
• A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.
• A complication: Every diagnosis seen by the healthcare provider as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.

Procedure as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017. The concept Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

ProcedureRequest as defined by the Dutch Health and Care Information model for PlannedCareActivity (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. It includes the request of NursingProcedure and Procedures.

This profile is derived from the HL7 Vital Signs profile for pulse rate in order to add mappings from the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) PulseRate, version 3.1 and to provide extensions for missing concepts.

An Observation resource as defined by the Dutch HCIM Respiration v3.1(2017EN). During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.

A DeviceUseStatement resource as defined by the Dutch HCIM Respiration v3.1(2017EN). During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.

A Device resource as defined by the Dutch HCIM Respiration v3.1(2017EN). During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.

A Observation resource as defined by the Dutch HCIM SNAQ65+Score-v1.0(2017EN). The Short Nutritional Assessment Questionnaire 65+ (SNAQ65+) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises a number of questions, each of which is assigned a score. The total score determines the extent of malnutrition. The SNAQ helps to recognize and treat malnutrition at an early stage. Three varieties of the measuring tool were developed for different care settings: hospitals (adults and children), nursing and retirement homes and independently living seniors. This concept describes the tool intended for the setting of independently living elderly.

A Observation resource as defined by the Dutch HCIM SNAQScore-v3.1(2017EN). The Short Nutritional Assessment Questionnaire (SNAQ) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises three questions, each of which is assigned a score. The total score determines the extent of malnutrition. The SNAQ helps to recognize and treat malnutrition at an early stage. Three varieties of the measuring tool were developed for different care settings: hospitals, nursing and retirement homes and independently living seniors. This concept describes the tool intended for the hospital setting.

A Observation resource as defined by the Dutch HCIM SNAQrcScore-v1.0(2017EN). The Short Nutritional Assessment Questionnaire for Residential Care (SNAQ rc is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises three questions, each of which is assigned a score. The total score determines the extent of malnutrition. The SNAQrc helps to recognize and treat malnutrition at an early stage. Four varieties of the measuring tool were developed for different care settings: hospitals (adults and children), nursing and retirement homes and independently living seniors. This concept describes the tool intended for the nursing and retirement homes setting.

A Condition as defined by the Dutch HCIM Zorginformatiebouwsteen HuidAandoening v3.1(2017EN). A skin condition is a disturbance of the organ skin caused by a source to be specified later on.

Stoma is defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017. A stoma is an unnatural, surgically created opening connecting a body cavity with the outside world. A stoma is created e.g. as an exit opening for feces or urine in the event that they cannot leave the body naturally. In the case of a tracheostomy, the stoma is intended to facilitate breathing if that is no longer possible via the oral, nasal and throat cavity.

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) HCIM StrongKidsScore v1.0 2017EN The StrongKids score is a (validated) measuring tool for determining the extent of a child’s malnutrition. StrongKids is developed to recognize and treat malnutrition in children aged > 1 month to 18 years in a hospital setting. The tool comprises four questions, each of which is assigned a score. The total score determines the extent of malnutrition. (STRONGkids= Screening Tool Risk On Nutritional Status and Growth)

A TextResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1. Textual results describe the findings and interpretation of diagnostic or therapeutic procedures carried out on patients or on specimens from the patient. Note that the HCIM TextResult-v4.1 has NL-CM:13.2.5 Procedure as property of the report. FHIR has this relationship reversed, so the procedure points to the report.

TobaccoUse as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. Tobacco is a product that comes from the leaves of the tobacco plant, which is smoked as a drug. Smokable forms of tobacco include rolling tobacco, cigarettes, cigars and pipe tobacco. This information model describes the information asked of the patient about their use of tobacco.

TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. A treatment instruction includes an agreed constraint in the treatment based on the oral or written living will of the patient.

TreatmentObjective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. The treatment objective describes the desired result of the treatment/interventions in terms of the patient’s diagnosed problem. The objective and target date are entered in addition to the target value. Comparing the healthcare results to the treatment objective provides insight into the effectivity of the treatment/interventions.

