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zib-Encounter #67

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23 changes: 22 additions & 1 deletion known-issues.yml
Original file line number Diff line number Diff line change
@@ -123,6 +123,18 @@ zib-ContactPerson:
for: NL-CM:20.5.1 (AddressInformation)
reason: An address in FHIR is represented using the Address datatype, not as a separate resource.

zib-Encounter:
zib deviations:
Encounter.class:
- cardinality: 1..1 instead of 0..1
reason: Encounter.class is mandatory in FHIR. The cardinality matches the cardinality in the zib, however, it does not match with the conceptual cardinality concept. This should not be a major problem.
Encounter.participant:healthProfessional.individual:
- cardinality: 0..1 instead of 0..*
reason: The cardinality mismatch between the zib (0..*) and FHIR (0..1) is explained by the parent participant element that may exist 0..* times, thereby this mapping is still honoring the cardinality requirements of the zib.
Encounter.participant:responsibleHealthProfessional.type:
- cardinality: 1..1 instead of 0..1
reason: The cardinality matches the cardinality in the zib, however, it does not match with the conceptual cardinality concept. This should not be a major problem.

zib-HeadCircumference:
zib deviations:
Observation.effective[x]:effectiveDateTime:
@@ -399,6 +411,15 @@ nl-core-DevelopmentChild.AgeFirstMenstruation-*:
- message: Wrong Display Name 'Leeftijd bij eerste menstruatie' for http://loinc.org#42798-9. There are no valid display names found for language(s) 'en'. Default display is 'Age at menarche'
reason: A valid Dutch display value is used instead of an English one.

zib-Encounter:
ignored issues:
Encounter.participant:healthProfessional.individual:
- message: "Constraint failed: sd-zpg-03: 'References to other resource profiles should be added next to the HL7 base references, unless they are added on a slice."
reason: The restriction is set on a slice, but this cannot be automatically checked.
Encounter.participant:responsibleHealthProfessional.individual:
- message: "Constraint failed: sd-zpg-03: 'References to other resource profiles should be added next to the HL7 base references, unless they are added on a slice."
reason: The restriction is set on a slice, but this cannot be automatically checked.

