# Home - PLUGIN v0.7.0-public-consultation-1

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:https://plugin.healthcare/fhir/ImplementationGuide/default | *Version*:0.7.0-public-consultation-1 |
| Draft as of 2026-02-27 | *Computable Name*:PLUGIN |
| **Copyright/Legal**: Used by permission of the PLUGIN team, all rights reserved Creative Commons License | |

![](assets/images/logo plugin rgb_groot_met iconen_kleur.svg)

### Achtergrond

Deze ImplementatieGids (IG) biedt een helpende hand bij deelname aan [PLUGIN](about-plugin.md). De gids beschrijft daarvoor een Common Data Model (informatiestandaard) o.b.v. FHIR-Profielen.

Het doel van het [PLUGIN](about-plugin.md)-programma is om klinische gegevens uit het zorgproces beschikbaar te maken voor (met name) secundair gebruik via een gefedereerde infrastructuur. Voor gefedereerd gebruik van deze gegevens, is het noodzakelijk om een aantal zaken te weten:

1. Welke gegevens zijn beschikbaar; wat is de itemset?
1. Hoe zijn de gegevens gecodeeerd; welke terminologie is toegepast?
1. Hoe zijn de gegevens gestructureerd; staan de gegevens in tabellen of JSON-bestanden? Hoe zijn relaties tussen gegevens vastgelegd?
1. Hoe kunnen de gegevens worden benaderd; file-based access? SQL-queries? RESTful APIs?

Met een Common Data Model streven we ernaar een gestandaardiseerde set gegevens te definiëren die herbruikbaar is voor het merendeel van het secundaire gebruik van klinische data. Vanuit het PLUGIN-consortium werken we samen aan een zo breed mogelijk gedragen Common Data Model, zodat ziekenhuizen voor veel projecten kunnen volstaan met één gestandaardiseerde data-extractie.

Op dit moment richt de Implementatiegids zich op punten 1 t/m 3 uit de opsomming hierboven. Er wordt vooralsnog géén uitspraak gedaan over opslag van gegevens of mechanisme van benaderen. Voor toepassing binnen een datastation dient ook over punt 4 helderheid te worden verschaft. Dit is een onderwerp dat momenteel wordt uitgewerkt door [Health-RI](https://health-ri.github.io/data-station-specification/) en zal t.z.t. ook in deze IG worgen beschreven.

### De aanpak

Ziekenhuizen zijn een belangrijke bron van klinische gegevens. Binnen ziekenhuizen is het elektronische patiëntendossier (epd) hét systeem waarin veel gegevens samenkomen. Deze Implementatiegids werkt daarom een "Common Data Model" (CDM) uit dat een brug slaat tussen de gegevens zoals deze in het epd zijn vastgelegd en de wereld van secundair gebruik (**Figuur 1**). Dit doen we door per FHIR Resource/zib/concept aan te geven welke attributen **minimaal noodzakelijk** zijn om breed, secundair gebruik mogelijk te maken. De informatiestroom die hiervoor nodig is, staat schematisch weergegeven in onderstaand figuur. Hierbij wordt eerder werk, zoals de [zorginformatiebouwstenen](https://nictiz.nl/wat-we-doen/activiteiten/zibs/) en de Nederlandse [nl-core](https://simplifier.net/packages/nictiz.fhir.nl.r4.nl-core) FHIR Profielen, zoveel mogelijk hergebruikt.

Vanuit dit FHIR Common Data Model is het vervolgens mogelijk om verschillende datasets samen te stellen, zoals de datasets die nodig zijn voor aanlevering aan de Nederlandse Kankerregistratie of voor het project AI-ondersteund coderen. Ook kunnen de data van hieruit worden omgezet naar andere common data modellen, zoals het [OMOP CDM](https://ohdsi.github.io/CommonDataModel/).

### Relatie met eerder werk

Eerdere inspanningen op gebied van standaardisatie van deze gegevens, richtten zich voornamelijk op gegevens*overdracht*. Hierbij werd het uitgangspunt gehanteerd dat een zorgverlener, met een goed zicht op de medische status, verantwoordelijk is voor de juiste selectie en verzending van patiëntgegevens.

Bij gebruik van data binnen een gefedereerd netwerk (**Figuur 2** en **Figuur 3**), is dit uitgangspunt echter omgekeerd. Een gebruiker moet zonder directe toegang tot het volledige dossier de benodigde informatie kunnen terugvinden én interpreteren. Hiervoor is het belangrijk om niet alleen naar losse concepten (bijv. bloeddruk) te kijken, maar ook afspraken te maken over de aanwezige relaties tussen gegevens. De context moet kunnen worden afgegeleid uit de individuele (zorginformatie)bouwstenen.

**Figuur 1:** Relatie tussen epd-data en het PLUGIN FHIR Common Data Model (CDM). Data uit epd's (en andere databronnen) worden, waar mogelijk, in overeenstemming gebracht met het CDM. Van hieruit kunnen andere datasets worden samengesteld. Deze data worden beschikbaar gesteld in een Federated Data Station.