Vaccinatie as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) Vaccination version 3.1, release 2017. Immunization can be defined as ‘Generating natural immunity against pathogens by means of vaccination (active immunization) or by administering immunoglobulins (passive immunization)’. Only vaccinations are included in this information model. Administering immunoglobulins is part of the medication overview. Vaccinations have lifelong relevance. Most vaccinations are carried out in the Netherlands as part of the RVP (Rijksvaccinatieprogramma, National Immunisation Program). RVP information is especially important for children. Vaccinations are also relevant for adult patients such as transplant patients, dialysis patients and patients with a post-splenectomy status. In addition, there are specific indications for the vaccination of risk groups, such as travelers, professionals who come into contact with blood or patients with wounds, weakened immune systems or heightened risk.

This profile is one of two profile based on Vaccination as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1. This profile is also used for the Dutch Health and Care Information model PlannedCareActivityForTransfer version 3.1

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) VisualFunction v3.1(2017EN). Sight is the ability to observe lit objects, with the goal of orienting yourself on objects and people in a lit environment. This pertains to observing the light stimuli, and not processing them in the brain. A sight disorder can lead to things including orientation problems.

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) VisualFunction v3.1(2017EN). Sight is the ability to observe lit objects, with the goal of orienting yourself on objects and people in a lit environment. This pertains to observing the light stimuli, and not processing them in the brain. A sight disorder can lead to things including orientation problems.

An Observation resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) VisualFunction v3.1(2017EN). Sight is the ability to observe lit objects, with the goal of orienting yourself on objects and people in a lit environment. This pertains to observing the light stimuli, and not processing them in the brain. A sight disorder can lead to things including orientation problems.

An Condition as defined by the Dutch HCIM Zorginformatiebouwsteen Wound v3.1(2017EN) A wound is an interruption of the continuity of the skin, often caused by external influences. A commonly used model for documenting the wound properties is the TIME (‘Tissue’, ‘Infection’, ‘Moisture’, ‘Edge’) model, which can be used to systematically describe the wound. For wound tissue (T in the TIME model), the structure of the WCS model (Woundcare Consultant Society, WCS Kenniscentrum Wondzorg) is used. The WCS model is not suited for describing oncological ulcers. There is a separate classification for that. Oncological ulcers are skin defects which result from the tumor process. They are different from wounds resulting from cancer treatment, such as radiotherapy, chemotherapy or surgery. The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used.

A Device as defined by the Dutch HCIM Zorginformatiebouwsteen Wond v3.1(2017EN). A drain is a medical aid placed to drain blood and exudate from the wound area.

A deviceUseStatement as defined by the Dutch HCIM Zorginformatiebouwsteen Wond v3.1(2017EN). A drain is a medical aid placed to drain blood and exudate from the wound area.

Profile on DocumentManifest based on IHE IT Infrastructure Technical Framework Supplement - Mobile access to Health Documents (MHD) Rev. 2.3. - revised by Nictiz to add a correct slicing on .content.p[x] and replaces incorrect references. See http://wiki.ihe.net/index.php/Mobile_access_to_Health_Documents_(MHD) The IHE MHD Profile text is Normative, this conformance resource is Informative.

Copied profile on DocumentReference based on IHE IT Infrastructure Technical Framework Supplement - Mobile access to Health Documents (MHD) Rev. 2.3. See http://wiki.ihe.net/index.php/Mobile_access_to_Health_Documents_(MHD) The IHE MHD Profile text is Normative, this conformance resource is Informative.

Profile on List for use as a Document Folder based on IHE IT Infrastructure Technical Framework Supplement - Mobile access to Health Documents (MHD) Rev. 2.3. See http://wiki.ihe.net/index.php/Mobile_access_to_Health_Documents_(MHD) The IHE MHD Profile text is Normative, this conformance resource is Informative.

Profile on Transaction Bundle based on IHE IT Infrastructure Technical Framework Supplement - Mobile access to Health Documents (MHD) Rev. 2.3. - revised by Nictiz to replace reference to corrected DocumentManifest profile and removed meta.profile claim tag. See http://wiki.ihe.net/index.php/Mobile_access_to_Health_Documents_(MHD) The IHE MHD Profile text is Normative, this conformance resource is Informative.

This profile represents a single blood glucose self measurement based on the seven-point scale (SMBG).

