vpk:V3.1 FHIR eOverdracht: verschil tussen versies

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(Added the Comfortscore, FLACCPijnscore and ChecklijstPijnscore elements to the Child (0-1) overdrachtsbericht table)
 
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Regel 1: Regel 1:
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{{#customtitle:FHIR Implementation Guide eOverdracht v3.1|FHIR Implementation Guide eOverdracht v3.1}}
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{{DISPLAYTITLE:eOverdracht FHIR Implementation Guide}}
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{{IssueBox|Work in progress - See [[vpk:V3.1_FHIR_eOverdracht_Proeftuin|official publication]] here.}}
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=Introduction=
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 +
This page details the HL7 FHIR requirements for exchanging the data in the eOverdracht described in [[vpk:V3.1_Ontwerp_eOverdracht|the functional design]].
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 +
Implementation of these transactions is spread over multiple phases. In the first phase of the Proeftuin a simplified version of both the Aanmeldbericht en Overdrachtsbericht are being used. Both messages exist of four HCIMs listed in the table below. The Aanmeldbericht is send to the recieving organisation, which after confirmation of recieving the aanmeldberricht, gets send the Overdrachtbericht.
 +
Phase two consists of the complete Aanmeldbericht as well as an incomplete Overdrachtsbericht. The Overdrachtsbericht is a subset of 11 HCIM's (complete set used in Aanmeldbericht) and an unstructured PDF containing the remaining data which are not part of the HCIM's.
 +
Phase three is the complete dataset of the Aanmeldbericht, Overdrachtsbericht Volwassenen, Overdrachtsbericht Kinderen 0-1 jaar, Overdrachtsbericht Kinderen 1-18 jaar as PUSH messages.
 +
 
 +
This implementation guide assumes that the reader is familiar with [https://www.hl7.org/fhir/stu3/ FHIR(STU3)].
  
 +
==Overarching FHIR principles==
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* This implementation guide does not provide information on finding the right XIS, nor does it provide information about security. It is assumed that the sending XIS is able to make a connection with the receiving XIS.
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* All FHIR resources used within eOverdracht SHALL conform to the profiles listed in this implementation guide and SHALL include the profile canonical URL in their <code>meta.profile</code> element.
  
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=Introduction=
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==Package and dependencies==
 +
eOverdracht uses the FHIR Packaging mechanism to conveniently bundle all examples, profiles and other conformance resources you need into a single download. The eOverdracht package has a dependency on the [https://simplifier.net/NictizSTU3-Zib2017/~packages Nictiz Zib2017 package {{VersieInfo|package|release=V2019.01}}].
 +
==Example instances==
 +
Example instances of the FHIR messages can be found on [https://simplifier.net/nictiz-stu3-eoverdracht Simplifier]:
 +
* [https://simplifier.net/nictiz-stu3-eoverdracht/~resources?category=Example&exampletype=Composition Composition examples]
 +
* [https://simplifier.net/nictiz-stu3-eoverdracht/~resources?category=Example&exampletype=Bundle Bundle examples]
 +
 
 +
=Use case 1A: Send Overdrachtsbericht volwassenen (PUSH)=
 +
'''NB:''' The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.
 +
==Introduction==
 +
The Send Overdrachtsbericht scenario is used by the sending XIS to send the relevant data for the patient care to the receiving XIS. The structure of the eventual scenario is described in the functional design and additionally in [[vpk:V3.1_Opbouw_eOverdracht_volwassenen|Opbouw Overdrachtsbericht Volwassenen]].
 +
==Actors==
 +
{| class="wikitable" "cellpadding="10"
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! style="text-align:left;"| '''Transaction group'''
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! style="text-align:left;"| '''Transaction'''
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! style="text-align:left;"| '''Actor'''
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! style="text-align:left;"| '''Role'''
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|-
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|style="background-color: white;" rowspan="2"|Send Overdrachtbericht (PUSH)
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|style="background-color: white;" rowspan="2"|Send Overdrachtsbericht
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|style="background-color: white;"|Healthcare professional at organization A (using a XIS)
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|style="background-color: white;"|Sends Overdrachtsbericht
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|-
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|style="background-color: white;"|Healthcare professional at organization B (using a XIS)
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|style="background-color: white;"|Receives Overdrachtsbericht
 +
|}
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==Invocation==
 +
The Send Overdrachtsbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to [[#Structure of the Overdrachtsbericht (complete)]]. See [[#Sending documents]] for more information.
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===Trigger events===
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This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.
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===Expected response===
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The document Bundle should be processed as a [http://hl7.org/fhir/STU3/http.html#transaction transaction] by the receiving XIS. See [[#Processing documents]] for more information.
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==Structure of the Overdrachtsbericht (complete)==
 +
The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See [[#Creating documents]] for information on how to assemble this document.
 +
 
 +
The table below lists the FHIR profiles<ref name="nopackage">Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.</ref> that are applicable for the pilot implementation of the Overdrachtsbericht transaction.
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 +
{| class="wikitable" style="horizontal-align: right"
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | Section
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | FHIR profile
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | FHIR resource
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM name
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM version
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Remarks
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Administratieve gegevens
 +
|-
 +
| -
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht}}
 +
| Composition
 +
| -
 +
| -
 +
| Declaration of the Send Aanmeldbericht transaction.
 +
|-
 +
| Datum overplaatsing
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate|title=eOverdracht-TransferDate}}
 +
| -
 +
| -
 +
| -
 +
| DateTime extension used in eOverdracht composition profiles
 +
|-
 +
| rowspan="4"|Persoonsgegevens
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 +
| Patient
 +
| v3.1(2017NL)
 +
| -
 +
|-
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| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Payer|title=zib-Payer}}
 +
| Coverage
 +
| Betaler
 +
| v3.1(2017NL)
 +
| -
 +
|-
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|title=nl-core-relatedperson}}
 +
| RelatedPerson
 +
| rowspan="2"|Contactpersoon
 +
| v3.1(2017NL)
 +
| -
 +
|-
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 +
| v3.1(2017NL)
 +
| -
 +
|-
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| Sturende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| Organization
 +
| Zorgaanbieder
 +
| v3.1.1(2017NL)
 +
| -
 +
|-
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| Ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| Organization
 +
| Zorgaanbieder
 +
| v3.1.1(2017NL)
 +
| -
 +
|-
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| rowspan="2"| Zorgverlener sturende organisatie
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 +
| Practitioner
 +
| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
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| rowspan="2"| -
 +
|-
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
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| PractitionerRole
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|-
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| rowspan="2"| Zorgverlener ontvangende organisatie
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 +
| Practitioner
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| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
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| rowspan="2"| -
 +
|-
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| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
 +
| PractitionerRole
 +
|-
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| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Algemene patiënten context
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|-
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| Gezinssituatie
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| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation|title=zib-FamilySituation}}
 +
| FamilySituation
 +
| Gezinssituatie
 +
| v3.1(2017NL)
 +
| -
 +
|-
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| Woonomgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation|title=zib-LivingSituation}}
 +
| Woonsituatie
 +
| LivingSituation
 +
| v3.1 (2017NL)
 +
| -
 +
|-
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| rowspan="2"| Levensovertuiging
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance|title=zib-LifeStance}}
 +
| Levensovertuiging
 +
| LifeStance
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective|title=zib-AdvanceDirective}}
 +
| Wilsverklaring
 +
| AdvanceDirective
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Sociale omgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ParticipationInSociety|title=zib-ParticipationInSociety}}
 +
| ParticipatieInMaatschappij
 +
| ParticipationInSociety
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HelpFromOthers|title=zib-HelpFromOthers}}
 +
| HulpVanAnderen
 +
| HelpFromOthers
 +
| v3.0 (2017NL)
 +
| -
 +
|-
 +
| Communicatie
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/patient-proficiency|title=patient-proficiency}}
 +
| Taalvaardigheid
 +
| LanguageProfeciency
 +
| v3.1(2017NL)
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Medische context
 +
|-
 +
| Medische diagnose
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
|-
 +
| Voorgeschiedenis
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
| Let op
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Alert|title=zib-Alert}}
 +
| Flag
 +
| Alert
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| Vrijheidsbeperking
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures|title=zib-FreedomRestrictingMeasures}}
 +
| Procedure
 +
| VrijheidsBeperkendeMaatregelen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Meetwaarden
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|title=zib-BloodPressure}}
 +
| Observation
 +
| Bloeddruk
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate|title=zib-PulseRate}}
 +
| Observation
 +
| PolsFrequentie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|title=zib-BodyTemperature}}
 +
| Observation
 +
| Lichaamstemperatuur
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Respiration|title=zib-Respiration}}
 +
| Observation
 +
| Ademhaling
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|title=zib-BodyWeight}}
 +
| Observation
 +
| Lichaamsgewicht
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|title=zib-BodyHeight}}
 +
| Observation
 +
| Lichaamslengte
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| [https://zibs.nl/wiki/AlgemeneMeting-v3.0(2017NL) AlgemeneMeting]
 +
| Observation
 +
| AlgemeneMeting
 +
| v3.0(2017NL)
 +
| No FHIR profile is available yet for this HCIM.
 +
|-
 +
| Pijnscore
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PainScore|title=zib-PainScore}}
 +
| Observation
 +
| Pijnscore
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: zorgplan
 +
|-
 +
| rowspan="3"| Actuele patiëntenproblemen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective|title=zib-TreatmentObjective}}
 +
| Goal
 +
| Behandeldoel
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention|title=zib-NursingIntervention}}
 +
| Procedure
 +
| VerpleegkundigeInterventie
 +
| v3.2(2018NL)
 +
| -
 +
|-
 +
| Zorgresultaat
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OutcomeOfCare|title=zib-OutcomeOfCare}}
 +
| DiagnisticReport
 +
| UitkomstVanZorg
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="3"|Afspraken patiënt
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest|title=zib-ProcedureRequest}}
 +
| ProcedureRequest
 +
| rowspan="3"|OverdrachtGeplandeZorgActiviteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment|title=eAfspraak-Appointment}}
 +
| Appointment
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation|title=zib-VaccinationRecommendation}}
 +
| ImmunizationRecommendation
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Wensen en behoeften patiënt en/of naasten
 +
| -
 +
| -
 +
| -
 +
| -
 +
| Declared as a text section. See {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht profile}}.
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: specificatie gezondheidstoestand
 +
|-
 +
| rowspan="12"| Zelfzorg
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDrink|title=zib-AbilityToDrink}}
 +
| Observation
 +
| VermogenTotDrinken
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToEat|title=zib-AbilityToEat}}
 +
| Observation
 +
| VermogenTotEten
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities|title=zib-AbilityToPerformMouthcareActivities}}
 +
| Observation
 +
| rowspan="3"|VermogenTotMondverzorging
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDevice|title=zib-AbilityToPerformMouthcareActivities-MedicalDevice}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct|title=zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToWashOneSelf|title=zib-AbilityToWashOneSelf}}
 +
| Observation
 +
| VermogenTotZichWassen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDressOneself|title=zib-AbilityToDressOneself}}
 +
| Observation
 +
| VermogenTotZichKleden
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToGroome|title=zib-AbilityToGroome}}
 +
| Observation
 +
| VermogenTotUiterlijkeVerzorging
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToUseToilet|title=zib-AbilityToUseToilet}}
 +
| Observation
 +
| VermogenTotToiletgang
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToManageMedication|title=zib-AbilityToManageMedication}}
 +
| Observation
 +
| VermogenTotZelfstandigMedicatiegebruik
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformNursingActivities|title=zib-AbilityToPerformNursingActivities}}
 +
| Observation
 +
| VermogenTotVerpleegtechnischeHandelingen
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| toelichting zelfzorg
 +
| -
 +
| Explanation selfcare
 +
| -
 +
| Free text
 +
|-
 +
| Mobiliteit
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Mobility|title=zib-Mobility}}
 +
| Observation
 +
| Mobiliteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Voeding/vocht
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice|title=zib-NutritionAdvice}}
 +
| NutritionOrder
 +
| Voedingsadvies
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SNAQScore|title=zib-SNAQScore}}
 +
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SNAQrcScore|title=zib-SNAQrcScore}}
  
