nl-core-careplan.xml

<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="nl-core-careplan" />
  <url value="http://fhir.nl/fhir/StructureDefinition/nl-core-careplan" />
  <version value="1.0.0" />
  <name value="nl-core-careplan" />
  <title value="nl-core-careplan" />
  <status value="active" />
  <publisher value="HL7 Netherlands" />
  <contact>
    <name value="Nictiz" />
    <telecom>
      <system value="email" />
      <value value="info@nictiz.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="A nl-core base CarePlan profile, that references to all relating Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) profiles.  This profile is not based on a HCIM, beceause no HCIM exists for a CarePlan concept." />
  <purpose value="Multiple HCIM are better interperted in a coherent set then by them selfs. These are the HCIMs NursingIntervention, TreatmentObjective, and TreatmentOutcome. They consistute a CarePlan, hence the reason to create a CarePlan profile." />
  <copyright value="CC0" />
  <fhirVersion value="3.0.1" />
  <mapping>
    <identity value="hcim-nursingintervention-v3.2-2018EN" />
    <uri value="https://zibs.nl/wiki/NursingIntervention-v3.2(2018EN)" />
    <name value="HCIM NursingIntervention-v3.2(2018EN)" />
    <comment value="HCIM release 2018 is because it does not have the redundant container 'NursingProcedure'." />
  </mapping>
  <mapping>
    <identity value="hcim-outcomeofcare-v3.1-2017EN" />
    <uri value="https://zibs.nl/wiki/OutcomeOfCare-v3.1(2017EN)" />
    <name value="HCIM OutcomeOfCare-v3.1 (2017EN)" />
  </mapping>
  <mapping>
    <identity value="hcim-basicelements-v1.0-2017EN" />
    <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" />
    <name value="HCIM BasicElements-v1.0(2017EN)" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="CarePlan" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
  <derivation value="constraint" />
  <differential>
    <element id="CarePlan.identifier">
      <path value="CarePlan.identifier" />
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN" />
        <map value="NL-CM:0.0.6" />
        <comment value="IdentificationNumber" />
      </mapping>
    </element>
    <element id="CarePlan.subject">
      <path value="CarePlan.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN" />
        <map value="NL-CM:0.0.11" />
        <comment value="Subject" />
      </mapping>
    </element>
    <element id="CarePlan.context">
      <path value="CarePlan.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" />
      </type>
    </element>
    <element id="CarePlan.period">
      <path value="CarePlan.period" />
      <mapping>
        <identity value="hcim-basicelements-v1.0-2017EN" />
        <map value="NL-CM:0.0.14" />
        <comment value="DateTime" />
      </mapping>
    </element>
    <element id="CarePlan.author">
      <path value="CarePlan.author" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-careteam" />
      </type>
    </element>
    <element id="CarePlan.author.extension">
      <path value="CarePlan.author.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.author.extension:practitionerRole">
      <path value="CarePlan.author.extension" />
      <sliceName value="practitionerRole" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" />
      </type>
    </element>
    <element id="CarePlan.goal">
      <path value="CarePlan.goal" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective" />
      </type>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.14" />
        <comment value="TreatmentObjective" />
      </mapping>
    </element>
    <element id="CarePlan.activity">
      <path value="CarePlan.activity" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="detail.category" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.activity:nursingIntervention">
      <path value="CarePlan.activity" />
      <sliceName value="nursingIntervention" />
      <constraint>
        <key value="hicm-outcomeofcare-1" />
        <severity value="error" />
        <human value="Provide a HealthcareResult text or a reference, not both" />
        <expression value="outcomeCodeableConcept.empty() or outcomeReference.empty()" />
      </constraint>
      <mapping>
        <identity value="hcim-outcomeofcare-v3.2-2018EN" />
        <map value="NL-CM:13.4.4" />
        <comment value="Intervention" />
      </mapping>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.1" />
        <comment value="NursingIntervention" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.extension">
      <path value="CarePlan.activity.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.activity:nursingIntervention.extension:comment">
      <path value="CarePlan.activity.extension" />
      <sliceName value="comment" />
      <definition value="Comment on the nursing intervention." />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/Comment" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.extension:comment.valueString:valueString">
      <path value="CarePlan.activity.extension.valueString" />
      <sliceName value="valueString" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.5" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.outcomeCodeableConcept">
      <path value="CarePlan.activity.outcomeCodeableConcept" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity:nursingIntervention.outcomeCodeableConcept.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="CarePlan.activity.outcomeCodeableConcept.text" />