FHIR Body Height Profile - Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

FHIR Body Temperature Profile - Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

FHIR Body Weight Profile - Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

FHIR Head Circumference Profile - Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

FHIR Heart Rate Profile - Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

Copied FHIR Vital Sign Profile to remove .component.value quantity type constrain. More information can be found in GForge ticket #13796 or in the FHIR zulip chat https://chat.fhir.org/#narrow/stream/implementers/subject/Vital.20signs.20supporting.20observations.

Copied FHIR Vital Signs Profile to remove .component.value quantity type constraint. More information can be found in the GForge ticket #13796.

This WoundObservable profile caputures mutliple concepts such as wound length, width and depth which are used in more than one HCIM, namely: Wound and PressureUlcer. This profile is therefore used over multiple HCIM’s.

A laboratory result as defined in the Dutch GP association NHG in the GP-EHR reference model (Dutch: HIS referentiemodel) based on observations of type D in NHG Table 45 Diagnostische bepalingen. A diagnostic test is an objectifiable diagnostic procedure. The result is the outcome of the procedure. Tests include vital signs like blood pressure, weight and lab results like ferro in blood.

Contact as defined by the Dutch General Practitioners Association (Nederlands Huisartsengenootschap or NHG) based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0. A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions. Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes past contacts. Future contacts can be documented in the PlannedCareActivity information model.

The general practitioner encounter report is an S-O-A-P (Subjective, Objective, Assessment, Plan) structured report of a patient encounter. S-O-A-P is known as S-O-E-P (Subjectief, Objectief, Evaluatie, Plan) in Dutch. Each Composition.section corresponds with a letter from SOAP and may additionally be ICPC coded using the appropriate extension. If the encounter report relates to an episode of care then the association with EpisodeOfCare shall be in Composition.event.detail.

JournalEntry S-O-A-P (Dutch S-O-E-P) as defined in the NHG HIS Referentiemodel.

A laboratory result as defined in the Dutch GP association NHG in the GP-EHR reference model (Dutch: HIS referentiemodel) based on observations of type L in NHG Table 45 Diagnostische bepalingen. A diagnostic test is an objectifiable diagnostic procedure. The result is the outcome of the procedure. Tests include vital signs like blood pressure, weight and lab results like ferro in blood.

A nl-core base CarePlan profile, that references to all relating Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) profiles. This profile is not based on a HCIM, beceause no HCIM exists for a CarePlan concept.

A nl-core base CareTeam profile, that references to all relating Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) profiles. This profile is not based on a ZIB, beceause no ZIB exists for the CareTeam concept.

An EpisodeOfCare resource as defined for the Dutch realm

A HealthcareService resource as defined for the Dutch realm

A Location resource as defined for the Dutch realm

A Observation Resource as defined by the Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB).

Organization, e.g. Health Provider or Insurance Company. Functional requirements taken from Health and Care Information models (Zorginformatiebouwsteen) HealthProvider v3.1.1 (release 2017) and Payer v3.1 (release 2017) via the Basic Care Data Set (Basisgegevensset Zorg 1.0). Names and addresses are also in compliance with HL7 V3 Basic Components. Every instantiation of an Organization is a top level organization or a part of an (top level) organization, e.g. Department of Radiology.

A Patient resource as defined by the Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) Patient, with additions from the HCIMs Nationality, MaritalStatus, ContactPerson, LanguageProficiency, HealthProfessional and HealthcareProvider (HCIM releases 2015, 2016 and 2017)

A Person resource as defined by the Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) ContactPersoon version 1.2 (Release 2015). The HCIM ContactPerson is meant to deal with both related persons and contacts. This profile targets instantiations of the HCIM ContactPerson who are related persons. An HCIM ContactPerson who is a contact for a patient, belongs in Patient.contact. If a person is both a related person and a contact person, then some data duplication is inevitable. This may or may not be resolved in a future version of the Patient/Person resources.

Functional requirements taken from Health and Care Information models (Zorginformatiebouwsteen) HealthProfessional v3.2 (release 2017). Names and addresses are also in compliance with HL7 V3 Basic Components.

Functional requirements taken from Health and Care Information models (Zorginformatiebouwsteen) HealthProfessional v3.2 (release 2017). Names and addresses are also in compliance with HL7 V3 Basic Components.