nl-core-HealthcareProvider-Organization-*:
ignored issues:
Organization.type[*]:
@@ -484,4 +505,4 @@ zib-Patient:
- message: "Constraint failed: sd-pg-02: 'If mapping.map exists and the mapping is not implicit, short should exist'"
reason: The short description is defined on the datatype profile and not repeated in the differential.
- message: "Constraint failed: sd-pg-04: 'If mapping.map exists and the mapping is not implicit, alias should exist.'"
reason: The alias is defined on the datatype profile and not repeated in the differential.
reason: The alias is defined on the datatype profile and not repeated in the differential.
97 changes: 97 additions & 0 deletions nl-core/StructureDefinitions/nl-core-Encounter.xml
Original file line number Diff line number Diff line change
@@ -0,0 +1,97 @@
<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="nl-core-Encounter" />
<text>
<status value="empty" /><div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div></text>
<url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter" />
<name value="NlcoreEncounter" />
<title value="nl core Encounter" />
<status value="draft" />
<publisher value="Nictiz" />
<contact>
<name value="Nictiz" />
<telecom>
<system value="url" />
<value value="https://www.nictiz.nl" />
<use value="work" />
</telecom>
</contact>
<description value="A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions.&#xD;&#xA;&#xD;&#xA;Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This includes past and future contacts." />
<purpose value="A derived profile from [zib-Encounter](http://nictiz.nl/fhir/StructureDefinition/zib-Encounter) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
<copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="zib-encounter-v6.0-2024EN" />
<uri value="https://zibs.nl/wiki/Encounter-v6.0(2024EN)" />
<name value="zib Encounter-v6.0(2024EN)" />
</mapping>
<mapping>
<identity value="zib-healthprofessional-v4.0-2024EN" />
<uri value="https://zibs.nl/wiki/HealthProfessional-v4.0(2024EN)" />
<name value="zib HealthProfessional-v4.0(2024EN)" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Encounter" />
<baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" />
<derivation value="constraint" />
<differential>
<element id="Encounter">
<path value="Encounter" />
<alias value="nl-core-Encounter" />
</element>
<element id="Encounter.subject">
<path value="Encounter.subject" />
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
</type>
</element>
<element id="Encounter.participant:healthProfessional">
<path value="Encounter.participant" />
<sliceName value="healthProfessional" />
</element>
<element id="Encounter.participant:healthProfessional.individual">
<path value="Encounter.participant.individual" />
<comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.&#xD;&#xA;&#xD;&#xA;In rare circumstances, there is only a Practitioner instance, in which case it is that instance which can be referenced on the `Encounter.participant` element (due to open slicing). Since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." />
<type>
<code value="Reference" />
<profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" />
</type>
</element>
<element id="Encounter.participant:responsibleHealthProfessional">
<path value="Encounter.participant" />
<sliceName value="responsibleHealthProfessional" />
</element>
<element id="Encounter.participant:responsibleHealthProfessional.individual">
<path value="Encounter.participant.individual" />
<short value="Persons involved in the encounter other than the patient" />
<definition value="Persons involved in the encounter other than the patient." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<type>
<code value="Reference" />
<profile value="http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" />
</type>
</element>
<element id="Encounter.reasonReference:problem">
<path value="Encounter.reasonReference" />
<sliceName value="problem" />
<type>
<code value="Reference" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" />
</type>
</element>
<element id="Encounter.location.location">
<path value="Encounter.location.location" />
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
<targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" />
</type>
</element>
</differential>
</StructureDefinition>
18 changes: 17 additions & 1 deletion release-notes.md
Original file line number Diff line number Diff line change
@@ -106,6 +106,22 @@
## Education (zib-Education, nl-core-Education)
* `.value[x]` ; terminology ; Changed value set from SchooltypeCodelijsten to SchooltypeCBSCodelijst. ; ZIB-1575

## Encounter (zib-Encounter, nl-core-Encounter)
* Zib Encounter has been refined and several concepts have been moved to the new zib Admission. ; ZIB-1545, ZIB-1104
* `.status` ; textual ; Refined guidance for DateTime. ; ZIB-1545, ZIB-1104
* `.class` ; mapping ; Added mapping of EncounterSetting. ; ZIB-1545, ZIB-1104
* `.type:encounterType` ; slicing ; Added EncounterType to a slice. ; ZIB-1545, ZIB-1104
* `.type:encounterType` ; terminology ; Changed codes in EncounterTypeCodelist. ; ZIB-1906
* `.type:reason` ; slicing ; Added mapping of Reason. ; ZIB-1545, ZIB-1104
* `.type:reason.text` ; mapping ; Moved mapping of CommentEncounterReason from `.reasonCode.extension:commentEncounterReason` and `.reasonReference.extension:commentContactReason`. ; ZIB-1545, ZIB-1104
* `.participant:responsibleHealthProfessional.individual` ; slicing ; Added ResponsableHealthProfessional to a slice. ; ZIB-1545, ZIB-1104
* `.period.start` ; textual ; Renamed from StartDateTime to DateTime. ; ZIB-1545, ZIB-1104
* `.period.end` ; mapping ; Removed mapping of EndDateTime. ; ZIB-1545, ZIB-1104
* `.reasonCode:deviatingResult` ; mapping ; Removed mapping of DeviatingResult. ; ZIB-1545, ZIB-1104
* `.reasonReference:procedure` ; mapping ; Removed mapping of Procedure. ; ZIB-1545, ZIB-1104
* `.hospitalization.admitSource` ; mapping ; Removed mapping of Origin. ; ZIB-1545, ZIB-1104
* `.hospitalization.dischargeDisposition` ; mapping ; Removed mapping of Destination. ; ZIB-1545, ZIB-1104, ZIB-1824

