<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="HdBe-DevelopmentChild" />
  <language value="en-US" />
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2020-09-01T00:00:00+02:00" />
    </valuePeriod>
  </extension>
  <url value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-DevelopmentChild" />
  <name value="HdBeDevelopmentChild">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeOntwikkelingKind" />
      </extension>
    </extension>
  </name>
  <title value="HdBe DevelopmentChild" />
  <status value="draft" />
  <date value="2022-07-07T15:04:03.2592055+00:00" />
  <publisher value="Healthdata.be (Sciensano)" />
  <contact>
    <name value="Service portal – healthdata.be" />
    <telecom>
      <system value="url" />
      <value value="https://sciensano.service-now.com/sp" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="Information on the development and growth of a child is important in determining the kind of care that should be provided to the child and the family. When the child is being transferred, continuity of care can be achieved . Information can provide insight in the process of development and whether the child has a developmental delay.&#xD;&#xA;#### Purpose&#xD;&#xA;Information about milestones within the normal development and growth of a child can provide insight in the process of development and whether the child has a developmental delay. This concerns a general impression and description of the development of the child without judgement of quality, different from the very specific evaluation of the development as is normal in youth health care. The purpose is to provide the receiving organisation a basis for further evaluation and care of the child.&#xD;&#xA;#### Evidence Base&#xD;&#xA;The definitions of the concepts and value lists were partially based on (i.e. phrased for practical use) information gathered from the Van Wiechen scheme, the NCJ guideline Toilet Trainedness of urine and feces, and information from the VKS (www.ontwikkelingsachterstand.nl).&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;#### Instructions&#xD;&#xA;Examples for evaluating the speech development of the child:&#xD;&#xA;&#xD;&#xA;* Able to comprehend short daily used sentences: &quot;Put on your coat&quot;&#xD;&#xA;* Able to speak short daily used sentences: 2-3 words">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="Informatie over de ontwikkeling en groei van een kind is van belang bij het bepalen van de aard van de zorg die aan het kind en het gezin geboden moet worden. In een overdrachtssituatie biedt het de ontvangende organisatie de mogelijkheid hierop te anticiperen waardoor continuïteit van de zorgverlening gerealiseerd kan worden.&#xD;&#xA;De informatie kan ook inzicht geven in het verloop van de ontwikkeling en de vraag of het kind een ontwikkelingsachterstand heeft.&#xD;&#xA;#### Purpose&#xD;&#xA;Het vastleggen van mijlpalen binnen de normale ontwikkeling en groei van een kind kan inzicht geven in het verloop van de ontwikkeling en de vraag of het kind een ontwikkelingsachterstand heeft. Het gaat hierbij om een algemene indruk en omschrijving van de ontwikkeling van het kind zonder kwaliteitsoordeel, anders dan de zeer specifieke evaluatie van de ontwikkeling zoals gebruikelijk in de jeugdgezondheidszorg. Het doel is om de ontvangende organisatie een handvat te geven voor de verdere evaluatie en zorgverlening van het kind.&#xD;&#xA;#### Evidence Base&#xD;&#xA;De definities van de concepten en waardelijsten zijn deels gebaseerd op (oftewel voor de praktijk bruikbaar geformuleerd) informatie verzameld vanuit het Van Wiechenschema, de NCJ richtlijn Zindelijkheid van urine en feces, en informatie vanuit de VKS (www.ontwikkelingsachterstand.nl).&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;#### Instructions&#xD;&#xA;Voorbeelden voor het beoordelen van de taalontwikkeling van het kind:&#xD;&#xA;&#xD;&#xA;* Begrijpt korte dagelijks gebruikte zinnen: &quot;Doe je jas aan&quot;&#xD;&#xA;* Spreekt korte dagelijks gebruikte zinnen: 2-3 woorden" />
      </extension>
    </extension>
  </description>
  <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="logical" />
  <abstract value="true" />
  <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/DevelopmentChild" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="DevelopmentChild">
      <path value="DevelopmentChild" />
      <short value="DevelopmentChild">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingKind" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the DevelopmentChild information model. This root concept contains all data elements of the DevelopmentChild Einformation model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen OntwikkelingKind. Dit rootconcept bevat alle gegevenselementen van de bouwsteen OntwikkelingKind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DevelopmentChild" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="DevelopmentChild.id">
      <path value="DevelopmentChild.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="DevelopmentChild.extension">
      <path value="DevelopmentChild.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="DevelopmentChild.DevelopmentChildDateTime">
      <path value="DevelopmentChild.DevelopmentChildDateTime" />
      <short value="DevelopmentChildDateTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingKindDatumTijd" />
          </extension>
        </extension>
      </short>