A RelatedPerson resource as defined by the Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) ContactPersoon version 3.1 (Release 2017). The HCIM ContactPerson is meant to deal with both related persons and contacts. This profile targets instantiations of the HCIM ContactPerson who are related persons. An HCIM ContactPerson who is a contact for a patient, belongs in Patient.contact. If a person is both a related person and a contact person, then some data duplication is inevitable. This may or may not be resolved in a future version of the Patient/RelatedPerson resources.

Base StructureDefinition for Address Type with additions for Dutch realm addresses. Dutch addresses break down Address.line in several parts and it is important to mark an address as being ‘officially registered’.

Base StructureDefinition for Address Type with additions for Dutch realm addresses. Dutch addresses break down Address.line in several parts and it is important to mark an address as being ‘officially registered’.

Base datatype for HumanName Type with additions for Dutch realm names. Dutch names break down the family into maximum of 4 parts that are important to know separately in some if not most use cases.

Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer.

Reason reference on a DeviceUseStatement. Extension is mocked from the offical HL7 core of DeviceUseStatement in R4.

Focus on an Observation. Extension is mocked from the offical HL7 core of Observation in R4 FHIR build specification at 13-05-2019.

Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

Many Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or Zib) have a comment concept. This concept can not be mapped to all the Zib’s respective FHIR resources. This extension provides a generic method to extend profiles with a comment element.

The cardinality of Consent.source is 0..1. This extension allows adding additional sources to a Consent resource. Also see https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=21224 for more

Date on which the dressing was last changed.

For episodes of care it can be relevant, and always is in general practitioner workflow, when the first encounter was that a problem/concern was discussed. You could try to get to that date by going through all encounters taking into account that the EpisodeOfCare might have evolved over time, but this extension provides a convenience method to avoid that.

For episodes of care it can be relevant, and always is in general practitioner workflow, when the last encounter was that a problem/concern was discussed. You could try to get to that date by going through all encounters taking into account that the EpisodeOfCare might have evolved over time, but this extension provides a convenience method to avoid that.

For episodes of care it can be relevant to carry the title that the episode of care is known as for the physisian. This is standard for general practitioner workflow. Usually it is the common name for the latest associated Condition

The problem or disorder to which the living will applies as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ‘AdvanceDirective’ version 1.0 - 3.1.

Indication of the kind of the burn wound, differentiated into the cause of the injury.

The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area. (Source: Brandwonden genezen. Hoe verder? [Healing Burn Wounds. What now?)

An extension on the Observation profile for FamilySituation, as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0, release 2017. The extension provides an indication stating whether the child lives at home.

An extension on the Observation profile for FamilySituationChild, as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.1, release 2017. The extension provides a reference to a RelatedPerson for more extensive information on the related persons of the family situation of the patient child.

Information about the enteral nutrition in a feeding tube system based on a reference as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or zib) ‘FeedingTubeSystem’.

The length of a feeding tube in a feeding tube system based on a Quantity datatype as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or zib) ‘FeedingTubeSystem’.

An extension to add two concepts from FreedomRestrictingMeasures as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, namely LegallyCapable and LeggallyCapableComment, to the Procedure resource. The extension can be seen as an indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.

This extension adds one concept from FreedomRestrictingMeasures as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, namely Permission, to the Procedure resource. The extention holds information wether permission is given to the health professional(s) by the patient or legal representative to implement medical restraints.

An extenion to provide supporting information on the MedicalDevice the patient has to reduce the impact of the disability or disorder. The disability or disorder is determined in ‘FunctionalOrMentalStatus’ as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0.

An extension as defined by the Dutch HCIM Zorginformatiebouwsteen Levensovertuiging v3.1(2017EN), patient’s life stance and/or religion. Extension is mocked from the offical HL7 core extension ‘patient-religion’ with a preferred binding on the zib ValueSet.

The healthcare provider at which use of the medical aid was initiated or where the aid was implanted as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ‘MedischHulpmiddel’ version 1.0.

The healthprofessional involved in the indication for use of the medical device as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ‘MedischHulpmiddel’ version 1.0.

The medical reason for use of the medical aid based on a Condition resource as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or zib) ‘MedischHulpmiddel’ version 1.0.

The interval data for the nursing intervention or procedure based on a Quantity datatype as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or zib) ‘NursingIntervention’ version 3.1.