**Figuur 2:** De data worden binnen het Federated Data Station gekoppeld aan compute en software die gefedereerde toepassingen mogelijk maakt, bijvoorbeeld vantage6. Dit is geen noodzaak; het CDM kan ook gebruikt worden met andere toepassingen.

**Figuur 3:** Meerdere datastations samen vormen een gefedereerd netwerk.

### Totstandkoming

Deze Implementatiegids is tot stand gekomen én wordt actief ontwikkeld dankzij participatie van meerdere organisaties. In alfabetische volgorde zijn dat: DHD, Health-RI, HL7 Nederland, IKNL, Expertisecentrum Zorgalgoritmen, openEHR Nederland, Pacmed, Radboudumc, Santeon, Stichting NICE, en UMCG.

![](logos-partners.png)



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        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "grouping" : [{
      "id" : "PLUGIN",
      "name" : "PLUGIN Profielen",
      "description" : "PLUGIN Profielen. Zowel bedoeld voor gebruik binnen de kliniek (primair gebruik) als voor secundaire toepassingen, zoals onderzoek."
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/plugin-active-conditions-vs"
      },
      "name" : "Actieve diagnoses",
      "description" : "Subset van actieve diagnoses voor `Condition.verificationStatus`",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-condition"
      },
      "name" : "Condition",
      "description" : "Condition as used within PLUGIN. Maturity Level: 0 Draft. Open issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginCondition).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/dhd-dx-thesaurus"
      },
      "name" : "DHD DiagnoseThesaurus",
      "description" : "Diagnoses, zoals gecodeerd/gebruikt binnen de DHD DiagnoseThesaurus.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/dhd-dx-thesaurus"
      },
      "name" : "DHD DiagnoseThesaurus",
      "description" : "Diagnoses, zoals gecodeerd/gebruikt binnen de DHD DiagnoseThesaurus.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/dhd-dx-thesaurus-hnc"
      },
      "name" : "DHD DiagnoseThesaurus: codes voor HHT",
      "description" : "HHT Diagnoses, zoals gecodeerd/gebruikt binnen de DHD DiagnoseThesaurus.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/dhd-specialisms"
      },
      "name" : "DHD Specialisme",
      "description" : "Specialismes, zoals gecodeerd/gebruikt binnen DHD.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/dhd-specialisms"
      },
      "name" : "DHD Specialisme",
      "description" : "Specialismes, zoals gecodeerd/gebruikt binnen DHD.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/dxt2snomed"
      },
      "name" : "DiagnoseThesaurus naar SNOMED",
      "description" : "Mapping van de DiagnoseThesaurus op SNOMED.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/dxt2icd10hnc"
      },
      "name" : "DiagnoseThesaurus voor HHT naar ICD-10-nl",
      "description" : "Mapping van de DiagnoseThesaurus op ICD-10.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-pathologyreport"
      },
      "name" : "DiagnosticReport - Pathology",
      "description" : "DiagnosticReport as used within PLUGIN for Pathology. Maturity Level: 0 Draft. Open issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginPathologyReport).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-documentreference"
      },
      "name" : "DocumentReference",
      "description" : "Profile for documents, such as clinical letters and (surgery) reports, \nas used within PLUGIN. Copied from the [ZorgViewer IG](https://implementatiegids.zorgviewer.nl/StructureDefinition-DocumentReference.html) \n(referencing was not technically possible since this IG uses R4).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-encounter"
      },
      "name" : "Encounter",
      "description" : "Contactmoment tussen patiënt en zorgverlener. \nMaturity Level: 0 Draft. \n\nOpen issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginEncounter).\n\nEen Encounter beschrijft een bezoek aan het ziekenhuis en legt vast welk specialisme hierbij betrokken was. Dit kan een (dag)opname zijn, maar ook een poliklinisch bezoek. In het geval van een langere opname, kan het zijn dat een patiënt verschillende afdelingen in het ziekenhuis aandoet. Een opname kan bijvoorbeeld beginnen op de eerste hulp (SEH), waarna de patiënt wordt overgeplaatst naar de Acute Opname Afdeling (AOA) om, via de Intensive Care (ICU) op een reguliere afdeling terecht te komen. \n\nHet is belangrijk om op ieder moment te kunnen achterhalen welk specialisme verantwoordelijk was voor de patiënt. Ook is het, met name voor secundair gebruik, noodzakelijk om te weten wanneer de opname startte en wanneer de patiënt met ontslag ging.\n\nOm proces dit te faciliteren, wordt in dit CDM gebruik gemaakt van een hoofd-opname en sub-opnames. De hoofdopname start zodra de patiënt wordt opgenomen en eindigt wanneer de patiënt met ontslag is gegaan. Op ieder moment dat de medische verantwoordelijkheid over een patiënt wordt overgedragen, wordt een subopname gemaakt die wordt gelinkt aan de hoofdopname via het attribuut `partOf`.\n\n<img \n    src=\"encounter-subencounter-relationships.png\"\n    style=\"float:none; width:65%;\"\n    />\n<caption><strong>Figuur:</strong> Visualisatie van de relatie tussen Encounter resources en bezoek aan het ziekenhuis.</caption>",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-DBC"
      },
      "name" : "EpisodeOfCare - DBC",
      "description" : "DBC as used within PLUGIN.",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/hnc-vs"
      },
      "name" : "Head and Neck Cancer Conditions",
      "description" : "Head and Neck Cancer Conditions/Topography",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/hnc-morphology-vs"