 +
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SNAQrcScore|title=zib-SNAQ65+Score}}
  
−
=Actors involved=
+
{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-MUSTScore|title=zib-MUSTScore}}
 +
| Observation
 +
| SNAQScore
  
 +
SNAQrcScore
  
−
etc
+
SNAQ65+Score
  
 +
MUSTScore
 +
|v3.1(2017NL)
  
−
==List of StructureDefinitions==
+
v1.0(2017NL)
−
The profiles represent their entire respective HCIM and are applicable in a broader context than the exchange of GGZ information.  
 
  
−
A package is available that conveniently bundles all examples, profiles and other conformance resources you need into a single download. This version of the information standard depends on [https://simplifier.net/packages/nictiz.fhir.nl.stu3.zib2017 '''Nictiz package 1.1.X'''] Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.
+
v1.0(2017NL)
  
−
The FHIR Packaging mechanism to support consistent versioning of profiles and related conformance resources such as OperationDefinitions. FHIR Packaging is based on the NPM Packaging mechanism and offers developers a convenient way to include the conformance resources in their favorite IDE. The relevant package version is indicated and linked in the information standards technical design page.
+
v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance|title=zib-FluidBalance}}
 +
| Observation
 +
| Vochtbalans
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem|title=zib-FeedingTubeSystem}}
 +
| DeviceUseStatement
 +
| rowspan="2"|SondeSysteem
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-Product|title=zib-FeedingTubeSystem-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion|title=zib-Infusion}}
 +
| DeviceUseStatement
 +
| rowspan="2"|Infuus
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion-Product|title=zib-Infusion-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="3"|Uitscheiding
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction|title=zib-BladderFunction}}
 +
| Observation
 +
| Blaasfunctie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction|title=zib-BowelFunction}}
 +
| Observation
 +
| Darmfunctie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Stoma|title=zib-Stoma}}
 +
| Observation
 +
| Stoma
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="4"| Huid
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound|title=zib-Burnwound}}
 +
| Condition
 +
| Brandwond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer|title=zib-PressureUlcer}}
 +
| Condition
 +
| DecubitusWond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SkinDisorder|title=zib-SkinDisorder}}
 +
| Condition
 +
| Huidaandoening
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Wound|title=zib-Wound}}
 +
| Condition
 +
| Wond
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="6"| Zintuigen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction|title=zib-HearingFunction}}
 +
| Observation
 +
| rowspan="3"| FunctieHoren
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid|title=zib-HearingFunction-HearingAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid-Product|title=zib-HearingFunction-HearingAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction|title=zib-VisualFunction}}
 +
| Observation
 +
| rowspan="3"|FunctieZien
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid|title=zib-VisualAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAidProduct|title=zib-VisualAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Ziektebeleving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-IllnessPerception|title=zib-IllnessPerception}}
 +
| Observation
 +
| Ziektebeleving
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Mentale status
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Voortplanting
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy|title=zib-Pregnancy}}
 +
| Condition
 +
| Zwangerschap
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyStatus|title=zib-Pregnancy-PregnancyStatus}}
 +
| Observation
 +
| Zwanger
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-TermDate|title=zib-Pregnancy-TermDate}}
 +
| Observation
 +
| ATermDatum
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyDuration|title=zib-PregnancyDuration}}
 +
| Observation
 +
| Zwangerschapsduur
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity|title=zib-Pregnancy-Parity}}
 +
| Observation
 +
| Pariteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity|title=zib-Pregnancy-Gravidity}}
 +
| Observation
 +
| Graviditeit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation|title=zib-Pregnancy-DatelastMenstruation}}
 +
| Observation
 +
| DatumLaatsteMenstruatie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
|}
  
−
For even more background information:
+
=Use Case 2A: Send overdrachtsbericht kindzorg=
−
* [https://blog.fire.ly/2017/11/28/versioning-and-canonical-urls/ What is the problem that packaging could address]
+
'''NB:''' The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.
−
* [https://simplifier.net/organization/firely/news/55 Introducing the Simplifier FHIR Package Server] (includes what problem packaging addresses)
+
==Introduction==
−
* [https://simplifier.net/organization/firely/news/56 Firely Torinox introduction] (this is one of the tools that's useful for working with FHIR packages)
+
The Send Overdrachtsbericht scenario is used by the sending XIS to send the relevant data for the patient care to the receiving XIS.
−
* [http://wiki.hl7.org/index.php?title=FHIR_NPM_Package_Spec The HL7 wiki that outlines the base specification]
+
For the use case "kindzorg" we distinquish between two age categories:
 +
* Child between 0-1 years of age (zie ook [[vpk:v3.1_Opbouw_eOverdracht_kind_0_1|inhoudelijke opbouw van de verpleegkundige overdracht voor kinderen tussen 0-1 jaar]])
 +
* Child between 1-18 years of age (zie ook [[vpk:v3.1_Opbouw_eOverdracht_kind_1_18|inhoudelijke opbouw van de verpleegkundige overdracht voor kinderen tussen 1-18 jaar]])
 +
==Actors==
 +
{| class="wikitable" "cellpadding="10"
 +
! style="text-align:left;"| '''Transaction group'''
 +
! style="text-align:left;"| '''Transaction'''
 +
! style="text-align:left;"| '''Actor'''
 +
! style="text-align:left;"| '''Role'''
 +
|-
 +
|style="background-color: white;" rowspan="2"|Send Overdrachtbericht (PUSH)
 +
|style="background-color: white;" rowspan="2"|Send Overdrachtsbericht
 +
|style="background-color: white;"|Healthcare professional at organization A (using a XIS)
 +
|style="background-color: white;"|Sends Overdrachtsbericht
 +
|-
 +
|style="background-color: white;"|Healthcare professional at organization B (using a XIS)
 +
|style="background-color: white;"|Receives Overdrachtsbericht
 +
|}
 +
==Invocation==
 +
The Send Overdrachtsbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to [[#Structure of the Overdrachtsbericht (Child 0-1)]] or [[#Structure of Overdrachtsbericht (Child 1-18)]]. See [[#Sending documents]] for more information.
 +
===Trigger events===
 +
This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.
 +
===Expected response===
 +
The document Bundle should be processed as a [http://hl7.org/fhir/STU3/http.html#transaction transaction] by the receiving XIS. See [[#Processing documents]] for more information.
  