The healthcare provider who requested the procedure. The Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) for NursingIntervention models a direct reference to the healthcare provider who requested the procedure. The Procedure resource does not include a reference to a Practitioner or PractitionerRole resource to indicate who requested the procedure.

An extension to provide additional explanation of the dietary recommendations as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) ‘Voedingadvies’ version 1.0.

Container of the BankInformation concept. This container contains all data elements of the BankInformation concept.

An Observation extension resource as defined by the Dutch HCIM Respiration v3.1(2017EN). During breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.

An extension to add the restrictions or specific circumstances that apply to a certain treatment to the Concent resourse. This concept is defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) TreatmentDirective version 3.1, release 2017.

An extension for Consent based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) TreatmentInstructin version 1.0. This extenion provides infromation on the medical treatment to which the treatment instruction applies.

An extension for Consent based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) TreatmentDirective version 1.0. This extension provides information on the indication of permission for the treatment.

Extension to the CarePlan, which is used for the ‘TreatmentDirective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 1.0. to provide information on the verification of the treatment instruction.

An extension for Consent based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) Vaccination. This extension provides the status of the vaccination order.

Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet.

Some Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or Zib) need a reference to the MedicalDevice HCIM. This reference can not be mapped to all the Zib’s respective FHIR resources. This extension provides a generic method to extend profiles with a reference to a MedicalDevice.

The legal situation that applies to the patient during treatment/procedures.

This extension adds the PractitionerRole to the Reference datatype where FHIR STU3 Core does not yet specify it.

Extend FHIR resources with a reference to the NursingIntervention HCIM.

An extension to connect the HCIM Bladderfunction and HCIM Bowelfunction to the HCIM Stoma

Allows ICPC-1-NL coding of data like S-O-A-P entries (S-O-E-P entries in Dutch)

Mark an address as an ‘officially registered’ address. In Dutch context that means it is registered in the Basisregistratie persoonsgegevens (BRP)

References a patient’s preferered pharmacy

Extension to support RelatedPerson.role

Proficiency level of the communication. Extension is mocked from the offical HL7 core extension in R4 FHIR build specification at 12-09-2018.

