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Zib-PressureUlcer #386

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Zib-PressureUlcer #386

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cf3f489
Branch init
Mar 3, 2022
f8f7afe
Added nl core layer
Feb 23, 2023
875026c
Merge branch 'main' into zib-PressureUlcer
May 25, 2023
d5d28e3
Bug fixes
May 31, 2023
590599c
Rework pressureUlcer profiles
May 31, 2023
2538794
Merge branch 'main' into zib-PressureUlcer
Jul 17, 2023
bcdd811
Merge branch 'main' into zib-PressureUlcer
Jul 19, 2023
03e9dd3
Added release notes
Jul 24, 2023
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8 changes: 7 additions & 1 deletion known-issues.yml
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Expand Up @@ -525,7 +525,13 @@ zib-Payer-Organization:
reason: ContactInformation in FHIR is represented using the ContactPoint datatype, not as a separate resource. Because the FHIR profile for ContactInformation consists of two parts, the root concept of the ContactInformation is mapped on .telecom.
Organization.address:
- datatype: Address instead of a reference
reason: An address in FHIR is represented using the Address datatype, not as a separate resource.
reason: An address in FHIR is represented using the Address datatype, not as a separate resource.

zib-PressureUlcer:
zib deviations:
Condition.bodySite:
- datatype: CodeableConcept instead of a reference
reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.

zib-Problem:
zib deviations:
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3 changes: 3 additions & 0 deletions release-notes.md
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Expand Up @@ -293,6 +293,9 @@ This document contains release notes per zib, indicating differences with their
## zib-Pregnancy.PregnancyDuration
* The zib-Pregnancy extension has moved from `Observation.extension` to `Observation.focus`.

## zib-PressureUlcer
* The concept of 'dateOfLastDressingChange' has been relocated to the Wound Characteristics profile.

