Nictiz · pieter-edelman-nictiz · Sep 17, 2024 · Oct 27, 2021 · Nov 10, 2021 · Nov 10, 2021
diff --git a/known-issues.yml b/known-issues.yml
@@ -407,6 +407,12 @@ zib-Procedure-request:
       - cardinality: 0..1
         reason: It seems that the zib may have an error in the cardinality for this concept and the cardinality should acctually be 0..1 rather than 0..*. This issue is being tracked here https://bits.nictiz.nl/browse/ZIB-1488
 
+zib-SNAQ65plusScore:
+  zib deviations:
+    Observation.note.text:
+      - cardinality: 1..1
+        reason: Observation.note has cardinality 0..1, making the cardinality of Observation.note.text effectively 0..1 as required by the zib.
+
 zib-TextResult:
   zib deviations:
     DiagnosticReport.status:

diff --git a/release-notes.md b/release-notes.md
@@ -119,6 +119,13 @@ This document contains release notes per zib, indicating differences with their
 ## zib-Range
 * There is no profile for this partial zib because the relevant parts can be modelled directly in the profiles where this zib is used.
 
+## zib-SNAQ65plusScore
+* The datatype of `Observation.value[x]` (zib concept TotalScore) element has been changed from Quantity to Integer and a minimum allowed value of 0 and maximum allowed value of 5 is applied
+* The code on `Observation.component:weightLossScore.code` has changed to 4030003 and the system value to 2.16.840.1.113883.2.4.3.11.60.40.4.0.1
+* The code on `Observation.component:upperArmCircumference.code` has changed to 4030008 and the system value to 2.16.840.1.113883.2.4.3.11.60.40.4.0.1
+* The code on `Observation.component:appetiteScore.code` has changed to 4030004 and the system value to 2.16.840.1.113883.2.4.3.11.60.40.4.0.1
+* The code on `Observation.component:excerciseScore.code` has changed to 4030005 and the system value to 2.16.840.1.113883.2.4.3.11.60.40.4.0.1
+
 ## zib-TimeInterval
 * In the previous release, the concepts of this partial zib were mapped directly in the profiles where they are used. In this release the usage of this partial zib has been expanded and profiles have been created to aid the usage in profiles in the various situations that might occur.
 

