<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="Traditionally, a family is defined as a group of people of one or more adults who carry responsibility for caring for and raising one or more children. Currently, the term is used more broadly for all forms of cohabitation which form a recognizable social unit, of people who are or who are not related and who have long-lasting, affective bonds and provide each other with support and care. #### Purpose Information on the patient’s family situation is important in determining the extent to which the patient receives and can receive care and support. For example, the age of the patient’s children partially determines whether they can play a role in caregiving. It is also important to know whether the patient needs support for daycare and/or care for dependent family members. Situations in which this information is important include for example being discharged from the hospital or nursing home. #### Instructions Care for family members who depend on the patient is described in the Care Responsibility concept. Family members who can provide the patient with care as a caregiver are entered as a caregiver in the HelpFromOthers information model. Because of KOPP policy (Kinderen van Ouders met Psychiatrische Problemen, or Children of Parents with Psychiatric Problems) mental healthcare facilities require a record stating whether there are children in the family. This means that in a mental healthcare situation, the number of children (living at home) must be recorded, with information per individual child or as a total number."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Traditioneel is een gezin gedefinieerd als een leefverband van een of meer volwassenen die verantwoordelijkheid dragen voor de verzorging en de opvoeding van een of meer kinderen. Tegenwoordig wordt de term breder gebruikt voor alle samenlevingsvormen die een herkenbare sociale eenheid vormen, met al dan niet verwante personen die duurzame en affectieve banden hebben en elkaar onderling steun en verzorging verlenen. #### Purpose Informatie over de gezinssituatie van de patiënt is van belang bij het vaststellen van de mate waarin de patiënt thuis verzorging en ondersteuning krijgt en kan krijgen. De leeftijd van de kinderen bepaalt bijvoorbeeld mede of zij een rol kunnen spelen bij de mantelzorg. Ook is het van belang te weten of de patiënt ondersteuning nodig heeft voor opvang van en/of zorg voor afhankelijke gezinsleden. Situaties waarin deze informatie van belang is, zijn bijvoorbeeld ontslag uit het ziekenhuis of verpleeghuis. #### Instructions Zorg voor gezinsleden die van de patiënt afhankelijk zijn wordt in het concept Zorgtaak vermeld. Gezinsleden die de patiënt zorg kunnen geven als mantelzorger worden in de bouwsteen HulpVanAnderen vermeld als mantelzorger. In het kader van het het beleid rondom KOPP (Kinderen van Ouders met Psychiatrische Problemen) is het in de GGZ instellingen verplicht vast te leggen of er kinderen in het gezin zijn. Dit houdt in dat voor de GGZ situatie of het aantal kinderen (inwonend) moet worden ingevuld, hetzij met informatie per kind hetzij als totaal aantal." /> </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/FamilySituation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <snapshot> <element id="FamilySituation"> <path value="FamilySituation" /> <short value="FamilySituation"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Gezinssituatie" /> </extension> </extension> </short> <definition value="Root concept of the FamilySituation information model. This concept contains all data elements of the FamilySituation information 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 Gezinssituatie. Dit concept bevat alle gegevenselementen van de bouwsteen Gezinssituatie." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <base> <path value="FamilySituation" /> <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() > 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="FamilySituation.id"> <path value="FamilySituation.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() > 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="FamilySituation.extension"> <path value="FamilySituation.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() > 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="FamilySituation.MaritalStatus"> <path value="FamilySituation.MaritalStatus" /> <short value="MaritalStatus"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="BurgerlijkeStaat" /> </extension> </extension> </short> <definition value="Patient’s marital status."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De burgerlijke staat van de patiënt." /> </extension> </extension> </definition> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="1" /> <base> <path value="FamilySituation.MaritalStatus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-MaritalStatusRC" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> </element> <element id="FamilySituation.FamilyComposition"> <path value="FamilySituation.FamilyComposition" /> <short value="FamilyComposition"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Gezinssamenstelling" /> </extension> </extension> </short> <definition value="The family composition describes the patient’s home situation and the form of cohabitation. A family can consist of one or more people."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De gezinssamenstelling beschrijft de thuissituatie van de patiënt en de samenlevingsvorm. Een gezin kan uit één of meer personen bestaan." /> </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="FamilySituation.FamilyComposition" /> <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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="extensible" /> <description value="FamilyComposition codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/Gezinssamenstelling" /> </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="FamilySituation.NumberOfChildren"> <path value="FamilySituation.NumberOfChildren" /> <short value="NumberOfChildren"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AantalKinderen" /> </extension> </extension> </short> <definition value="The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het aantal kinderen dat de patiënt heeft. Kinderen in de context van deze bouwsteen zijn stiefkinderen, pleegkinderen, biologische en geadopteerde kinderen." /> </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="FamilySituation.NumberOfChildren" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Count" /> </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() > 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> <constraint> <key value="cnt-3" /> <severity value="error" /> <human value="There SHALL be a code with a value of "1" if there is a value and it SHALL be an expression of length. If system is present, it SHALL be UCUM. If present, the value SHALL a whole number." /> <expression value="(code or value.empty()) and (system.empty() or system = %ucum) and (code.empty() or code = '1') and (value.empty() or value.toString().contains('.').not())" /> <xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or (f:system/@value='http://unitsofmeasure.org' and f:code/@value='1')) and not(contains(f:value/@value, '.'))" /> <source value="http://hl7.org/fhir/StructureDefinition/Count" /> </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<PQ>, MO, CO, depending on the values" /> </mapping> </element> <element id="FamilySituation.NumberOfChildrenLivingAtHome"> <path value="FamilySituation.NumberOfChildrenLivingAtHome" /> <short value="NumberOfChildrenLivingAtHome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AantalKinderenInwonend" /> </extension> </extension> </short> <definition value="The number of children living at home with the patient."