## FluidBalance
### zib-FluidBalance, nl-core-FluidBalance
* No significant changes.
@@ -199,4 +215,4 @@
* `.code.text` ; mapping ; Moved mapping of FurtherSpecificationProblemName from `.code.extension:furtherSpecificationProblemName.value[x]`. ; ZIBFHIR-145
* `.bodySite` ; cardinality ; Changed max cardinality from 1 to *. ; ZIB-1433
* `.bodySite` ; terminology ; Binding strength changed from required to extensible. ; ZIBFHIR-113
* `.note.text` ; textual ; Changed definition of Comment. ; ZIB-1610
* `.note.text` ; textual ; Changed definition of Comment. ; ZIB-1610
61 changes: 61 additions & 0 deletions zib/StructureDefinitions/ext-Encounter.CommentEncounterReason.xml
Original file line number Diff line number Diff line change
@@ -0,0 +1,61 @@
<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="ext-Encounter.CommentEncounterReason" />
<text>
<status value="empty" /><div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div></text>
<url value="http://nictiz.nl/fhir/StructureDefinition/ext-Encounter.CommentEncounterReason" />
<name value="ExtEncounterCommentEncounterReason" />
<title value="ext Encounter.CommentEncounterReason" />
<status value="draft" />
<publisher value="Nictiz" />
<contact>
<name value="Nictiz" />
<telecom>
<system value="url" />
<value value="https://www.nictiz.nl" />
<use value="work" />
</telecom>
</contact>
<description value="Comment on the reason for the encounter, insofar as this cannot be sufficiently expressed in the other elements." />
<purpose value="This extension represents the CommentEncounterReason concept (NL-CM:15.1.17) of the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Encounter v6.0 (2024)](https://zibs.nl/wiki/Encounter-v6.0(2024EN))." />
<copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="zib-encounter-v6.0-2024EN" />
<uri value="https://zibs.nl/wiki/Encounter-v6.0(2024EN)" />
<name value="zib Encounter-v6.0(2024EN)" />
</mapping>
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="Encounter" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension">
<path value="Extension" />
<max value="1" />
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="http://nictiz.nl/fhir/StructureDefinition/ext-Encounter.CommentEncounterReason" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<short value="CommentEncounterReason" />
<definition value="Comment on the reason for the encounter, insofar as this cannot be sufficiently expressed in the other elements." />
<alias value="ToelichtingRedenContact" />
<type>
<code value="string" />
</type>
<mapping>
<identity value="zib-encounter-v6.0-2024EN" />
<map value="NL-CM:15.1.17" />
<comment value="CommentEncounterReason" />
</mapping>
</element>
</differential>
</StructureDefinition>
285 changes: 285 additions & 0 deletions zib/StructureDefinitions/zib-Encounter.xml