      <definition value="The date and time on which the status of the development of the child are registered.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum en tijdstip waarop de status van de ontwikkeling van het kind zijn geregistreerd." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.DevelopmentChildDateTime" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="DevelopmentChild.ToiletTrainednessUrine">
      <path value="DevelopmentChild.ToiletTrainednessUrine" />
      <short value="ToiletTrainednessUrine">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ZindelijkheidUrine" />
          </extension>
        </extension>
      </short>
      <definition value="Degree of toilet trainedness for urine.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mate van zindelijk zijn voor urine." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.ToiletTrainednessUrine" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="ToiletTrainednessUrine codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/ZindelijkheidUrine" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.ToiletTrainednessFeces">
      <path value="DevelopmentChild.ToiletTrainednessFeces" />
      <short value="ToiletTrainednessFeces">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ZindelijkheidFeces" />
          </extension>
        </extension>
      </short>
      <definition value="Degree of toilet trainedness for feces.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mate van zindelijk zijn voor feces." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.ToiletTrainednessFeces" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="ToiletTrainednessFeces codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/ZindelijkheidFeces" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.AgeFirstMenstruation">
      <path value="DevelopmentChild.AgeFirstMenstruation" />
      <short value="AgeFirstMenstruation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="LeeftijdEersteMenstruatie" />
          </extension>
        </extension>
      </short>
      <definition value="The age of the start of the first menstruation.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De leeftijd van de aanvang van de eerste menstruatie." />
          </extension>
        </extension>
      </definition>
      <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.AgeFirstMenstruation" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="qty-3" />
        <severity value="error" />
        <human value="If a code for the unit is present, the system SHALL also be present" />
        <expression value="code.empty() or system.exists()" />
        <xpath value="not(exists(f:code)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SN (see also Range) or CQ" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values" />
      </mapping>
    </element>
    <element id="DevelopmentChild.DevelopmentLocomotion">
      <path value="DevelopmentChild.DevelopmentLocomotion" />
      <short value="DevelopmentLocomotion">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingMotoriek" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of locomotive development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de ontwikkeling van grove motoriek bij een kind." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.DevelopmentLocomotion" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="DevelopmentLocomotion codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingMotoriek" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.DevelopmentSocial">
      <path value="DevelopmentChild.DevelopmentSocial" />
      <short value="DevelopmentSocial">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingSociaal" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of social development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de sociale ontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.DevelopmentSocial" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="DevelopmentSocial codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingSociaal" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.DevelopmentLinguistics">
      <path value="DevelopmentChild.DevelopmentLinguistics" />
      <short value="DevelopmentLinguistics">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingTaal" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of lingual development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de taalontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.DevelopmentLinguistics" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="DevelopmentLinguistics codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingTaal" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.DevelopmentCognition">
      <path value="DevelopmentChild.DevelopmentCognition" />
      <short value="DevelopmentCognition">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingVerstandelijk" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of cognitive development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de verstandelijke ontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.DevelopmentCognition" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="required" />
        <description value="DevelopmentCognition codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingVerstandelijk" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
    </element>
    <element id="DevelopmentChild.Comment">
      <path value="DevelopmentChild.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the development of the child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De toelichting op de ontwikkeling van het kind." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DevelopmentChild.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="DevelopmentChild">
      <path value="DevelopmentChild" />