−
{{NoteBox|It is '''not''' required to implement FHIR based information standards using the packaging mechanism. It is still possible to download all or selected resources from Simplifier on as-needed basis. You are however encouraged to invest in dealing with packages.}}
+
==Structure of the Overdrachtsbericht (Child 0-1)==
 +
The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See [[#Creating documents]] for information on how to assemble this document.
  
−
{| class="wikitable" style="horizontal-align: right"  
+
The table below lists the FHIR profiles<ref name="nopackage">Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.</ref> that are applicable for the implementation of the Overdrachtsbericht transaction.
−
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Zib naam
+
{| class="wikitable" style="horizontal-align: right"
−
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Zib versie
+
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | Section
−
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | FHIR Resource
+
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | FHIR profile
−
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | FHIR Profile
+
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | FHIR resource
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM name
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM version
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Remarks
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Administratieve gegevens
 +
|-
 +
| -
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht}}
 +
| Composition
 +
| -
 +
| -
 +
| Declaration of the Send Aanmeldbericht transaction.
 +
|-
 +
| Datum overplaatsing
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate|title=eOverdracht-TransferDate}}
 +
| -
 +
| -
 +
| -
 +
| DateTime extension used in eOverdracht composition profiles
 
|-
 
|-
 +
| rowspan="4"|Persoonsgegevens
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 
| Patient
 
| Patient
 
| v3.1(2017NL)
 
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Payer|title=zib-Payer}}
 +
| Coverage
 +
| Betaler
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|title=nl-core-relatedperson}}
 +
| RelatedPerson
 +
| rowspan="2"|Contactpersoon
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 
| Patient
 
| Patient
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://fhir.nl/fhir/StructureDefinition/nl-core-patient http://fhir.nl/fhir/StructureDefinition/nl-core-patient]
+
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Sturende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| Organization
 +
| Zorgaanbieder
 +
| v3.1.1(2017NL)
 +
| -
 
|-
 
|-
 +
| Ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| Organization
 +
| Zorgaanbieder
 +
| v3.1.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Zorgverlener sturende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 +
| Practitioner
 +
| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
 +
| rowspan="2"| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
 +
| PractitionerRole
 +
|-
 +
| rowspan="2"| Zorgverlener ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 +
| Practitioner
 +
| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
 +
| rowspan="2"| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
 +
| PractitionerRole
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Algemene patiënten contact
 +
|-
 +
| Gezinssituatie
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation|title=zib-FamilySituation}}
 +
| FamilySituation
 +
| Gezinssituatie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Woonomgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation|title=zib-LivingSituation}}
 +
| Woonsituatie
 +
| LivingSituation
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Levensovertuiging
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance|title=zib-LifeStance}}
 +
| Levensovertuiging
 +
| LifeStance
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective|title=zib-AdvanceDirective}}
 +
| Wilsverklaring
 +
| AdvanceDirective
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Sociale omgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ParticipationInSociety|title=zib-ParticipationInSociety}}
 +
| ParticipatieInMaatschappij
 +
| ParticipationInSociety
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HelpFromOthers|title=zib-HelpFromOthers}}
 +
| HulpVanAnderen
 +
| HelpFromOthers
 +
| v3.0 (2017NL)
 +
| -
 +
|-
 +
| Communicatie
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/patient-proficiency|title=patient-proficiency}}
 +
| Taalvaardigheid
 +
| LanguageProfeciency
 +
| v3.1(2017NL)
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Medische context
 +
|-
 +
| Medische diagnose
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
|-
 +
| Voorgeschiedenis
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
| Let op
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Alert|title=zib-Alert}}
 +
| Flag
 +
| Alert
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| Vrijheidsbeperking
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures|title=zib-FreedomRestrictingMeasures}}
 +
| Procedure
 +
| VrijheidsBeperkendeMaatregelen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="9"| Meetwaarden
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|title=zib-BloodPressure}}
 +
| Observation
 +
| Bloeddruk
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate|title=zib-PulseRate}}
 +
| Observation
 +
| PolsFrequentie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|title=zib-BodyTemperature}}
 +
| Observation
 +
| Lichaamstemperatuur
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Respiration|title=zib-Respiration}}
 +
| Observation
 +
| Ademhaling
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|title=zib-BodyWeight}}
 +
| Observation
 +
| Lichaamsgewicht
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|title=zib-BodyHeight}}
 +
| Observation
 +
| Lichaamslengte
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeadCircumference|title=zib-HeadCircumference}}
 +
| Observation
 +
| Schedelomvang
 +
| v1.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ApgarScore|title=zib-ApgarScore}}
 +
| Observation
 +
| ApgarScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| [https://zibs.nl/wiki/AlgemeneMeting-v3.0(2017NL) AlgemeneMeting]
 +
| Observation
 +
| AlgemeneMeting
 +
| v3.0(2017NL)
 +
| No fhir profile is available yet for this HCIM.
 +
|-
 +
| rowspan="4"|Pijnscore
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PainScore|title=zib-PainScore}}
 +
| Observation
 +
| Pijnscore
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ComfortScale|title=zib-ComfortScale}}
 +
| Observation
 +
| ComfortScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FLACCPainScale|title=zib-FLACCPainScale}}
 +
| Observation
 +
| FLACCPijnScore
 +
| v1.0(2017)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ChecklistPainBehaviour|title=zib-ChecklistPainBehaviour}}
 +
| Observation
 +
| ChecklijstPijnScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: zorgplan
 +
|-
 +
| rowspan="3"| Actuele patiëntenproblemen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective|title=zib-TreatmentObjective}}
 +
| Goal
 +
| Behandeldoel
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention|title=zib-NursingIntervention}}
 +
| Procedure
 +
| VerpleegkundigeInterventie
 +
| v3.2(2018NL)
 +
| -
 +
|-
 +
| Zorgresultaat
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OutcomeOfCare|title=zib-OutcomeOfCare}}
 +
| DiagnisticReport
 +
| UitkomstVanZorg
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="3"|Afspraken patiënt
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest|title=zib-ProcedureRequest}}
 +
| ProcedureRequest
 +
| rowspan="3"|OverdrachtGeplandeZorgActiviteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment|title=eAfspraak-Appointment}}
 +
| Appointment
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation|title=zib-VaccinationRecommendation}}
 +
| ImmunizationRecommendation
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Wensen en behoeften patiënt en/of naasten
 +
| -
 +
| -
 +
| -
 +
| -
 +
| Declared as a text section. See {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht profile}}.
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: specificatie gezondheidstoestand
 +
|-
 +
| rowspan="2"| Zelfzorg
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformNursingActivities|title=zib-AbilityToPerformNursingActivities}}
 +
| Observation
 +
| VermogenTotVerpleegtechnischeHandelingen
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| toelichting zelfzorg
 +
| -
 +
| Explanation selfcare
 +
| -
 +
| Free text
 +
|-
 +
| rowspan="8"| Voeding/vocht
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice|title=zib-NutritionAdvice}}
 +
| NutritionOrder
 +
| Voedingsadvies
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingPatternInfant|title=zib-FeedingPatternInfant}}
 +
| Observation
 +
| VoedingspatroonZuigeling
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-StrongKidsScore|title=zib-StrongKidsScore}}
 +
| Observation
 +
| StrongKidsScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance|title=zib-FluidBalance}}
 +
| Observation
 +
| Vochtbalans
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem|title=zib-FeedingTubeSystem}}
 +
| DeviceUseStatement
 +
| rowspan="2"|SondeSysteem
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-Product|title=zib-FeedingTubeSystem-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion|title=zib-Infusion}}
 +
| DeviceUseStatement
 +
| rowspan="2"|Infuus
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion-Product|title=zib-Infusion-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="3"|Uitscheiding
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction|title=zib-BladderFunction}}
 +
| Observation
 +
| Blaasfunctie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction|title=zib-BowelFunction}}
 +
| Observation
 +
| Darmfunctie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Stoma|title=zib-Stoma}}
 +
| Observation
 +
| Stoma
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="4"| Huid
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound|title=zib-Burnwound}}
 +
| Condition
 +
| Brandwond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer|title=zib-PressureUlcer}}
 +
| Condition
 +
| DecubitusWond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SkinDisorder|title=zib-SkinDisorder}}
 +
| Condition
 +
| Huidaandoening
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Wound|title=zib-Wound}}
 +
| Condition
 +
| Wond
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="6"| Zintuigen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction|title=zib-HearingFunction}}
 +
| Observation
 +
| rowspan="3"| FunctieHoren
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid|title=zib-HearingFunction-HearingAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid-Product|title=zib-HearingFunction-HearingAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction|title=zib-VisualFunction}}
 +
| Observation
 +
| rowspan="3"|FunctieZien
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid|title=zib-VisualAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid-Product|title=zib-VisualAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Ziektebeleving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-IllnessPerception|title=zib-IllnessPerception}}
 +
| Observation
 +
| Ziektebeleving
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Mentale status
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| Ontwikkeling kind
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-DevelopmentChild|title=zib-DevelopmentChild}}
 +
| Observation
 +
| Ontwikkeling kind
 +
| v1.1(2017NL)
 +
| -
 +
|-
 +
| Overige bijzonderheden kind
 +
| -
 +
| Free text
 +
| -
 +
| -
 +
| Free text for particularities child
 +
|-
 +
|}
 +
 +
==Structure of Overdrachtsbericht (Child 1-18)==
 +
The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See [[#Creating documents]] for information on how to assemble this document.
 +
 +
The table below lists the FHIR profiles<ref name="nopackage">Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.</ref> that are applicable for the implementation of the Overdrachtsbericht transaction.
 +
{| class="wikitable" style="horizontal-align: right"
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | Section
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | FHIR profile
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | FHIR resource
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM name
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM version
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Remarks
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Administratieve gegevens
 +
|-
 +
| -
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht}}
 +
| Composition
 +
| -
 +
| -
 +
| Declaration of the Send Aanmeldbericht transaction.
 +
|-
 +
| Datum overplaatsing
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate|title=eOverdracht-TransferDate}}
 +
| -
 +
| -
 +
| -
 +
| DateTime extension used in eOverdracht composition profiles
 +
|-
 +
| rowspan="4"|Persoonsgegevens
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 +
| Patient
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Payer|title=zib-Payer}}
 +
| Coverage
 