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Original file line number Diff line number Diff line change
@@ -0,0 +1,187 @@
<ValueSet xmlns="http://hl7.org/fhir">
<id value="2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20240415000000"/>
<meta>
<source value="http://acceptance.art-decor.org/fhir/4.0/zib2024bbr-"/>
<profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
<!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
<tag>
<system value="http://hl7.org/fhir/FHIR-version"/>
<code value="4.0.1"/>
</tag>
</meta>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
<valuePeriod>
<start value="2024-04-15T00:00:00+00:00"/>
</valuePeriod>
</extension>
<url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20240415000000"/>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2"/>
</identifier>
<version value="2024-04-15T00:00:00"/>
<name value="ContactVormCodelijst"/>
<title value="ContactVormCodelijst"/>
<status value="draft"/>
<experimental value="false"/>
<publisher value="Registratie aan de bron"/>
<contact>
<name value="Registratie aan de bron"/>
<telecom>
<system value="url"/>
<value value="https://www.registratieaandebron.nl"/>
</telecom>
<telecom>
<system value="url"/>
<value value="https://www.zibs.nl"/>
</telecom>
</contact>
<description value="ContactVormCodelijst"/>
<immutable value="false"/>
<copyright value="This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."/>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Anders"/>
</extension>
<code value="OTH"/>
<display value="Other"/>
</concept>
</include>
<include>
<system value="http://snomed.info/sct"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Fysiek"/>
</extension>
<code value="180231000146108"/>
<display value="Physical face-to-face encounter"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Physical face-to-face encounter"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Fysiek face-to-face patiëntcontact"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Op afstand"/>
</extension>
<code value="185316007"/>
<display value="Indirect encounter"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Indirect encounter"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Indirect contactmoment"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Telefonisch"/>
</extension>
<code value="185317003"/>
<display value="Telephone encounter"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Telephone encounter"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Telefonisch contact"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Video"/>
</extension>
<code value="719410009"/>
<display value="Consultation via video conference"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Consultation via video conference"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Screen-to-screen consult"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Digitaal tekstueel"/>
</extension>
<code value="448337001"/>
<display value="Telemedicine consultation with patient"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Telemedicine consultation with patient"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Consult voor telegeneeskunde"/>
</designation>
</concept>
</include>
</compose>
</ValueSet>
Original file line number Diff line number Diff line change
@@ -0,0 +1,195 @@
<ValueSet xmlns="http://hl7.org/fhir">
<id value="2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20240415000000"/>
<meta>
<source value="http://acceptance.art-decor.org/fhir/4.0/zib2024bbr-"/>
<profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
<!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
<tag>
<system value="http://hl7.org/fhir/FHIR-version"/>
<code value="4.0.1"/>
</tag>
</meta>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
<valuePeriod>
<start value="2024-04-15T00:00:00+00:00"/>
</valuePeriod>
</extension>
<url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20240415000000"/>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5"/>
</identifier>
<version value="2024-04-15T00:00:00"/>
<name value="ZorgverlenerRolCodelijst"/>
<title value="ZorgverlenerRolCodelijst"/>
<status value="draft"/>
<experimental value="false"/>
<publisher value="Registratie aan de bron"/>
<contact>
<name value="Registratie aan de bron"/>
<telecom>
<system value="url"/>
<value value="https://www.registratieaandebron.nl"/>
</telecom>
<telecom>
<system value="url"/>
<value value="https://www.zibs.nl"/>
</telecom>
</contact>
<description value="ZorgverlenerRolCodelijst"/>
<immutable value="false"/>
<copyright value="This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org."/>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Anders"/>
</extension>
<code value="OTH"/>
<display value="Other"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Other"/>
</designation>
</concept>
</include>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Hoofdbehandelaar"/>
</extension>
<code value="RESP"/>
<display value="Responsible Party"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Responsible Party"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Verwijzer"/>
</extension>
<code value="REF"/>
<display value="Referrer"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Referrer"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Uitvoerder"/>
</extension>
<code value="PRF"/>
<display value="Performer"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Performer"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Tweede uitvoerder"/>
</extension>
<code value="SPRF"/>
<display value="Secondary Performer"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Secondary Performer"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Consulent"/>
</extension>
<code value="CON"/>
<display value="Consultant"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Consultant"/>
</designation>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Behandelaar"/>
</extension>
<code value="ATND"/>
<display value="Attender"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Attender"/>
</designation>
</concept>
</include>
<include>
<system value="http://snomed.info/sct"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
<valueString value="Case manager"/>
</extension>
<code value="768832004"/>
<display value="Case manager"/>
<designation>
<language value="en-US"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Case manager"/>
</designation>
<designation>
<language value="nl-NL"/>
<use>
<system value="http://snomed.info/sct"/>
<code value="900000000000013009"/>
<display value="Synonym"/>
</use>
<value value="Casemanager"/>
</designation>
</concept>
</include>
</compose>
</ValueSet>