Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

XIB Profiles

XIB Profiles

Intent

XIB means Experimentele Informatie Bouwblokken. In this service, XIB is a local draft R4 profile family for a future complete Dutch profile set.

The profile family is generated from repository FSH and is used only through explicit registered translation routes. XIB is not a generic converter mode and is not inferred from resource type.

XIB uses generic Dutch building-block names. PZP contributes supported source data points, but PZP-specific labels are not the intended public XIB concept model.

Parent Policy

XIB profiles use EU Base/Core parents wherever those parents exist and fit the supported source data. When no suitable EU parent is available, or when the EU profile requires data not guaranteed by every supported source route, the XIB profile extends the plain R4 resource.

Current XIB Profiles

XIB profile	Title	Parent choice	Main source semantics
xib-Patient	XIB Patient	EU Base Patient	patient data points from BgZ, nl-core, and currently supported PZP routes
xib-Problem	XIB Problem	EU Base Condition	BgZ/nl-core problem data points
xib-Procedure	XIB Procedure	plain R4 Procedure	procedure data points, including advance-care-planning procedure specializations
xib-FunctionalOrMentalStatus	XIB Functional Or Mental Status	EU Base medical test result	BgZ/nl-core functional or mental status data points
xib-AllergyIntolerance	XIB AllergyIntolerance	EU Base AllergyIntolerance	zib/nl-core allergy intolerance data points
xib-Encounter	XIB Encounter	plain R4 Encounter	encounter data points from zib/nl-core and currently supported PZP routes
xib-CareTeam	XIB CareTeam	plain R4 CareTeam	nl-core care team data points
xib-Appointment	XIB Appointment	plain R4 Appointment	eAfspraak appointment data points
xib-MedicationRequest	XIB MedicationRequest	EU Base MedicationRequest	medication agreement data points
xib-MedicationStatement	XIB MedicationStatement	EU Base MedicationStatement	medication use data points
xib-MedicationDispense	XIB MedicationDispense	plain R4 MedicationDispense	administration agreement data points
xib-Provenance	XIB Provenance	plain R4 Provenance	BgZ metadata data points
xib-AdvanceDirective	XIB Advance Directive	plain R4 Consent	care-directive specialization
xib-TreatmentDirective	XIB Treatment Directive	plain R4 Consent	care-directive specialization
xib-ContactPerson	XIB Contact Person	plain R4 RelatedPerson	contact-person data points
xib-Practitioner	XIB Practitioner	EU Base Practitioner	health-professional practitioner data points
xib-PractitionerRole	XIB PractitionerRole	EU Base PractitionerRole	health-professional role data points
xib-InformRelativesRequest	XIB Inform Relatives Request	plain R4 CommunicationRequest	inform-relatives request data points
xib-MedicalDeviceProduct	XIB Medical Device Product	plain R4 Device	medical device product data points
xib-MedicalDevice	XIB Medical Device	plain R4 DeviceUseStatement	medical device use data points
xib-MedicalPolicyGoal	XIB Medical Policy Goal	plain R4 Goal	medical policy goal data points
xib-OrganDonationChoiceRegistration	XIB Organ Donation Choice Registration	plain R4 Observation	care-preference observation specialization
xib-PositionRegardingEuthanasia	XIB Position Regarding Euthanasia	plain R4 Observation	care-preference observation specialization
xib-PreferredPlaceOfDeath	XIB Preferred Place Of Death	plain R4 Observation	care-preference observation specialization
xib-SenseOfPurpose	XIB Sense Of Purpose	plain R4 Observation	care-preference observation specialization
xib-SpecificCareWishes	XIB Specific Care Wishes	plain R4 Observation	care-preference observation specialization
xib-Condition	XIB Condition	plain R4 Condition	generic nl-core Condition profiles that are not specifically nl-core-Problem
xib-Observation	XIB Observation	plain R4 Observation	generic nl-core Observation profiles without a more specific XIB observation profile
xib-Flag	XIB Flag	EU Base Flag	alert and contraindication flags
xib-EpisodeOfCare	XIB EpisodeOfCare	plain R4 EpisodeOfCare	episode-of-care data points
xib-Organization	XIB Organization	EU Base Organization	healthcare-provider and payer organization data points
xib-Location	XIB Location	EU Base Location	healthcare-provider location data points
xib-CarePlan	XIB CarePlan	plain R4 CarePlan	help-from-others and nursing-intervention care-plan data points
xib-Specimen	XIB Specimen	plain R4 Specimen	laboratory specimen data points
xib-NutritionOrder	XIB NutritionOrder	plain R4 NutritionOrder	nutrition-advice data points
xib-Coverage	XIB Coverage	plain R4 Coverage	payer and insurance coverage data points
xib-Medication	XIB Medication	EU Base Medication	pharmaceutical product data points
xib-ServiceRequest	XIB ServiceRequest	plain R4 ServiceRequest	procedure-request data points
xib-Composition	XIB Composition	EU Base Composition	SOAP report data points
xib-Media	XIB Media	plain R4 Media	visual-result media data points
xib-DiagnosticReport	XIB DiagnosticReport	EU Base DiagnosticReport	text-result report data points
xib-Immunization	XIB Immunization	EU Base Immunization	vaccination-event data points
xib-ImmunizationRecommendation	XIB ImmunizationRecommendation	plain R4 ImmunizationRecommendation	vaccination-request data points
xib-DocumentReference	XIB DocumentReference	plain R4 DocumentReference	wound image document-reference data points