| Betaler
 
| Betaler
 
| v3.1(2017NL)
 
| v3.1(2017NL)
−
| Coverage
+
| -
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Payer http://nictiz.nl/fhir/StructureDefinition/zib-Payer]
+
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|title=nl-core-relatedperson}}
 +
| RelatedPerson
 +
| rowspan="2"|Contactpersoon
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
 +
| Sturende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| Organization
 
| Zorgaanbieder
 
| Zorgaanbieder
 
| v3.1.1(2017NL)
 
| v3.1.1(2017NL)
 +
| -
 +
|-
 +
| Ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 
| Organization
 
| Organization
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://fhir.nl/fhir/StructureDefinition/nl-core-organization http://fhir.nl/fhir/StructureDefinition/nl-core-organization]
+
| Zorgaanbieder
 +
| v3.1.1(2017NL)
 +
| -
 
|-
 
|-
−
| rowspan="2" |Zorgverlener
+
| rowspan="2"| Zorgverlener sturende organisatie
−
| rowspan="2" |v3.2(2017NL)
+
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 
| Practitioner
 
| Practitioner
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]
+
| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
 +
| rowspan="2"| -
 
|-
 
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
 
| PractitionerRole
 
| PractitionerRole
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole]
 
 
|-
 
|-
 +
| rowspan="2"| Zorgverlener ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner|title=nl-core-practitioner}}
 +
| Practitioner
 +
| rowspan="2"| Zorgverlener
 +
| rowspan="2"| v3.1.1(2017NL)
 +
| rowspan="2"| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole|title=nl-core-practitionerrole}}
 +
| PractitionerRole
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Algemene patiënten context
 +
|-
 +
| Gezinssituatie
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FamilySituation|title=zib-FamilySituation}}
 +
| FamilySituation
 +
| Gezinssituatie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Woonomgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation|title=zib-LivingSituation}}
 +
| Woonsituatie
 +
| LivingSituation
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Levensovertuiging
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance|title=zib-LifeStance}}
 +
| Levensovertuiging
 +
| LifeStance
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective|title=zib-AdvanceDirective}}
 +
| Wilsverklaring
 +
| AdvanceDirective
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| rowspan="2"| Sociale omgeving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ParticipationInSociety|title=zib-ParticipationInSociety}}
 +
| ParticipatieInMaatschappij
 +
| ParticipationInSociety
 +
| v3.1 (2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HelpFromOthers|title=zib-HelpFromOthers}}
 +
| HulpVanAnderen
 +
| HelpFromOthers
 +
| v3.0 (2017NL)
 +
| -
 +
|-
 +
| Communicatie
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/patient-proficiency|title=patient-proficiency}}
 +
| Taalvaardigheid
 +
| LanguageProfeciency
 +
| v3.1(2017NL)
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Medische context
 +
|-
 +
| Medische diagnose
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 
| Probleem
 
| Probleem
−
| v4.1(2017NL)
+
| v4.1(2017NL
 +
| -
 +
|-
 +
|-
 +
| Voorgeschiedenis
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 
| Condition
 
| Condition
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Problem http://nictiz.nl/fhir/StructureDefinition/zib-Problem]
+
| Probleem
 +
| v4.1(2017NL
 +
| -
 
|-
 
|-
 +
| Let op
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Alert|title=zib-Alert}}
 +
| Flag
 
| Alert
 
| Alert
 
| v3.2(2017NL)
 
| v3.2(2017NL)
−
| Flag
+
| -
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Alert http://nictiz.nl/fhir/StructureDefinition/zib-Alert]
+
|-
 +
| Vrijheidsbeperking
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures|title=zib-FreedomRestrictingMeasures}}
 +
| Procedure
 +
| VrijheidsBeperkendeMaatregelen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Meetwaarden
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|title=zib-BloodPressure}}
 +
| Observation
 +
| Bloeddruk
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate|title=zib-PulseRate}}
 +
| Observation
 +
| PolsFrequentie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|title=zib-BodyTemperature}}
 +
| Observation
 +
| Lichaamstemperatuur
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Respiration|title=zib-Respiration}}
 +
| Observation
 +
| Ademhaling
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|title=zib-BodyWeight}}
 +
| Observation
 +
| Lichaamsgewicht
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|title=zib-BodyHeight}}
 +
| Observation
 +
| Lichaamslengte
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| [https://zibs.nl/wiki/AlgemeneMeting-v3.0(2017NL) AlgemeneMeting]
 +
| Observation
 +
| AlgemeneMeting
 +
| v3.0(2017NL)
 +
| No fhir profile is available yet for this HCIM.
 
|-
 
|-
−
| VrijheidbeperkendeMaatregelen
+
| rowspan="4"|Pijnscore
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PainScore|title=zib-PainScore}}
 +
| Observation
 +
| Pijnscore
 
| v3.1(2017NL)
 
| v3.1(2017NL)
−
| Procedure
+
| -
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures]
+
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ComfortScale|title=zib-ComfortScale}}
 +
| Observation
 +
| ComfortScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FLACCPainScale|title=zib-FLACCPainScale}}
 +
| Observation
 +
| FLACCPijnScore
 +
| v1.0(2017)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ChecklistPainBehaviour|title=zib-ChecklistPainBehaviour}}
 +
| Observation
 +
| ChecklijstPijnScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: zorgplan
 +
|-
 +
| rowspan="3"| Actuele patiëntenproblemen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 
|-
 
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective|title=zib-TreatmentObjective}}
 +
| Goal
 
| Behandeldoel
 
| Behandeldoel
−
| v3.1(2017NL)  
+
| v3.1(2017NL)
−
| Goal
+
| -
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective]
 
 
|-
 
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention|title=zib-NursingIntervention}}
 +
| Procedure
 
| VerpleegkundigeInterventie
 
| VerpleegkundigeInterventie
−
| v3.1(2017NL)  
+
| v3.2(2018NL)
−
| Procedure
+
| -
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention]
+
|-
 +
| Zorgresultaat
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OutcomeOfCare|title=zib-OutcomeOfCare}}
 +
| DiagnisticReport
 +
| UitkomstVanZorg
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
−
| rowspan="5" | GeplandeZorgActiviteit
+
| rowspan="3"|Afspraken patiënt
−
| rowspan="5" | v3.1(2017NL)
+
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest|title=zib-ProcedureRequest}}
 
| ProcedureRequest
 
| ProcedureRequest
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest]
+
| rowspan="3"|OverdrachtGeplandeZorgActiviteit
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
−
| <span style="text-decoration: line-through;">MedicationDispense</span> <nowiki>[</nowiki> [[#MM-115|*]] <nowiki>]</nowiki>
+
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment|title=eAfspraak-Appointment}}
−
| <span style="text-decoration: line-through;">[https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement]</span>
+
| Appointment
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation|title=zib-VaccinationRecommendation}}
 
| ImmunizationRecommendation
 
| ImmunizationRecommendation
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation]
+
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Wensen en behoeften patiënt en/of naasten
 +
| -
 +
| -
 +
| -
 +
| -
 +
| Declared as a text section. See {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht profile}}.
 