diff --git a/resources/nl-core/nl-core-SNAQ65plusScore.xml b/resources/nl-core/nl-core-SNAQ65plusScore.xml
@@ -0,0 +1,43 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-SNAQ65plusScore" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-SNAQ65plusScore" />
+  <name value="NlcoreSNAQ65plusScore" />
+  <title value="nl core SNAQ65plusScore" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="email" />
+      <value value="[email protected]" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="The Short Nutritional Assessment Questionnaire 65+ (SNAQ65+) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises a number of questions, each of which is assigned a score. The total score determines the extent of malnutrition.&#xD;&#xA;The SNAQ helps to recognize and treat malnutrition at an early stage.&#xD;&#xA;Three varieties of the measuring tool were developed for different care settings: hospitals (adults and children), nursing and retirement homes and independently living seniors. This concept describes the tool intended for the setting of independently living elderly." />
+  <purpose value="A derived profile from [zib-SNAQ65plusScore](http://nictiz.nl/fhir/StructureDefinition/zib-SNAQ65plusScore) 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" />
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Observation" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-SNAQ65plusScore" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-SNAQ65plusScore" />
+    </element>
+    <element id="Observation.subject">
+      <path value="Observation.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/...ovenarmOmtrekScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4--20200901000000.xml b/...ovenarmOmtrekScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4--20200901000000.xml
@@ -0,0 +1,79 @@
+<ValueSet xmlns="http://hl7.org/fhir">
+    <id value="2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4--20200901000000"/>
+    <meta>
+        <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/><!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
+        <valuePeriod>
+            <start value="2020-09-01T00:00:00+02:00"/>
+        </valuePeriod>
+    </extension>
+    <url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4--20200901000000"/>
+    <identifier>
+        <use value="official"/>
+        <system value="urn:ietf:rfc:3986"/>
+        <value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4"/>
+    </identifier>
+    <version value="2020-09-01T00:00:00"/>
+    <name value="SNAQ65_BovenarmOmtrekScoreCodelijst"/>
+    <title value="SNAQ65+BovenarmOmtrekScoreCodelijst"/>
+    <status value="active"/>
+    <experimental value="false"/>
+    <publisher value="Registratie aan de bron"/>
+    <contact>
+        <name value="Registratie aan de bron"/>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.registratieaandebron.nl"/>
+        </telecom>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.zibs.nl"/>
+        </telecom>
+    </contact>
+    <description value="SNAQ65+BovenarmOmtrekScoreCodelijst"/>
+    <immutable value="false"/>
+    <compose>
+        <include>
+            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.18.4"/>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="0"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Omtrek &gt;= 25cm"/>
+                </extension>
+                <code value="A0"/>
+                <display value="Normaal"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="Normaal"/>
+                </designation>
+            </concept>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="3"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Omtrek &lt; 25cm"/>
+                </extension>
+                <code value="A1"/>
+                <display value="Klein"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="Klein"/>
+                </designation>
+            </concept>
+        </include>
+    </compose>
+</ValueSet>
diff --git a/...NAQ65_EetlustScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2--20200901000000.xml b/...NAQ65_EetlustScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2--20200901000000.xml
@@ -0,0 +1,79 @@
+<ValueSet xmlns="http://hl7.org/fhir">
+    <id value="2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2--20200901000000"/>
+    <meta>
+        <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/><!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
+        <valuePeriod>
+            <start value="2020-09-01T00:00:00+02:00"/>
+        </valuePeriod>
+    </extension>
+    <url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2--20200901000000"/>
+    <identifier>
+        <use value="official"/>
+        <system value="urn:ietf:rfc:3986"/>
+        <value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2"/>
+    </identifier>
+    <version value="2020-09-01T00:00:00"/>
+    <name value="SNAQ65_EetlustScoreCodelijst"/>
+    <title value="SNAQ65+EetlustScoreCodelijst"/>
+    <status value="active"/>
+    <experimental value="false"/>
+    <publisher value="Registratie aan de bron"/>
+    <contact>
+        <name value="Registratie aan de bron"/>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.registratieaandebron.nl"/>
+        </telecom>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.zibs.nl"/>
+        </telecom>
+    </contact>
+    <description value="SNAQ65+EetlustScoreCodelijst"/>
+    <immutable value="false"/>
+    <compose>
+        <include>
+            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.18.2"/>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="0"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Normale eetlust"/>
+                </extension>
+                <code value="B0"/>
+                <display value="Eetlust"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="Eetlust"/>
+                </designation>
+            </concept>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="1"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Verminderde eetlust de afgelopen week"/>
+                </extension>
+                <code value="B1"/>
+                <display value="GeenEetlust"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="GeenEetlust"/>
+                </designation>
+            </concept>
+        </include>
+    </compose>
+</ValueSet>
diff --git a/...wichtsverliesScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1--20200901000000.xml b/...wichtsverliesScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1--20200901000000.xml
@@ -0,0 +1,79 @@
+<ValueSet xmlns="http://hl7.org/fhir">
+    <id value="2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1--20200901000000"/>
+    <meta>
+        <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/><!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
+        <valuePeriod>
+            <start value="2020-09-01T00:00:00+02:00"/>
+        </valuePeriod>
+    </extension>
+    <url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1--20200901000000"/>
+    <identifier>
+        <use value="official"/>
+        <system value="urn:ietf:rfc:3986"/>
+        <value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1"/>
+    </identifier>
+    <version value="2020-09-01T00:00:00"/>
+    <name value="SNAQ65_GewichtsverliesScoreCodelijst"/>
+    <title value="SNAQ65+GewichtsverliesScoreCodelijst"/>
+    <status value="active"/>
+    <experimental value="false"/>
+    <publisher value="Registratie aan de bron"/>
+    <contact>
+        <name value="Registratie aan de bron"/>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.registratieaandebron.nl"/>
+        </telecom>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.zibs.nl"/>
+        </telecom>
+    </contact>
+    <description value="SNAQ65+GewichtsverliesScoreCodelijst"/>
+    <immutable value="false"/>
+    <compose>
+        <include>
+            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.18.1"/>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="0"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Minder dan 4kg in de laatste 6 maanden"/>
+                </extension>
+                <code value="G0"/>
+                <display value="LossLow"/>
+                <designation>
+                    <language value="en-US"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="LossLow"/>
+                </designation>
+            </concept>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="3"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="4kg of meer in de laatste 6 maanden"/>
+                </extension>
+                <code value="G2"/>
+                <display value="LossHigh"/>
+                <designation>
+                    <language value="en-US"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="LossHigh"/>
+                </designation>
+            </concept>
+        </include>
+    </compose>
+</ValueSet>
diff --git a/...5_InspanningsScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3--20200901000000.xml b/...5_InspanningsScoreCodelijst-2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3--20200901000000.xml
@@ -0,0 +1,79 @@
+<ValueSet xmlns="http://hl7.org/fhir">
+    <id value="2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3--20200901000000"/>
+    <meta>
+        <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/><!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/ValueSet"/>-->
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
+        <valuePeriod>
+            <start value="2020-09-01T00:00:00+02:00"/>
+        </valuePeriod>
+    </extension>
+    <url value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3--20200901000000"/>
+    <identifier>
+        <use value="official"/>
+        <system value="urn:ietf:rfc:3986"/>
+        <value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3"/>
+    </identifier>
+    <version value="2020-09-01T00:00:00"/>
+    <name value="SNAQ65_InspanningsScoreCodelijst"/>
+    <title value="SNAQ65+InspanningsScoreCodelijst"/>
+    <status value="active"/>
+    <experimental value="false"/>
+    <publisher value="Registratie aan de bron"/>
+    <contact>
+        <name value="Registratie aan de bron"/>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.registratieaandebron.nl"/>
+        </telecom>
+        <telecom>
+            <system value="url"/>
+            <value value="https://www.zibs.nl"/>
+        </telecom>
+    </contact>
+    <description value="SNAQ65+InspanningsScoreCodelijst"/>
+    <immutable value="false"/>
+    <compose>
+        <include>
+            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.18.3"/>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="0"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="In staat tot fysieke inspanning"/>
+                </extension>
+                <code value="In0"/>
+                <display value="Mogelijk"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="Mogelijk"/>
+                </designation>
+            </concept>
+            <concept>
+                <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
+                    <valueDecimal value="1"/>
+                </extension>
+                <extension url="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments">
+                    <valueString value="Niet in staat tot fysieke inspanning"/>
+                </extension>
+                <code value="In1"/>
+                <display value="NietMogelijk"/>
+                <designation>
+                    <language value="nl-NL"/>
+                    <use>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="900000000000013009"/>
+                        <display value="Synonym"/>
+                    </use>
+                    <value value="NietMogelijk"/>
+                </designation>
+            </concept>
+        </include>
+    </compose>
+</ValueSet>