WCIAv3 Tabel 25 B-codes subset voor aanvullende gebruiksinstructies

AanvullendeWensenCodelijst

ActiviteitCodelijst

AdemhalingScoreCodelijst

AdemhalingsreactieCodelijst

AdresSoortCodelijst

COD016-VEKT (Vektis AGB-medische specialismen) - Alle waarden

AfwijkendAdemhalingspatroonCodelijst

AlcoholGebruikStatusCodelijst

AlertNaamCodelijst

AlertTypeCodelijst

AlertheidCodelijst

AllergieCategorieCodelijst

AllergieStatusCodelijst

ArgusInstemmingCodelijst

ArgusInterventieCodelijst

BMIScoreCodelijst

BehandelingCodelijst

BehandelingToegestaanCodelijst

BenenCodelijst

BestemmingCodelijst

BrandwondLateraliteitCodelijst

BrandwondSoortCodelijst

BurgerlijkeStaatCodelijst

ContactTypeCodelijst

DagdeelCodelijst

DecubitusCategorieCodelijst

DecubitusWondLateraliteitCodelijst

DefecatieConsistentieCodelijst

DefecatieKleurCodelijst

DiastolischEindpuntCodelijst

DiepteCodelijst

DieptegraadCodelijst

DrinkBeperkingenCodelijst

DrinkenCodelijst

DrugsGebruikStatusCodelijst

DrugsOfGeneesmiddelSoortCodelijst

EetBeperkingenCodelijst

EetlustScoreCodelijst

EmailSoortCodelijst

ErnstCodelijst

EtenCodelijst

G-Standaard Farmaceutische vormen - Alle waarden

FecesContinentieCodelijst

G-Standaard Eenhedentabel

GeslachtCodelijst

GeverifieerdBijCodelijst

GezichtCodelijst

GezichtsspanningCodelijst

GezinssamenstellingCodelijst

GezinssamenstellingKindCodelijst

GlucoseMeetmomentenLOINCCodelijst

GlucoseMeetmomentenNhgtable45Codelijst

HartslagMeetMethodeCodelijst

HartslagRegelmatigheidCodelijst

HartslagScoreCodelijst

HerkomstCodelijst

HoorFunctieCodelijst

HorenHulpmiddelTypeCodelijst

HoudingCodelijst

HoudingHandhavenCodelijst

HoudingVeranderenCodelijst

HuidLateraliteitCodelijst

HuidskleurScoreCodelijst

HuilenCodelijst

Important: this valueset has been copied from IHE. It is published by Nictiz through the IHE domain as to guarantee continuity and availability of this profile. The IHE FormatCode Value set is defined to be the set of FormatCode(s) defined by IHE http://wiki.ihe.net/index.php?title=IHE_Format_Codes. This Value set additionally includes format codes defined by the HL7 CDA http://wiki.hl7.org/index.php?title=CDA_Format_Codes_for_IHE_XDS. The set was listed in HITSP C80 Table 2-153 Format Code Value Set Definition. The use of the FormatCode specifies the technical format of the document. The FormatCode is a further specialization more detailed than the mime-type. The FormatCode provides sufficient information to allow any potential document consumer to know if it can process and/or display by identifying a document encoding, structure and template. The actual list of codes is intended to be extensible.

InfuuskatheterTypeCodelijst

Anatomic Therapeutic Classification (ATC) - Alle waarden

G-Standaard Generieke Product Kode (GPK) - Alle waarden

Global Trade Item Number (GTIN) - Alle waarden

G-Standaard Handels Product Kode (HPK) - Alle waarden

G-Standaard Voorschrijfproducten (PRK) - Alle waarden

G-standaard Stofnaamcode (SNK) - Alle waarden

G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden

G-Standaard Artikelen (ook KNMP-nummer, ATKODE) - Alle waarden

InterpretatieVlaggenCodelijst

NIC - Alle waarden

Type of the SOAP encoded journal entry

JuridischeStatusCodelijst

Kalmte_AgitatieCodelijst

KledingCodelijst

GBA Tabel 34 (Landentabel) - Alle waarden

ISO 3166-1 (alpha-2) - Alle waarden

LateraliteitCodelijst

LevensovertuigingCodelijst

LichaamsbewegingCodelijst

LijnStatusCodelijst

LocatieGehoorapparaatCodelijst

LopenCodelijst

LumenLocatieCodelijst

MUSTGewichtsverliesScoreCodelijst

ManchetTypeCodelijst

MateVanKritiekZijnCodelijst

MedicatieToedieningRedenVanAfwijkenCodelijst

G-Standaard Toedieningswegen - Alle waarden

G-Standaard Toedieningswegen - Alle waarden

MedicatieafspraakAanvullendeInformatieCodelijst

MedicatiegebruikStopTypeCodelijst

MedicatieverstrekkingAanvullendeInformatieCodelijst

MedicatieverstrekkingDistributievormCodelijst

MedischHulpmiddelLateraliteitCodelijst

MeetLocatieCodelijst

MeetmethodeCodelijst

SNOMED CT - Alle waarden

SNOMED CT - Alle waarden

Type of encounter. Note: Historically, these codes have a leading zero, whereas these are omitted in the NHG Reference Model.

NaamgebruikCodelijst

GBA Tabel 32 (Nationaliteitentabel) - Alle waarden

NummerSoortCodelijst

LOINC - Alle waarden

SNOMED CT - Alle waarden

OntwikkelingMotoriekCodelijst

OntwikkelingSociaalCodelijst

OntwikkelingTaalCodelijst

OntwikkelingVerstandelijkCodelijst

OrderStatusCodelijst

OrganisatieTypeCodelijst

PijnLateraliteitCodelijst

PijnMeetmethodeCodelijst

PolsRegelmatigheidCodelijst

ProbleemLateraliteitCodelijst

SNOMED CT - Alle waarden binnen de SNOMED CT referentieset Diagnosethesaurus DHD (was: 2.16.840.1.113883.2.4.3.120.5.1)ICD-10 - Alle waardenSNOMED CT - Alle waarden binnen de SNOMED CT referentieset Nationale Kernset Patiëntproblemen V&VN (was: 2.16.840.1.113883.2.4.3.11.26.4)NANDA-I - Alle waardenOmaha Systems - Alle waardenICF - Alle waardenICPC-1 NL - Alle waardenG-Standaard Contra Indicaties (Tabel 40) - Alle waardenDSM-IV - Alle waardenDSM-V - Alle waarden