|-
 
|-
−
| DeviceRequest
+
| colspan="6" style="text-align: center; background-color: #4AB8A7; color: white" | Verpleegkundige context: specificatie gezondheidstoestand
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest]
 
 
|-
 
|-
−
| Appointment
+
| rowspan="12"| Zelfzorg
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment]
+
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDrink|title=zib-AbilityToDrink}}
 +
| Observation
 +
| VermogenTotDrinken
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToEat|title=zib-AbilityToEat}}
 +
| Observation
 +
| VermogenTotEten
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities|title=zib-AbilityToPerformMouthcareActivities}}
 +
| Observation
 +
| rowspan="3"|VermogenTotMondverzorging
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
−
| SondeSysteem
+
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDevice|title=zib-AbilityToPerformMouthcareActivities-MedicalDevice}}
−
| v3.2(2017NL)
 
 
| DeviceUseStatement
 
| DeviceUseStatement
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem]
+
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct|title=zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToWashOneSelf|title=zib-AbilityToWashOneSelf}}
 +
| Observation
 +
| VermogenTotZichWassen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToDressOneself|title=zib-AbilityToDressOneself}}
 +
| Observation
 +
| VermogenTotZichKleden
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToGroome|title=zib-AbilityToGroome}}
 +
| Observation
 +
| VermogenTotUiterlijkeVerzorging
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToUseToilet|title=zib-AbilityToUseToilet}}
 +
| Observation
 +
| VermogenTotToiletgang
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToManageMedication|title=zib-AbilityToManageMedication}}
 +
| Observation
 +
| VermogenTotZelfstandigMedicatiegebruik
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformNursingActivities|title=zib-AbilityToPerformNursingActivities}}
 +
| Observation
 +
| VermogenTotVerpleegtechnischeHandelingen
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| toelichting zelfzorg
 +
| -
 +
| Explanation selfcare
 +
| -
 +
| Free text
 
|-
 
|-
−
| Infuus
+
| Mobiliteit
−
| v3.2(2017NL)  
+
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Mobility|title=zib-Mobility}}
 +
| Observation
 +
| Mobiliteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Voeding/vocht
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice|title=zib-NutritionAdvice}}
 +
| NutritionOrder
 +
| Voedingsadvies
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-StrongKidsScore|title=zib-StrongKidsScore}}
 +
| Observation
 +
| StrongKidsScore
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FluidBalance|title=zib-FluidBalance}}
 +
| Observation
 +
| Vochtbalans
 +
| v1.0(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem|title=zib-FeedingTubeSystem}}
 +
| DeviceUseStatement
 +
| rowspan="2"|SondeSysteem
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem-Product|title=zib-FeedingTubeSystem-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion|title=zib-Infusion}}
 
| DeviceUseStatement
 
| DeviceUseStatement
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Infusion http://nictiz.nl/fhir/StructureDefinition/zib-Infusion]
+
| rowspan="2"|Infuus
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion-Product|title=zib-Infusion-Product}}
 +
| Device
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="3"|Uitscheiding
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BladderFunction|title=zib-BladderFunction}}
 +
| Observation
 +
| Blaasfunctie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BowelFunction|title=zib-BowelFunction}}
 +
| Observation
 +
| Darmfunctie
 +
| v3.1(2017NL)
 +
| -
 
|-
 
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Stoma|title=zib-Stoma}}
 +
| Observation
 
| Stoma
 
| Stoma
−
| v3.2(2017NL)  
+
| v3.2(2017NL)
 +
| -
 +
|-
 +
| rowspan="4"| Huid
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound|title=zib-Burnwound}}
 +
| Condition
 +
| Brandwond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer|title=zib-PressureUlcer}}
 +
| Condition
 +
| DecubitusWond
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-SkinDisorder|title=zib-SkinDisorder}}
 +
| Condition
 +
| Huidaandoening
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Wound|title=zib-Wound}}
 +
| Condition
 +
| Wond
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="6"| Zintuigen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction|title=zib-HearingFunction}}
 +
| Observation
 +
| rowspan="3"| FunctieHoren
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid|title=zib-HearingFunction-HearingAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HearingFunction-HearingAid-Product|title=zib-HearingFunction-HearingAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction|title=zib-VisualFunction}}
 +
| Observation
 +
| rowspan="3"|FunctieZien
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid|title=zib-VisualAid}}
 +
| DeviceUseStatement
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-VisualFunction-VisualAid-Product|title=zib-VisualAid-Product}}
 +
| Device
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Ziektebeleving
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-IllnessPerception|title=zib-IllnessPerception}}
 +
| Observation
 +
| Ziektebeleving
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Mentale status
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| Ontwikkeling kind
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-DevelopmentChild|title=zib-DevelopmentChild}}
 +
| Observation
 +
| OntwikkelingKind
 +
| v1.1(2017NL)
 +
| -
 +
|-
 +
| rowspan="7"| Voortplanting
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy|title=zib-Pregnancy}}
 +
| Condition
 +
| Zwangerschap
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyStatus|title=zib-Pregnancy-PregnancyStatus}}
 
| Observation
 
| Observation
−
| [https://simplifier.net/resolve?target=simplifier&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-Stoma http://nictiz.nl/fhir/StructureDefinition/zib-Stoma]
+
| Zwanger
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-TermDate|title=zib-Pregnancy-TermDate}}
 +
| Observation
 +
| ATermDatum
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-PregnancyDuration|title=zib-PregnancyDuration}}
 +
| Observation
 +
| Zwangerschapsduur
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Parity|title=zib-Pregnancy-Parity}}
 +
| Observation
 +
| Pariteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-Gravidity|title=zib-Pregnancy-Gravidity}}
 +
| Observation
 +
| Graviditeit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy-DateLastMenstruation|title=zib-Pregnancy-DatelastMenstruation}}
 +
| Observation
 +
| DatumLaatsteMenstruatie
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Overige bijzonderheden kind
 +
| -
 +
| -
 +
| free text
 +
| -
 +
| Free text for particularities of child
 +
|-
 +
|}
 +
 
 +
=Use case 3A: Send Aanmeldbericht (PUSH)=
 +
'''NB:''' The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.
 +
==Introduction==
 +
The Send Aanmeldbericht scenario is used by the sending XIS to send the relevant data for the patient intake to the receiving XIS, and constitutes a subset of the Overdrachtsbericht. The structure of the eventual scenario is described in the functional design and additionally in [[vpk:V3.1_Opbouw_eOverdracht_aanmelding|Opbouw Aanmeldbericht]]. For the pilot a limited subset is implemented.
 +
==Actors==
 +
{| class="wikitable" "cellpadding="10"
 +
! style="text-align:left;"| '''Transaction group'''
 +
! style="text-align:left;"| '''Transaction'''
 +
! style="text-align:left;"| '''Actor'''
 +
! style="text-align:left;"| '''Role'''
 +
|-
 +
|style="background-color: white;" rowspan="2"|Send Aanmeldbericht(PUSH)
 +
|style="background-color: white;" rowspan="2"|Send Aanmeldbericht
 +
|style="background-color: white;"|Healthcare professional at organization A (using a XIS)
 +
|style="background-color: white;"|Sends Aanmeldbericht
 +
|-
 +
|style="background-color: white;"|Healthcare professional at organization B (using a XIS)
 +
|style="background-color: white;"|Receives Aanmeldbericht
 +
|}
 +
==Invocation==
 +
The Send Aanmeldbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to [[#Structure of the Aanmeldbericht]]. See [[#Sending documents]] for more information.
 +
===Trigger events===
 +
This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.
 +
===Expected response===
 +
The document Bundle should be processed as a [http://hl7.org/fhir/STU3/http.html#transaction transaction] by the receiving XIS. See [[#Processing documents]] for more information.
 +
 
 +
==Structure of the Aanmeldbericht==
 +
The Aanmeldbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See [[#Creating documents]] for information on how to assemble this document.
 +
 
 +
During phase 1, the Aanmeldbericht is based 4 HCIMs (Patient, Betaler, Contactpersoon en Zorgaanbieder) and uses a PDF to send the remaining data unstructured. The table below lists the FHIR profiles<ref name="nopackage"/> that are applicable for the pilot implementation of the Aanmeldbericht transaction. All resources SHALL conform to the profiles listed in this table and SHALL include the profile canonical URL in the <code>meta.profile</code> element.
 +
 
 +
{| class="wikitable" style="horizontal-align: right"
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | Section
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:400px" | FHIR profile
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | FHIR resource
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM name
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | HCIM version
 +
!style="background-color: #4AB8A7; color: white; font-weight: bold; text-align:left;  background-color: #E3E3E3 width:50px" | Remarks
 +
|-
 +
| -
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht}}
 +
| Composition
 +
| -
 +
| -
 +
| Declaration of the Send Aanmeldbericht transaction.
 +
|-
 +
| Datum overplaatsing
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate|title=eOverdracht-TransferDate}}
 +
| -
 +
| -
 +
| -
 +
| DateTime extension used in eOverdracht composition profiles
 +
|-
 +
| rowspan="3"|Persoonsgegevens
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-patient|title=nl-core-patient}}
 +
| Patient
 +
| Patient
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Payer|title=zib-Payer}}
 +
| Coverage
 +
| Betaler
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson|title=nl-core-relatedperson}}
 +
| RelatedPerson
 +
| Contactpersoon
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Sturende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
| rowspan="2"| Organization
 +
| rowspan="2"| Zorgaanbieder
 +
| rowspan="2"| v3.1.1(2017NL)
 +
| rowspan="2"| -
 +
|-
 +
| Ontvangende organisatie
 +
| {{Simplifier|http://fhir.nl/fhir/StructureDefinition/nl-core-organization|title=nl-core-organization}}
 +
|-
 +
| Medische diagnose
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
|-
 +
| Voorgeschiedenis
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL
 +
| -
 +
|-
 +
| Let op
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Alert|title=zib-Alert}}
 +
| Flag
 +
| Alert
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| Vrijheidsbeperking
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures|title=zib-FreedomRestrictingMeasures}}
 +
| Procedure
 +
| VrijheidsBeperkendeMaatregelen
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Actuele patiëntenproblemen
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Problem|title=zib-Problem}}
 +
| Condition
 +
| Probleem
 +
| v4.1(2017NL)
 +
| -
 +
|-
 +
| Afspraken patiënt
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest|title=zib-ProcedureRequest}}
 +
| ProcedureRequest
 +
| OverdrachtGeplandeZorgActiviteit
 +
| v3.1(2017NL)
 +
| -
 +
|-
 +
| Wensen en behoeften patiënt en/of naasten
 +
| -
 +
| -
 +
| -
 +
| -
 +
| Declared as a text section. See {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht|title=eOverdracht aanmeldbericht profile}}.
 