## zib-Problem
* ProblemType has been added on a slice of `Condition.category` allowing the category element to be used for other purposes too.
* FurtherSpecificationProblemName has been added with an extension on `Condition.code`.
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44 changes: 44 additions & 0 deletions resources/nl-core/nl-core-PressureUlcer.xml
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<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="nl-core-PressureUlcer" />
<url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-PressureUlcer" />
<name value="NlcorePressureUlcer" />
<title value="nl core PressureUlcer" />
<status value="draft" />
<publisher value="Nictiz" />
<contact>
<name value="Nictiz" />
<telecom>
<system value="url" />
<value value="https://www.nictiz.nl" />
<use value="work" />
</telecom>
</contact>
<description value="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.&#xD;&#xA;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." />
<purpose value="A derived profile from [zib-PressureUlcer](http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
<copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<uri value="https://zibs.nl/wiki/PressureUlcer-v3.4(2020EN)" />
<name value="zib PressureUlcer-v3.4(2020EN)" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Condition" />
<baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer" />
<derivation value="constraint" />
<differential>
<element id="Condition">
<path value="Condition" />
<alias value="nl-core-PressureUlcer" />
</element>
<element id="Condition.subject">
<path value="Condition.subject" />
<type>
<code value="Reference" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
</type>
</element>
</differential>
</StructureDefinition>
154 changes: 154 additions & 0 deletions ...DecubitusCategorieCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20200901000000.xml
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<ValueSet xmlns="http://hl7.org/fhir">
<id value="2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20200901000000"/>
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/><!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
</meta>
<extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
<valuePeriod>
<start value="2020-09-01T00:00:00+01:00"/>
</valuePeriod>
</extension>
<url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1--20200901000000"/>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1"/>
</identifier>
<version value="2020-09-01T00:00:00"/>
<name value="DecubitusCategorieCodelijst"/>
<title value="DecubitusCategorieCodelijst"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="Registratie aan de bron"/>
<contact>
<name value="Registratie aan de bron"/>
<telecom>
<system value="url"/>
<value value="https://www.registratieaandebron.nl"/>
</telecom>
<telecom>
<system value="url"/>
<value value="https://www.zibs.nl"/>
</telecom>
</contact>
<description value="DecubitusCategorieCodelijst"/>
<immutable value="false"/>
<copyright value="This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."/>
<compose>
<include>
<system value="http://snomed.info/sct"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Decubitus categorie 1"/>
</extension>
<code value="421076008"/>
<display value="decubitus graad 1"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Pressure ulcer stage 1"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="decubitus graad 1"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Decubitus categorie 2"/>
</extension>
<code value="420324007"/>
<display value="decubitus graad 2"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Pressure ulcer stage 2"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="decubitus graad 2"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Decubitus categorie 3"/>
</extension>
<code value="421927004"/>
<display value="decubitus graad 3"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Pressure ulcer stage 3"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="decubitus graad 3"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Decubitus categorie 4"/>
</extension>
<code value="420597008"/>
<display value="decubitus graad 4"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Pressure ulcer stage 4"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="decubitus graad 4"/>
</designation>
</concept>
</include>
</compose>
</ValueSet>
113 changes: 113 additions & 0 deletions resources/zib/zib-PressureUlcer.xml
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<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="zib-PressureUlcer" />
<url value="http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer" />
<name value="ZibPressureUlcer" />
<title value="zib PressureUlcer" />
<status value="draft" />
<publisher value="Nictiz" />
<contact>
<name value="Nictiz" />
<telecom>
<system value="url" />
<value value="https://www.nictiz.nl" />
<use value="work" />
</telecom>
</contact>
<description value="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.&#xD;&#xA;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." />
<purpose value="This Condition resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) PressureUlcer-v3.4(2020EN)](https://zibs.nl/wiki/PressureUlcer-v3.4(2020EN))." />
<copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<uri value="https://zibs.nl/wiki/PressureUlcer-v3.4(2020EN)" />
<name value="zib PressureUlcer-v3.4(2020EN)" />
</mapping>
<kind value="resource" />
<abstract value="true" />
<type value="Condition" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
<derivation value="constraint" />
<differential>
<element id="Condition.code">
<path value="Condition.code" />
<patternCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="399912005" />
</coding>
</patternCodeableConcept>
</element>
<element id="Condition.bodySite">
<path value="Condition.bodySite" />
<short value="Location / AnatomicalLocation" />
<definition value="The location of the decubitus wound on the body." />
<alias value="AnatomischeLocatie" />
<max value="1" />
<type>
<code value="CodeableConcept" />
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation" />
</type>
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<map value="NL-CM:19.1.14" />
<comment value="AnatomicalLocation" />
</mapping>
</element>
<element id="Condition.onset[x]">
<path value="Condition.onset[x]" />
<slicing>
<discriminator>
<type value="type" />
<path value="$this" />
</discriminator>
<rules value="open" />
</slicing>
</element>
<element id="Condition.onset[x]:onsetDateTime">
<path value="Condition.onset[x]" />
<sliceName value="onsetDateTime" />
<short value="DateOfOnset" />
<definition value="The date on which the pressure ulcer appeared." />
<alias value="OntstaansDatum" />
<type>
<code value="dateTime" />
</type>
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<map value="NL-CM:19.1.3" />
<comment value="DateOfOnset" />
</mapping>
</element>
<element id="Condition.stage">
<path value="Condition.stage" />
<max value="1" />
</element>
<element id="Condition.stage.summary">
<path value="Condition.stage.summary" />
<short value="DecubitusCategory" />
<definition value="Description of the condition of the pressure ulcer, ranging from category 1 - 4." />
<alias value="DecubitusCategorie" />
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<map value="NL-CM:19.1.2" />
<comment value="DecubitusCategory" />
</mapping>
</element>
<element id="Condition.note">
<path value="Condition.note" />
<max value="1" />
</element>
<element id="Condition.note.text">
<path value="Condition.note.text" />
<short value="Comment" />
<definition value="A comment of the decubitus wound." />
<alias value="Toelichting" />
<mapping>
<identity value="zib-pressureulcer-v3.4-2020EN" />
<map value="NL-CM:19.1.5" />
<comment value="Comment" />
</mapping>
</element>
</differential>
</StructureDefinition>
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