      <short value="DevelopmentChild">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingKind" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the DevelopmentChild information model. This root concept contains all data elements of the DevelopmentChild Einformation model.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Rootconcept van de bouwsteen OntwikkelingKind. Dit rootconcept bevat alle gegevenselementen van de bouwsteen OntwikkelingKind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="DevelopmentChild.DevelopmentChildDateTime">
      <path value="DevelopmentChild.DevelopmentChildDateTime" />
      <short value="DevelopmentChildDateTime">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingKindDatumTijd" />
          </extension>
        </extension>
      </short>
      <definition value="The date and time on which the status of the development of the child are registered.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De datum en tijdstip waarop de status van de ontwikkeling van het kind zijn geregistreerd." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="DevelopmentChild.ToiletTrainednessUrine">
      <path value="DevelopmentChild.ToiletTrainednessUrine" />
      <short value="ToiletTrainednessUrine">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ZindelijkheidUrine" />
          </extension>
        </extension>
      </short>
      <definition value="Degree of toilet trainedness for urine.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mate van zindelijk zijn voor urine." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="ToiletTrainednessUrine codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/ZindelijkheidUrine" />
      </binding>
    </element>
    <element id="DevelopmentChild.ToiletTrainednessFeces">
      <path value="DevelopmentChild.ToiletTrainednessFeces" />
      <short value="ToiletTrainednessFeces">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ZindelijkheidFeces" />
          </extension>
        </extension>
      </short>
      <definition value="Degree of toilet trainedness for feces.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mate van zindelijk zijn voor feces." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="ToiletTrainednessFeces codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/ZindelijkheidFeces" />
      </binding>
    </element>
    <element id="DevelopmentChild.AgeFirstMenstruation">
      <path value="DevelopmentChild.AgeFirstMenstruation" />
      <short value="AgeFirstMenstruation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="LeeftijdEersteMenstruatie" />
          </extension>
        </extension>
      </short>
      <definition value="The age of the start of the first menstruation.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De leeftijd van de aanvang van de eerste menstruatie." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="DevelopmentChild.DevelopmentLocomotion">
      <path value="DevelopmentChild.DevelopmentLocomotion" />
      <short value="DevelopmentLocomotion">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingMotoriek" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of locomotive development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de ontwikkeling van grove motoriek bij een kind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="DevelopmentLocomotion codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingMotoriek" />
      </binding>
    </element>
    <element id="DevelopmentChild.DevelopmentSocial">
      <path value="DevelopmentChild.DevelopmentSocial" />
      <short value="DevelopmentSocial">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingSociaal" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of social development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de sociale ontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="DevelopmentSocial codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingSociaal" />
      </binding>
    </element>
    <element id="DevelopmentChild.DevelopmentLinguistics">
      <path value="DevelopmentChild.DevelopmentLinguistics" />
      <short value="DevelopmentLinguistics">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingTaal" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of lingual development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de taalontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="DevelopmentLinguistics codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingTaal" />
      </binding>
    </element>
    <element id="DevelopmentChild.DevelopmentCognition">
      <path value="DevelopmentChild.DevelopmentCognition" />
      <short value="DevelopmentCognition">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="OntwikkelingVerstandelijk" />
          </extension>
        </extension>
      </short>
      <definition value="Milestones of cognitive development of a child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Mijlpalen voor de verstandelijke ontwikkeling van een kind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="DevelopmentCognition codes" />
        <valueSet value="https://fhir.healthdata.be/ValueSet/OntwikkelingVerstandelijk" />
      </binding>
    </element>
    <element id="DevelopmentChild.Comment">
      <path value="DevelopmentChild.Comment" />
      <short value="Comment">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting" />
          </extension>
        </extension>
      </short>
      <definition value="Comment on the development of the child.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De toelichting op de ontwikkeling van het kind." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>