|-
 
|-
 +
| rowspan="2"| Voeding/vocht
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-FeedingTubeSystem|title=zib-FeedingTubeSystem}}
 +
| DeviceUseStatement
 +
| SondeSysteem
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Infusion|title=zib-Infusion}}
 +
| DeviceUseStatement
 +
| Infuus
 +
| v3.2(2017NL)
 +
| -
 +
|-
 +
| Uitscheiding
 +
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-Stoma|title=zib-Stoma}}
 +
| Observation
 +
| Stoma
 +
| v3.2(2017NL)
 +
| -
 
|}
 
|}
 +
 +
=FHIR Documents=
 +
Both the Aanmeldbericht and the Overdrachtsbericht are sent as a [https://www.hl7.org/fhir/STU3/documents.html FHIR Document]. A document is a FHIR Bundle that assembles all relevant resources that need to be exchanged, together with a [https://www.hl7.org/fhir/STU3/composition.html Composition resource] that summarizes and references all these resources.
 +
 +
A FHIR document is immutable and considered to be attested by a healthcare professional.
 +
==Creating documents==
 +
To construct a document, a FHIR Composition resource is created that summarizes and references all the resources that need to be exchanged. This Composition resource is then placed together with all referenced resources in a Bundle with <code>Bundle.type</code> set to "document". The Composition resource SHALL be the first entry.
 +
 +
Profiles have been created for both the Composition and the document Bundle resources for each transaction within eOverdracht. All documents SHOULD adhere to these profiles, which are summarized in this implementation guide at the transaction level.
 +
==Sending documents==
 +
The document should be sent as an HTTP POST operation on the target XIS's base:
 +
POST [base] {?_format=[mime-type]}
 +
where the body of the POST request is the document.
 +
==Processing documents==
 +
The document Bundle should be processed as a [http://hl7.org/fhir/STU3/http.html#transaction transaction] by the receiving XIS and each <code>Bundle.entry</code> should be treated as a <code>create</code> interaction for the <code>Bundle.entry.resource</code>. When the receiving XIS cannot create a new resource because of incorrect data or business rules, it should perform a rollback of the creation of any previous entries.
 +
 +
On success, the target XIS SHALL respond:
 +
* With the HTTP status code 201 Created.
 +
* With the Location header containing the new logical id and version id of the created resource version.
 +
* With a response body set to a Bundle of type "transaction-response", containing one entry for each entry in the request, in the same order, with the outcome of processing the entry. The sender may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server.
 +
 +
On failure, the target XIS SHALL respond:
 +
* With an HTTP status code set appropriate to the processing outcome:
 +
** When the resource syntax or data is incorrect or invalid, the status code should be 400 Bad Request.
 +
** When the server rejects the content of the resource because of business rules, the status code should be 422 Unprocessable Entity.
 +
** Additional HTTP status code may be used if more appropriate.
 +
* With a response body set to a FHIR [http://hl7.org/fhir/STU3/operationoutcome.html OperationOutcome] resource with detailed error messages describing the reason for the error.
 +
 +
=FHIR CapabilityStatements=
 +
* {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/eOverdracht-servercapabilities-phase-one|title=CapabilityStatement server}}
 +
* {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/eOverdracht-clientcapabilities-phase-one|title=CapabilityStatement client}}
 +
 +
=Footnotes=
 +
<references />

Huidige versie van 25 jan 2021 om 12:20

Issue icon.png

Work in progress - See official publication here.

Introduction

This page details the HL7 FHIR requirements for exchanging the data in the eOverdracht described in the functional design.

Implementation of these transactions is spread over multiple phases. In the first phase of the Proeftuin a simplified version of both the Aanmeldbericht en Overdrachtsbericht are being used. Both messages exist of four HCIMs listed in the table below. The Aanmeldbericht is send to the recieving organisation, which after confirmation of recieving the aanmeldberricht, gets send the Overdrachtbericht. Phase two consists of the complete Aanmeldbericht as well as an incomplete Overdrachtsbericht. The Overdrachtsbericht is a subset of 11 HCIM's (complete set used in Aanmeldbericht) and an unstructured PDF containing the remaining data which are not part of the HCIM's. Phase three is the complete dataset of the Aanmeldbericht, Overdrachtsbericht Volwassenen, Overdrachtsbericht Kinderen 0-1 jaar, Overdrachtsbericht Kinderen 1-18 jaar as PUSH messages.

This implementation guide assumes that the reader is familiar with FHIR(STU3).

Overarching FHIR principles

  • This implementation guide does not provide information on finding the right XIS, nor does it provide information about security. It is assumed that the sending XIS is able to make a connection with the receiving XIS.
  • All FHIR resources used within eOverdracht SHALL conform to the profiles listed in this implementation guide and SHALL include the profile canonical URL in their meta.profile element.

Package and dependencies

eOverdracht uses the FHIR Packaging mechanism to conveniently bundle all examples, profiles and other conformance resources you need into a single download. The eOverdracht package has a dependency on the Nictiz Zib2017 package .

Example instances

Example instances of the FHIR messages can be found on Simplifier:

Use case 1A: Send Overdrachtsbericht volwassenen (PUSH)

NB: The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.

Introduction

The Send Overdrachtsbericht scenario is used by the sending XIS to send the relevant data for the patient care to the receiving XIS. The structure of the eventual scenario is described in the functional design and additionally in Opbouw Overdrachtsbericht Volwassenen.

Actors

Transaction group Transaction Actor Role
Send Overdrachtbericht (PUSH) Send Overdrachtsbericht Healthcare professional at organization A (using a XIS) Sends Overdrachtsbericht
Healthcare professional at organization B (using a XIS) Receives Overdrachtsbericht

Invocation

The Send Overdrachtsbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to #Structure of the Overdrachtsbericht (complete). See #Sending documents for more information.

Trigger events

This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.

Expected response

The document Bundle should be processed as a transaction by the receiving XIS. See #Processing documents for more information.

Structure of the Overdrachtsbericht (complete)

The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See #Creating documents for information on how to assemble this document.

The table below lists the FHIR profiles[1] that are applicable for the pilot implementation of the Overdrachtsbericht transaction.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
Administratieve gegevens
- eOverdracht aanmeldbericht Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
nl-core-patient Patient v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Zorgverlener sturende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Zorgverlener ontvangende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Algemene patiënten context
Gezinssituatie zib-FamilySituation FamilySituation Gezinssituatie v3.1(2017NL) -
Woonomgeving zib-LivingSituation Woonsituatie LivingSituation v3.1 (2017NL) -
Levensovertuiging zib-LifeStance Levensovertuiging LifeStance v3.1 (2017NL) -
zib-AdvanceDirective Wilsverklaring AdvanceDirective v3.1 (2017NL) -
Sociale omgeving zib-ParticipationInSociety ParticipatieInMaatschappij ParticipationInSociety v3.1 (2017NL) -
zib-HelpFromOthers HulpVanAnderen HelpFromOthers v3.0 (2017NL) -
Communicatie patient-proficiency Taalvaardigheid LanguageProfeciency v3.1(2017NL)
Medische context
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Meetwaarden zib-BloodPressure Observation Bloeddruk v3.1(2017NL) -
zib-PulseRate Observation PolsFrequentie v3.1(2017NL) -
zib-BodyTemperature Observation Lichaamstemperatuur v3.1(2017NL) -
zib-Respiration Observation Ademhaling v3.1(2017NL) -
zib-BodyWeight Observation Lichaamsgewicht v3.1(2017NL) -
zib-BodyHeight Observation Lichaamslengte v3.1(2017NL) -
AlgemeneMeting Observation AlgemeneMeting v3.0(2017NL) No FHIR profile is available yet for this HCIM.
Pijnscore zib-PainScore Observation Pijnscore v3.1(2017NL) -
Verpleegkundige context: zorgplan
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
zib-TreatmentObjective Goal Behandeldoel v3.1(2017NL) -
zib-NursingIntervention Procedure VerpleegkundigeInterventie v3.2(2018NL) -
Zorgresultaat zib-OutcomeOfCare DiagnisticReport UitkomstVanZorg v3.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
eAfspraak-Appointment Appointment v3.1(2017NL) -
zib-VaccinationRecommendation ImmunizationRecommendation v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See eOverdracht aanmeldbericht profile.
Verpleegkundige context: specificatie gezondheidstoestand
Zelfzorg zib-AbilityToDrink Observation VermogenTotDrinken v3.1(2017NL) -
zib-AbilityToEat Observation VermogenTotEten v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities Observation VermogenTotMondverzorging v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities-MedicalDevice DeviceUseStatement v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct Device v3.1(2017NL) -
zib-AbilityToWashOneSelf Observation VermogenTotZichWassen v3.1(2017NL) -
zib-AbilityToDressOneself Observation VermogenTotZichKleden v3.1(2017NL) -
zib-AbilityToGroome Observation VermogenTotUiterlijkeVerzorging v1.0(2017NL) -
zib-AbilityToUseToilet Observation VermogenTotToiletgang v1.0(2017NL) -
zib-AbilityToManageMedication Observation VermogenTotZelfstandigMedicatiegebruik v1.0(2017NL) -
zib-AbilityToPerformNursingActivities Observation VermogenTotVerpleegtechnischeHandelingen v1.0(2017NL) -
toelichting zelfzorg - Explanation selfcare - Free text
Mobiliteit zib-Mobility Observation Mobiliteit v3.1(2017NL) -
Voeding/vocht zib-NutritionAdvice NutritionOrder Voedingsadvies v3.2(2017NL) -
zib-SNAQScore

zib-SNAQrcScore

zib-SNAQ65+Score

zib-MUSTScore

Observation SNAQScore

SNAQrcScore

SNAQ65+Score

MUSTScore

v3.1(2017NL)

v1.0(2017NL)

v1.0(2017NL)

v3.1(2017NL)