      <short value="HealthcareResult" />
      <definition value="The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result." />
      <alias value="Zorgresultaat" />
      <mapping>
        <identity value="hcim-outcomeofcare-v3.1-2017EN" />
        <map value="NL-CM:13.4.5" />
        <comment value="HealthcareResult" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.outcomeReference">
      <path value="CarePlan.activity.outcomeReference" />
      <short value="MeasurementValue / HealthCondition" />
      <definition value="Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit or a description of the patient’s health condition in the form of a functional and/or mental status." />
      <alias value="Meetwaarde" />
      <alias value="Gezondheidstoestand" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus" />
      </type>
      <mapping>
        <identity value="hcim-outcomeofcare-v3.1-2017EN" />
        <map value="NL-CM:13.4.2" />
        <comment value="MeasurementValue" />
      </mapping>
      <mapping>
        <identity value="hcim-outcomeofcare-v3.1-2017EN" />
        <map value="NL-CM:13.4.3" />
        <comment value="HealthCondition" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.reference">
      <path value="CarePlan.activity.reference" />
      <definition value="The details of the proposed activity represented in a specific resource.&#xD;&#xA;Used for example to provide the details of the health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered." />
      <comment value="Requester information should be captured and exchanged in the resource ProcedureRequest referenced by activity.referenc. Requester is the healthcare provider and/or organization where or by whom the NursingInterverntion was requested. There are a few required elements in ProcedureRequest&#xD;&#xA;                 - ProcedureRequest.status (use fixed value &quot;active&quot;, unless you know what the actual value is)&#xD;&#xA;                 - ProcedureRequest.intent (use fixed value &quot;order&quot;, unless you know what the actual value is)&#xD;&#xA;                 - ProcedureRequest.code (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html met valueCode UNK, unless you know what the actual value is)&#xD;&#xA;                 - ProcedureRequest.subject (equal to Observation.subject)&#xD;&#xA;                 - ProcedureRequest.requester.agent (contains the requesting HealthProfessional)" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RequestGroup" />
      </type>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.8" />
        <comment value="Requester" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.extension">
      <path value="CarePlan.activity.detail.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.extension:medicalDevice">
      <path value="CarePlan.activity.detail.extension" />
      <sliceName value="medicalDevice" />
      <short value="MedicalDevice" />
      <definition value="Description of the materials used for the nursing procedure, such as bandages." />
      <alias value="MedischHulpmiddel" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.extension:medicalDevice.valueReference:valueReference">
      <path value="CarePlan.activity.detail.extension.valueReference" />
      <sliceName value="valueReference" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.13" />
        <comment value="MedicalDevice" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.category">
      <path value="CarePlan.activity.detail.category" />
      <short value="Nursing procedure" />
      <definition value="High-level categorization of the type of activity in a care plan. This slice defines a nursing procedure conform the HCIM NursingIntervention." />
      <min value="1" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="9632001" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code">
      <path value="CarePlan.activity.detail.code" />
      <short value="Intervention" />
      <definition value="A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result." />
      <alias value="Interventie" />
      <min value="1" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.2" />
        <comment value="Intervention" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding">
      <path value="CarePlan.activity.detail.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist">
      <path value="CarePlan.activity.detail.code.coding" />
      <sliceName value="interventionNICCodelist" />
      <short value="interventionNICCodelist" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <description value="NIC - All Values" />
        <valueSetReference>
          <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000" />
        </valueSetReference>
      </binding>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist.system">
      <path value="CarePlan.activity.detail.code.coding.system" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist.code">
      <path value="CarePlan.activity.detail.code.coding.code" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist">
      <path value="CarePlan.activity.detail.code.coding" />
      <sliceName value="interventionSnomedCodelist" />
      <short value="interventionSnomedCodelist" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <description value="SNOMED CT - SNOMED CT: &amp;lt;&amp;lt;71388002 | procedure |" />
        <valueSetReference>
          <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000" />