ProbleemStatusCodelijst

ProbleemTypeCodelijst

Anatomic Therapeutic Classification (ATC) - Alle waarden

Anatomic Therapeutic Classification (ATC) - Alle waarden

G-Standaard Generieke Product Kode (GPK) - Alle waarden

G-Standaard Generieke Product Kode (GPK) - Alle waarden

Global Trade Item Number (GTIN) - Alle waarden

Global Trade Item Number (GTIN) - Alle waarden

G-Standaard Handels Product Kode (HPK) - Alle waarden

G-Standaard Handels Product Kode (HPK) - Alle waarden

G-Standaard Voorschrijfproducten (PRK) - Alle waarden

G-Standaard Voorschrijfproducten (PRK) - Alle waarden

G-Standaard Artikelen (ook KNMP-nummer, ATKODE) - Alle waarden

G-Standaard Artikelen (ook KNMP-nummer, ATKODE) - Alle waarden

SNOMED CT - Alle waarden

ProtheseTypeCodelijst

Reden wijzigen of staken

Reden wijzigen of staken

RedenMedicatieafspraakCodelijst

RedenWijzigenOfStoppenGebruikCodelijst

ReflexenScoreCodelijst

RelatieCodelijst

ResultaatStatusCodelijst

ResultaatTypeCodelijst

RitmeCodelijst

RolCodelijst

SKGewichtsverliesScoreCodelijst

SKVoedingsScoreCodelijst

SKVoedingstoestandCodelijst

SKZiektebeeldScoreCodelijst

SNAQ65+BovenarmOmtrekScoreCodelijst

SNAQ65+EetlustScoreCodelijst

SNAQ65+GewichtsverliesScoreCodelijst

SNAQ65+InspanningsScoreCodelijst

SNAQGewichtsverliesScoreCodelijst

SNAQrcBMIScoreCodelijst

SNAQrcEetlustScoreCodelijst

SNAQrcGewichtsverliesScoreCodelijst

SNAQrcHulpBijEtenCodelijst

SchedelomvangMeetmethodeCodelijst

SondeTypeCodelijst

SoortAandoeningCodelijst

SoortHulpCodelijst

SoortInterventieCodelijst

SoortTabakGebruikCodelijst

COD016-VEKT (Vektis AGB-medische specialismen) - Alle waarden

RoleCodeNL (Zorgverlenertype (personen)) - Alle waarden

G-Standaard Handels Product Kode (HPK) - Alle waarden

G-standaard Stofnaamcode (SNK) - Alle waarden

G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden

G-standaard Ongewenste medicatiegroepen - Alle waarden

SpierspanningCodelijst

SpierspanningScoreCodelijst

ICF - Alle waarden

NOC - Alle waarden

OMAHA - Alle waarden

SNOMED CT - Alle waarden

ICF - Alle waarden

NOC - Alle waarden

OMAHA - Alle waarden

SNOMED CT - Alle waarden

StomaLateraliteitCodelijst

StomaTypeCodelijst

Stoptype

SymptoomCodelijst

TabakGebruikStatusCodelijst

TeKledenLichaamsdeelCodelijst

TeWassenLichaamsdeelCodelijst

TekstStatusCodelijst

TekstUitslagTypeCodelijst

TelecomTypeCodelijst

TemperatuurTypeCodelijst

LOINC - Alle waarden

ToedieningHulpmiddelCodelijst

ToedieningsafspraakAanvullendeInformatieCodelijst

ToedieningswegCodelijst

ToestemmingCodelijst

ToiletgebruikCodelijst

TraplopenCodelijst

TroostbaarCodelijst

UiterlijkeVerzorgingCodelijst

UitvoerenTransferCodelijst

UrineContinentieCodelijst

UrineKatheterTypeCodelijst

VerificatieStatusCodelijst

SNOMED CT - Alle waarden

G-Standaard Handels Product Kode (HPK) - Alle waarden

G-standaard Stofnaamcode (SNK) - Alle waarden

G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden

G-standaard Ongewenste medicatiegroepen - Alle waarden

VerrichtenVPKHandelingCodelijst

VerrichtingLateraliteitCodelijst

SNOMED CT - Alle waarden binnen de SNOMED CT referentieset Verrichtingenthesaurus DHD (was: 2.16.840.1.113883.2.4.3.120.5.2)