-
zib-FluidBalance Observation Vochtbalans v1.0(2017NL) -
zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-FeedingTubeSystem-Product Device v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
zib-Infusion-Product Device v3.2(2017NL) -
Uitscheiding zib-BladderFunction Observation Blaasfunctie v3.1(2017NL) -
zib-BowelFunction Observation Darmfunctie v3.1(2017NL) -
zib-Stoma Observation Stoma v3.2(2017NL) -
Huid zib-Burnwound Condition Brandwond v3.2(2017NL) -
zib-PressureUlcer Condition DecubitusWond v3.2(2017NL) -
zib-SkinDisorder Condition Huidaandoening v3.2(2017NL) -
zib-Wound Condition Wond v3.1(2017NL) -
Zintuigen zib-HearingFunction Observation FunctieHoren v3.1(2017NL) -
zib-HearingFunction-HearingAid DeviceUseStatement v3.1(2017NL) -
zib-HearingFunction-HearingAid-Product Device v3.1(2017NL) -
zib-VisualFunction Observation FunctieZien v3.1(2017NL) -
zib-VisualAid DeviceUseStatement v3.1(2017NL) -
zib-VisualAid-Product Device v3.1(2017NL) -
Ziektebeleving zib-IllnessPerception Observation Ziektebeleving v3.1(2017NL) -
Mentale status zib-Problem Condition Probleem v4.1(2017NL) -
Voortplanting zib-Pregnancy Condition Zwangerschap v3.1(2017NL) -
zib-Pregnancy-PregnancyStatus Observation Zwanger v3.1(2017NL) -
zib-Pregnancy-TermDate Observation ATermDatum v3.1(2017NL) -
zib-PregnancyDuration Observation Zwangerschapsduur v3.1(2017NL) -
zib-Pregnancy-Parity Observation Pariteit v3.1(2017NL) -
zib-Pregnancy-Gravidity Observation Graviditeit v3.1(2017NL) -
zib-Pregnancy-DatelastMenstruation Observation DatumLaatsteMenstruatie v3.1(2017NL) -

Use Case 2A: Send overdrachtsbericht kindzorg

NB: The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.

Introduction

The Send Overdrachtsbericht scenario is used by the sending XIS to send the relevant data for the patient care to the receiving XIS. For the use case "kindzorg" we distinquish between two age categories:

Actors

Transaction group Transaction Actor Role
Send Overdrachtbericht (PUSH) Send Overdrachtsbericht Healthcare professional at organization A (using a XIS) Sends Overdrachtsbericht
Healthcare professional at organization B (using a XIS) Receives Overdrachtsbericht

Invocation

The Send Overdrachtsbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to #Structure of the Overdrachtsbericht (Child 0-1) or #Structure of Overdrachtsbericht (Child 1-18). See #Sending documents for more information.

Trigger events

This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.

Expected response

The document Bundle should be processed as a transaction by the receiving XIS. See #Processing documents for more information.

Structure of the Overdrachtsbericht (Child 0-1)

The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See #Creating documents for information on how to assemble this document.

The table below lists the FHIR profiles[1] that are applicable for the implementation of the Overdrachtsbericht transaction.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
Administratieve gegevens
- eOverdracht aanmeldbericht Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
nl-core-patient Patient v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Zorgverlener sturende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Zorgverlener ontvangende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Algemene patiënten contact
Gezinssituatie zib-FamilySituation FamilySituation Gezinssituatie v3.1(2017NL) -
Woonomgeving zib-LivingSituation Woonsituatie LivingSituation v3.1 (2017NL) -
Levensovertuiging zib-LifeStance Levensovertuiging LifeStance v3.1 (2017NL) -
zib-AdvanceDirective Wilsverklaring AdvanceDirective v3.1 (2017NL) -
Sociale omgeving zib-ParticipationInSociety ParticipatieInMaatschappij ParticipationInSociety v3.1 (2017NL) -
zib-HelpFromOthers HulpVanAnderen HelpFromOthers v3.0 (2017NL) -
Communicatie patient-proficiency Taalvaardigheid LanguageProfeciency v3.1(2017NL)
Medische context
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Meetwaarden zib-BloodPressure Observation Bloeddruk v3.1(2017NL) -
zib-PulseRate Observation PolsFrequentie v3.1(2017NL) -
zib-BodyTemperature Observation Lichaamstemperatuur v3.1(2017NL) -
zib-Respiration Observation Ademhaling v3.1(2017NL) -
zib-BodyWeight Observation Lichaamsgewicht v3.1(2017NL) -
zib-BodyHeight Observation Lichaamslengte v3.1(2017NL) -
zib-HeadCircumference Observation Schedelomvang v1.1(2017NL) -
zib-ApgarScore Observation ApgarScore v1.0(2017NL) -
AlgemeneMeting Observation AlgemeneMeting v3.0(2017NL) No fhir profile is available yet for this HCIM.
Pijnscore zib-PainScore Observation Pijnscore v3.1(2017NL) -
zib-ComfortScale Observation ComfortScore v1.0(2017NL) -
zib-FLACCPainScale Observation FLACCPijnScore v1.0(2017) -
zib-ChecklistPainBehaviour Observation ChecklijstPijnScore v1.0(2017NL) -
Verpleegkundige context: zorgplan
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
zib-TreatmentObjective Goal Behandeldoel v3.1(2017NL) -
zib-NursingIntervention Procedure VerpleegkundigeInterventie v3.2(2018NL) -
Zorgresultaat zib-OutcomeOfCare DiagnisticReport UitkomstVanZorg v3.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
eAfspraak-Appointment Appointment v3.1(2017NL) -
zib-VaccinationRecommendation ImmunizationRecommendation v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See eOverdracht aanmeldbericht profile.
Verpleegkundige context: specificatie gezondheidstoestand
Zelfzorg zib-AbilityToPerformNursingActivities Observation VermogenTotVerpleegtechnischeHandelingen v1.0(2017NL) -
toelichting zelfzorg - Explanation selfcare - Free text
Voeding/vocht zib-NutritionAdvice NutritionOrder Voedingsadvies v3.2(2017NL) -
zib-FeedingPatternInfant Observation VoedingspatroonZuigeling v1.0(2017NL) -
zib-StrongKidsScore Observation StrongKidsScore v1.0(2017NL) -
zib-FluidBalance Observation Vochtbalans v1.0(2017NL) -
zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-FeedingTubeSystem-Product Device v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
zib-Infusion-Product Device v3.2(2017NL) -
Uitscheiding zib-BladderFunction Observation Blaasfunctie v3.1(2017NL) -
zib-BowelFunction Observation Darmfunctie v3.1(2017NL) -
zib-Stoma Observation Stoma v3.2(2017NL) -
Huid zib-Burnwound Condition Brandwond v3.2(2017NL) -
zib-PressureUlcer Condition DecubitusWond v3.2(2017NL) -
zib-SkinDisorder Condition Huidaandoening v3.2(2017NL) -
zib-Wound Condition Wond v3.1(2017NL) -
Zintuigen zib-HearingFunction Observation FunctieHoren v3.1(2017NL) -
zib-HearingFunction-HearingAid DeviceUseStatement v3.1(2017NL) -
zib-HearingFunction-HearingAid-Product Device v3.1(2017NL) -
zib-VisualFunction Observation FunctieZien v3.1(2017NL) -
zib-VisualAid DeviceUseStatement v3.1(2017NL) -
zib-VisualAid-Product Device v3.1(2017NL) -
Ziektebeleving zib-IllnessPerception Observation Ziektebeleving v3.1(2017NL) -
Mentale status zib-Problem Condition Probleem v4.1(2017NL) -
Ontwikkeling kind zib-DevelopmentChild Observation Ontwikkeling kind v1.1(2017NL) -
Overige bijzonderheden kind - Free text - - Free text for particularities child

Structure of Overdrachtsbericht (Child 1-18)

The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See #Creating documents for information on how to assemble this document.