        </valueSetReference>
      </binding>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist.system">
      <path value="CarePlan.activity.detail.code.coding.system" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist.code">
      <path value="CarePlan.activity.detail.code.coding.code" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.reasonReference">
      <path value="CarePlan.activity.detail.reasonReference" />
      <short value="Indication" />
      <definition value="The nursing-related problem (indication) providing cause for the intervention." />
      <alias value="Indicatie" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Problem" />
      </type>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.6" />
        <comment value="Indication" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.goal">
      <path value="CarePlan.activity.detail.goal" />
      <short value="TreatmentObjective" />
      <definition value="The description of the treatment goal that the intervention decision is based on." />
      <alias value="Behandeldoel" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective" />
      </type>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.14" />
        <comment value="TreatmentObjective" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming">
      <path value="CarePlan.activity.detail.scheduledTiming" />
      <sliceName value="scheduledTiming" />
      <type>
        <code value="Timing" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod">
      <path value="CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod" />
      <sliceName value="boundsPeriod" />
      <type>
        <code value="Period" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.start">
      <path value="CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.start" />
      <short value="ProcedureStartDateTime" />
      <definition value="The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures." />
      <alias value="ActieStartDatumTijd" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.11" />
        <comment value="ProcedureStartDateTime" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.bounds[x]:boundsPeriod.end">
      <path value="CarePlan.activity.detail.scheduledTiming.repeat.boundsPeriod.end" />
      <short value="ProcedureEndDateTime" />
      <definition value="The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures." />
      <alias value="ActieEindDatumTijd" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.12" />
        <comment value="ProcedureEndDateTime" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.frequency">
      <path value="CarePlan.activity.detail.scheduledTiming.repeat.frequency" />
      <short value="Frequency" />
      <definition value="The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day." />
      <alias value="Frequentie" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.4" />
        <comment value="Frequency" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.period">
      <path value="CarePlan.activity.detail.scheduledTiming.repeat.period" />
      <short value="Interval" />
      <definition value="&quot;Interval indicates the time between planned procedures.&#xA;When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.&quot;" />
      <alias value="Interval" />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.3" />
        <comment value="Interval" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.location">
      <path value="CarePlan.activity.detail.location" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-location" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.performer">
      <path value="CarePlan.activity.detail.performer" />
      <short value="Performer" />
      <definition value="The person carrying out the nursing procedure. Can be the health professional, caregiver or the patient." />
      <alias value="Uitvoerder" />
      <alias value="Zorgverlener" />
      <alias value="Verzorger" />
      <alias value="Patient" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-careteam" />
      </type>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.15" />
        <comment value="Performer" />
      </mapping>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.7" />
        <comment value="HealthcareProvider" />
      </mapping>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.16" />
        <comment value="Caregiver" />
      </mapping>
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.17" />
        <comment value="Patient" />
      </mapping>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.performer.extension">
      <path value="CarePlan.activity.detail.performer.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.performer.extension:practitionerRole">
      <path value="CarePlan.activity.detail.performer.extension" />
      <sliceName value="practitionerRole" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" />
      </type>
    </element>
    <element id="CarePlan.activity:nursingIntervention.detail.description">
      <path value="CarePlan.activity.detail.description" />
      <short value="Instruction" />
      <definition value="Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver." />
      <mapping>
        <identity value="hcim-nursingintervention-v3.2-2018EN" />
        <map value="NL-CM:14.2.18" />
        <comment value="Instruction" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>