VerzekeringssoortCodelijst

VerzorgenTandenCodelijst

VisueleFunctieCodelijst

VoedingMethodeCodelijst

VoedingSoortCodelijst

VoedingsScoreCodelijst

WeekdagCodelijst

WilsverklaringTypeCodelijst

WondLateraliteitCodelijst

WondRandCodelijst

WondSoortCodelijst

WondVochtigheidCodelijst

WondWeefselOncoUlcerCodelijst

WondWeefselWCSCodelijst

WoningTypeCodelijst

ZelfstandigMedicatiegebruikCodelijst

ZichKledenCodelijst

ZichWassenCodelijst

ZiekteScoreCodelijst

ZienHulpmiddelTypeCodelijst

ZindelijkheidFecesCodelijst

ZindelijkheidUrineCodelijst

ZonodigCriteriumCodelijst

ZorgBijMenstruatieCodelijst

ZorgverlenerRolCodelijst

The pregnancy duration can be entered in days (d) or weeks (wk).

UZI registry member number (URA) for health care provider (person or organization) that requests UZI cards

Vektis AGB-z care provider table

Personal UZI number for health care provider or assistent with UZI card

HL7 RoleCodeNL Care provider type (organizations)

Citizen service number (BSN)

Unique healthcare insurance company identification (the UZOVI number).

Systems UZI number, combined with a UZI services certificate

Maps AddressType codes as found in HCIM AddressInformation (release 2017) to Address.type codes as found in FHIR STU3

Maps AddressType codes as found in HCIM AddressInformation (release 2017) to Address.use codes as found in FHIR STU3

Maps EmailAddressType codes as found in HCIM ContactInformation (release 2017) to ContactPoint.system codes as found in FHIR STU3

Maps EmailAddressType codes as found in HCIM ContactInformation (release 2017) to ContactPoint.use codes as found in FHIR STU3

Maps Gender codes as found in HCIM Patient (release 2017) to Patient.gender codes as found in FHIR STU3

Maps NameUsage codes as found in HCIM NameInformation (release 2017) to HumanName.extension(humanname-assembly-order) codes as found in FHIR STU3

Maps NumberType codes as found in HCIM ContactInformation (release 2017) to ContactPoint.use codes as found in FHIR STU3

Maps TelecomType codes as found in HCIM ContactInformation (release 2017) to ContactPoint.system codes as found in FHIR STU3

Maps TelecomType codes as found in HCIM ContactInformation (release 2017) to ContactPoint.use codes as found in FHIR STU3

Maps the HCIM AllergyIntolerance release 2017 terminology for AllergyCategorie to the FHIR STU3 terminology

Maps the HCIM AllergyIntolerance release 2017 terminology for AllergyStatus to the FHIR STU3 terminology

Maps the HCIM Contact release 2017 terminology for ContactType to the FHIR STU3 terminology associated with Encounter.class

Maps the HCIM AllgergyIntolerance release 2017 terminology for the concept Severity to the FHIR STU3 terminology associated with AllergyIntolerance.reaction.severity

Maps the HCIM LaboratoryTestResult release 2017 terminology for ResultFlags to the FHIR STU3 terminology.

Maps the HCIM AllergyIntolerance release 2017 terminology for AllergyCriticalExtent to the FHIR STU3 terminology

Maps the FHIR STU3 terminology associated with Condition.clinicalStatus to the HCIM Probleem release 2017 terminology for ProblemStatus

Maps the HCIM OverdrachtConcern release 2017 terminology for ProblemStatus to the FHIR STU3 terminology associated with Condition.clinicalStatus

Maps the HCIM Problem release 2017 terminology for VerificationStatus to the FHIR STU3 terminology associated with Condition.verificationStatus.

Maps the NHG Table 14 version 7 (September 2011) terminology for ContactType to the FHIR STU3 terminology associated with Encounter.class

Target is to be able to wash independently, with a slight impairment.

Volledig genezing van de wond.