The current Consent and Observation specializations are intentionally grouped as generic care directives and care-preference observations in the translation review. They remain separate profiles while their code/category constraints and source wrapper maps are profile-specific. If those constraints converge, they should be collapsed into a shared XIB profile with subtype choices rather than kept as source-specific profiles. The advance-care-planning procedure specialization already uses the shared xib-Procedure profile.

Supplemental Local Extension Definitions

These extension definitions are included so the generated XIB profiles can resolve supported Dutch extension URLs that are mapped by existing nl-core or zib semantics but are not reliably resolvable from the installed package set.

Extension	Canonical URL	Used by
xib-preferred-pharmacy	http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy	xib-Patient
xib-patient-legal-status	http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus	xib-Patient
xib-life-stance	http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance	xib-Patient
xib-medicationrequest-requester-on-behalf-of	http://nictiz.nl/fhir/StructureDefinition/xib-MedicationRequest-RequesterOnBehalfOf	xib-MedicationRequest
xib-medicationstatement-taken	http://nictiz.nl/fhir/StructureDefinition/xib-MedicationStatement-Taken	xib-MedicationStatement
xib-medication-period-of-use	http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse	xib-MedicationDispense
xib-medication-use-duration	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration	xib-MedicationRequest, xib-MedicationStatement, xib-MedicationDispense
xib-medication-additional-information	http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation	xib-MedicationRequest, xib-MedicationDispense
xib-medication-treatment	http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment	xib-MedicationRequest, xib-MedicationStatement, xib-MedicationDispense
xib-medication-stop-type	http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType	xib-MedicationRequest, xib-MedicationDispense
xib-medication-use-as-agreed-indicator	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator	xib-MedicationStatement
xib-medication-use-prescriber	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber	xib-MedicationStatement
xib-administration-agreement-reason	http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement-AgreementReason	xib-MedicationDispense

XIB profiles do not inherit directly from nl-core or PZP profiles. Supported Dutch and source-specific data points outside the selected parent are represented as explicit XIB slices or local XIB extension definitions.

The current reviewed XIB target maps cover every non-internal logical dataelement that is populated by the registered source maps for the supported source-to-XIB routes. Internal transfer metadata such as sourceResourceType and targetResourceType remains part of the logical handoff and is not emitted as clinical XIB payload.

Mapping Model

All XIB translations keep the same logical handoff as the other target families:

source profile -> logical model -> XIB target profile

XIB source support uses the reverse path:

XIB source profile -> logical model -> target profile

The implementation uses:

• logical-to-xib StructureMaps for target output
• xib-to-logical StructureMaps for XIB input/source support
• logical models as the semantic handoff point
• ConceptMaps only where code translation is needed

The HTTP layer selects registered routes and returns FHIR resources. It does not contain XIB-specific semantic workarounds.

Source Support

XIB resources are accepted as source profiles only when a matching xib-to-logical StructureMap and registry route exist. This keeps source behavior profile-specific and hierarchy-aware.

The supported route pairs remain visible through the translation-index endpoints and the Translation Matrix.

Generated Artifacts

The generated XIB StructureDefinitions are included in the IG artifacts. The source FSH is copied into the IG build under input/fsh/xib so XIB appears as its own profile family rather than as part of the logical-model folder.

All installed nl-core R4 resource profiles are also visible as source candidates for XIB in the translation review and in /fhir/r4/translation-index. The current nl-core package contains 152 resource StructureDefinitions; each one has an explicit route to a XIB target through either a concept-specific source map or a generic resource-shape logical model.

Use Artifacts for the generated StructureDefinition details and Target Profiles for target-family selection rules.