The table below lists the FHIR profiles[1] that are applicable for the implementation of the Overdrachtsbericht transaction.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
Administratieve gegevens
- eOverdracht aanmeldbericht Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
nl-core-patient Patient v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Zorgverlener sturende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Zorgverlener ontvangende organisatie nl-core-practitioner Practitioner Zorgverlener v3.1.1(2017NL) -
nl-core-practitionerrole PractitionerRole
Algemene patiënten context
Gezinssituatie zib-FamilySituation FamilySituation Gezinssituatie v3.1(2017NL) -
Woonomgeving zib-LivingSituation Woonsituatie LivingSituation v3.1 (2017NL) -
Levensovertuiging zib-LifeStance Levensovertuiging LifeStance v3.1 (2017NL) -
zib-AdvanceDirective Wilsverklaring AdvanceDirective v3.1 (2017NL) -
Sociale omgeving zib-ParticipationInSociety ParticipatieInMaatschappij ParticipationInSociety v3.1 (2017NL) -
zib-HelpFromOthers HulpVanAnderen HelpFromOthers v3.0 (2017NL) -
Communicatie patient-proficiency Taalvaardigheid LanguageProfeciency v3.1(2017NL)
Medische context
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Meetwaarden zib-BloodPressure Observation Bloeddruk v3.1(2017NL) -
zib-PulseRate Observation PolsFrequentie v3.1(2017NL) -
zib-BodyTemperature Observation Lichaamstemperatuur v3.1(2017NL) -
zib-Respiration Observation Ademhaling v3.1(2017NL) -
zib-BodyWeight Observation Lichaamsgewicht v3.1(2017NL) -
zib-BodyHeight Observation Lichaamslengte v3.1(2017NL) -
AlgemeneMeting Observation AlgemeneMeting v3.0(2017NL) No fhir profile is available yet for this HCIM.
Pijnscore zib-PainScore Observation Pijnscore v3.1(2017NL) -
zib-ComfortScale Observation ComfortScore v1.0(2017NL) -
zib-FLACCPainScale Observation FLACCPijnScore v1.0(2017) -
zib-ChecklistPainBehaviour Observation ChecklijstPijnScore v1.0(2017NL) -
Verpleegkundige context: zorgplan
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
zib-TreatmentObjective Goal Behandeldoel v3.1(2017NL) -
zib-NursingIntervention Procedure VerpleegkundigeInterventie v3.2(2018NL) -
Zorgresultaat zib-OutcomeOfCare DiagnisticReport UitkomstVanZorg v3.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
eAfspraak-Appointment Appointment v3.1(2017NL) -
zib-VaccinationRecommendation ImmunizationRecommendation v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See eOverdracht aanmeldbericht profile.
Verpleegkundige context: specificatie gezondheidstoestand
Zelfzorg zib-AbilityToDrink Observation VermogenTotDrinken v3.1(2017NL) -
zib-AbilityToEat Observation VermogenTotEten v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities Observation VermogenTotMondverzorging v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities-MedicalDevice DeviceUseStatement v3.1(2017NL) -
zib-AbilityToPerformMouthcareActivities-MedicalDeviceProduct Device v3.1(2017NL) -
zib-AbilityToWashOneSelf Observation VermogenTotZichWassen v3.1(2017NL) -
zib-AbilityToDressOneself Observation VermogenTotZichKleden v3.1(2017NL) -
zib-AbilityToGroome Observation VermogenTotUiterlijkeVerzorging v1.0(2017NL) -
zib-AbilityToUseToilet Observation VermogenTotToiletgang v1.0(2017NL) -
zib-AbilityToManageMedication Observation VermogenTotZelfstandigMedicatiegebruik v1.0(2017NL) -
zib-AbilityToPerformNursingActivities Observation VermogenTotVerpleegtechnischeHandelingen v1.0(2017NL) -
toelichting zelfzorg - Explanation selfcare - Free text
Mobiliteit zib-Mobility Observation Mobiliteit v3.1(2017NL) -
Voeding/vocht zib-NutritionAdvice NutritionOrder Voedingsadvies v3.2(2017NL) -
zib-StrongKidsScore Observation StrongKidsScore v1.0(2017NL) -
zib-FluidBalance Observation Vochtbalans v1.0(2017NL) -
zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-FeedingTubeSystem-Product Device v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
zib-Infusion-Product Device v3.2(2017NL) -
Uitscheiding zib-BladderFunction Observation Blaasfunctie v3.1(2017NL) -
zib-BowelFunction Observation Darmfunctie v3.1(2017NL) -
zib-Stoma Observation Stoma v3.2(2017NL) -
Huid zib-Burnwound Condition Brandwond v3.2(2017NL) -
zib-PressureUlcer Condition DecubitusWond v3.2(2017NL) -
zib-SkinDisorder Condition Huidaandoening v3.2(2017NL) -
zib-Wound Condition Wond v3.1(2017NL) -
Zintuigen zib-HearingFunction Observation FunctieHoren v3.1(2017NL) -
zib-HearingFunction-HearingAid DeviceUseStatement v3.1(2017NL) -
zib-HearingFunction-HearingAid-Product Device v3.1(2017NL) -
zib-VisualFunction Observation FunctieZien v3.1(2017NL) -
zib-VisualAid DeviceUseStatement v3.1(2017NL) -
zib-VisualAid-Product Device v3.1(2017NL) -
Ziektebeleving zib-IllnessPerception Observation Ziektebeleving v3.1(2017NL) -
Mentale status zib-Problem Condition Probleem v4.1(2017NL) -
Ontwikkeling kind zib-DevelopmentChild Observation OntwikkelingKind v1.1(2017NL) -
Voortplanting zib-Pregnancy Condition Zwangerschap v3.1(2017NL) -
zib-Pregnancy-PregnancyStatus Observation Zwanger v3.1(2017NL) -
zib-Pregnancy-TermDate Observation ATermDatum v3.1(2017NL) -
zib-PregnancyDuration Observation Zwangerschapsduur v3.1(2017NL) -
zib-Pregnancy-Parity Observation Pariteit v3.1(2017NL) -
zib-Pregnancy-Gravidity Observation Graviditeit v3.1(2017NL) -
zib-Pregnancy-DatelastMenstruation Observation DatumLaatsteMenstruatie v3.1(2017NL) -
Overige bijzonderheden kind - - free text - Free text for particularities of child

Use case 3A: Send Aanmeldbericht (PUSH)

NB: The use cases as publiced here are with reservation. Depending on the outcome of a discussion about the scenario's with third parties implementing this standard, the use cases might differ. However the cotnent of the uses cases will remain the same as stated below.

Introduction

The Send Aanmeldbericht scenario is used by the sending XIS to send the relevant data for the patient intake to the receiving XIS, and constitutes a subset of the Overdrachtsbericht. The structure of the eventual scenario is described in the functional design and additionally in Opbouw Aanmeldbericht. For the pilot a limited subset is implemented.

Actors

Transaction group Transaction Actor Role
Send Aanmeldbericht(PUSH) Send Aanmeldbericht Healthcare professional at organization A (using a XIS) Sends Aanmeldbericht
Healthcare professional at organization B (using a XIS) Receives Aanmeldbericht

Invocation

The Send Aanmeldbericht transaction is an HTTP POST method on the target XIS's base, where the body of the POST request is a FHIR document according to #Structure of the Aanmeldbericht. See #Sending documents for more information.

Trigger events

This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.

Expected response

The document Bundle should be processed as a transaction by the receiving XIS. See #Processing documents for more information.

Structure of the Aanmeldbericht

The Aanmeldbericht consists of multiple FHIR resources, which are assembled into a FHIR document. See #Creating documents for information on how to assemble this document.

During phase 1, the Aanmeldbericht is based 4 HCIMs (Patient, Betaler, Contactpersoon en Zorgaanbieder) and uses a PDF to send the remaining data unstructured. The table below lists the FHIR profiles[1] that are applicable for the pilot implementation of the Aanmeldbericht transaction. All resources SHALL conform to the profiles listed in this table and SHALL include the profile canonical URL in the meta.profile element.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
- eOverdracht aanmeldbericht Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See eOverdracht aanmeldbericht profile.
Voeding/vocht zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
Uitscheiding zib-Stoma Observation Stoma v3.2(2017NL) -

FHIR Documents

Both the Aanmeldbericht and the Overdrachtsbericht are sent as a FHIR Document. A document is a FHIR Bundle that assembles all relevant resources that need to be exchanged, together with a Composition resource that summarizes and references all these resources.

A FHIR document is immutable and considered to be attested by a healthcare professional.

Creating documents

To construct a document, a FHIR Composition resource is created that summarizes and references all the resources that need to be exchanged. This Composition resource is then placed together with all referenced resources in a Bundle with Bundle.type set to "document". The Composition resource SHALL be the first entry.

Profiles have been created for both the Composition and the document Bundle resources for each transaction within eOverdracht. All documents SHOULD adhere to these profiles, which are summarized in this implementation guide at the transaction level.

Sending documents

The document should be sent as an HTTP POST operation on the target XIS's base: 

POST [base] {?_format=[mime-type]}

where the body of the POST request is the document.

Processing documents

The document Bundle should be processed as a transaction by the receiving XIS and each Bundle.entry should be treated as a create interaction for the Bundle.entry.resource. When the receiving XIS cannot create a new resource because of incorrect data or business rules, it should perform a rollback of the creation of any previous entries.

On success, the target XIS SHALL respond:

  • With the HTTP status code 201 Created.
  • With the Location header containing the new logical id and version id of the created resource version.
  • With a response body set to a Bundle of type "transaction-response", containing one entry for each entry in the request, in the same order, with the outcome of processing the entry. The sender may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server.

On failure, the target XIS SHALL respond:

  • With an HTTP status code set appropriate to the processing outcome:
    • When the resource syntax or data is incorrect or invalid, the status code should be 400 Bad Request.
    • When the server rejects the content of the resource because of business rules, the status code should be 422 Unprocessable Entity.
    • Additional HTTP status code may be used if more appropriate.
  • With a response body set to a FHIR OperationOutcome resource with detailed error messages describing the reason for the error.

FHIR CapabilityStatements

Footnotes

  1. ↑ 1,0 1,1 1,2 1,3 Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.
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