      },
      "name" : "Head and Neck Cancer Morphology",
      "description" : "Head and Neck Cancer Morphology as defined in ICD-o-3",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/icdo3"
      },
      "name" : "ICD-o-3",
      "description" : "ValueSet voor ICD-o-3.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-medication"
      },
      "name" : "Medication",
      "description" : "Medication as used within PLUGIN.",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-medicationadministration"
      },
      "name" : "MedicationAdministration",
      "description" : "MedicationAdministration as used within PLUGIN.",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-medicationrequest"
      },
      "name" : "MedicationRequest",
      "description" : "MedicationRequest as used within PLUGIN.",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/nkr-basisvoordiagnose"
      },
      "name" : "NKR Basis voor Diagnose",
      "description" : "Basis voor diagnose zoals gebruikt binnen de NKR.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/nkr-basisvoordiagnose"
      },
      "name" : "NKR Basis voor Diagnose",
      "description" : "Basis voor diagnose zoals gebruikt binnen de NKR.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/nkr-behandeling"
      },
      "name" : "NKR Behandeling",
      "description" : "Behandelingen (gebeurtenissen) zoals geregistreerd binnen de NKR. Op dit moment bevat het codesystem alleen nog de codes die relevant voor hoofd-halstumoren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/nkr-behandeling"
      },
      "name" : "NKR Behandeling",
      "description" : "Behandelingen (gebeurtenissen) zoals geregistreerd binnen de NKR. Op dit moment bevat het codesystem alleen nog de codes die relevant voor hoofd-halstumoren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/nkr2patient"
      },
      "name" : "NKR naar PLUGIN.",
      "description" : "Mapping between the Patient models as used in the NCR and within PLUGIN.\nMaturity Level: 0 Draft",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/nkr-uitslag"
      },
      "name" : "NKR Uitslag",
      "description" : "Uitslagen (gebeurtenissen) zoals geregistreerd binnen de NKR. Op dit moment bevat het codesystem alleen nog de codes die relevant voor hoofd-halstumoren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/nkr-uitslag"
      },
      "name" : "NKR Uitslag",
      "description" : "Uitslagen (gebeurtenissen) zoals geregistreerd binnen de NKR. Op dit moment bevat het codesystem alleen nog de codes die relevant voor hoofd-halstumoren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/nkr-vitstat"
      },
      "name" : "NKR Vitale Status",
      "description" : "Vitale status zoals gebruikt binnen de NKR.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/nkr-vitstat"
      },
      "name" : "NKR Vitale Status",
      "description" : "Vitale status zoals gebruikt binnen de NKR.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-organization"
      },
      "name" : "Organization",
      "description" : "Organization as used within PLUGIN.",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/plugin-pa-report-codes-vs"
      },
      "name" : "Pathology Report codes",
      "description" : "Waardelijst met codes die een pathologieverslag identificeren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-patient"
      },
      "name" : "Patient",
      "description" : "Maturity Level: 1 Draft. Describes the Patient resource as used by the Dutch PLUGIN project. Inherits from [nl-core-Patient](https://simplifier.net/nictiz-r4-zib2020/nlcorepatient). Open issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginPatient).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-practitionerrole-specialty"
      },
      "name" : "PractitionerRoleWithSpecialty",
      "description" : "Describes the PractitionerRole resource as used by the Dutch PLUGIN project. Maturity Level: 0 Draft. Open issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginPractitionerRole).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/plugin-procedure"
      },
      "name" : "Procedure",
      "description" : "Procedure as used within PLUGIN. Inherits from\n[nl-core-Procedure-event](https://simplifier.net/nictiz-r4-zib2020/nlcoreprocedureevent). Maturity Level: 0 Draft. Open issues see [Github](https://github.com/orgs/plugin-healthcare/projects/7/views/8?filterQuery=fhir-profile%3APluginProcedure).",
      "exampleBoolean" : false,
      "groupingId" : "PLUGIN"
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "about.html"
        }],
        "nameUrl" : "about.html",
        "title" : "About",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "about-plugin.html"
        }],
        "nameUrl" : "about-plugin.html",
        "title" : "About Plugin",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "history.html"
        }],
        "nameUrl" : "history.html",
        "title" : "History",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "resource-list.html"
        }],
        "nameUrl" : "resource-list.html",
        "title" : "Resource List",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "use-case-NKR-item.html"
        }],
        "nameUrl" : "use-case-NKR-item.html",
        "title" : "Use Case NKR Item",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "use-case-palliative-care.html"
        }],
        "nameUrl" : "use-case-palliative-care.html",
        "title" : "Use Case Palliative Care",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "use-cases.html"
        }],
        "nameUrl" : "use-cases.html",
        "title" : "Use Cases",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