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het aantal kinderen dat bij de patiënt woont." /> </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="FamilySituation.NumberOfChildrenLivingAtHome" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Count" /> </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() > 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> <constraint> <key value="cnt-3" /> <severity value="error" /> <human value="There SHALL be a code with a value of "1" if there is a value and it SHALL be an expression of length. If system is present, it SHALL be UCUM. If present, the value SHALL a whole number." /> <expression value="(code or value.empty()) and (system.empty() or system = %ucum) and (code.empty() or code = '1') and (value.empty() or value.toString().contains('.').not())" /> <xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or (f:system/@value='http://unitsofmeasure.org' and f:code/@value='1')) and not(contains(f:value/@value, '.'))" /> <source value="http://hl7.org/fhir/StructureDefinition/Count" /> </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<PQ>, MO, CO, depending on the values" /> </mapping> </element> <element id="FamilySituation.CareResponsibility"> <path value="FamilySituation.CareResponsibility" /> <short value="CareResponsibility"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Zorgtaak" /> </extension> </extension> </short> <definition value="The activities the patient carries out to care for a dependent family member."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De activiteiten die de patiënt verricht in het kader van zorg voor een afhankelijk gezinslid." /> </extension> </extension> </definition> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="*" /> <base> <path value="FamilySituation.CareResponsibility" /> <min value="0" /> <max value="*" /> </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() > 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="FamilySituation.CommentFamilySituation"> <path value="FamilySituation.CommentFamilySituation" /> <short value="CommentFamilySituation"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ToelichtingGezinssituatie" /> </extension> </extension> </short> <definition value="A comment on the family situation."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de gezinssituatie." /> </extension> </extension> </definition> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="FamilySituation.CommentFamilySituation" /> <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() > 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="FamilySituation.Child"> <path value="FamilySituation.Child" /> <short value="Child"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Kind" /> </extension> </extension> </short> <definition value="Container of the Child concept. This container contains all data elements of the Child concept."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Container van het concept Kind. Deze container bevat alle gegevenselementen van het concept Kind." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <base> <path value="FamilySituation.Child" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </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() > 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="FamilySituation.Child.id"> <path value="FamilySituation.Child.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() > 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="FamilySituation.Child.extension"> <path value="FamilySituation.Child.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() > 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="FamilySituation.Child.modifierExtension"> <path value="FamilySituation.Child.modifierExtension" /> <short value="Extensions that cannot be ignored" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions." /> <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" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <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() > 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> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilySituation.Child.DateOfBirth"> <path value="FamilySituation.Child.DateOfBirth" /> <short value="DateOfBirth"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Geboortedatum" /> </extension> </extension> </short> <definition value="The child’s date of birth."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De geboortedatum van het kind." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <base> <path value="FamilySituation.Child.DateOfBirth" /> <min value="0" /> <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() > 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="FamilySituation.Child.LivingAtHome"> <path value="FamilySituation.Child.LivingAtHome" /> <short value="LivingAtHome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Inwonend" /> </extension> </extension> </short> <definition value="An indication stating whether the child lives at home."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een indicator die aangeeft of het kind inwonend is." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <base> <path value="FamilySituation.Child.LivingAtHome" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </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() > 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="FamilySituation.Child.CommentChild"> <path value="FamilySituation.Child.CommentChild" /> <short value="CommentChild"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ToelichtingKind" /> </extension> </extension> </short> <definition value="A comment on the childs family situation."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de gezinssituatie 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="FamilySituation.Child.CommentChild" /> <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() > 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="FamilySituation"> <path value="FamilySituation" /> <short value="FamilySituation"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Gezinssituatie" /> </extension> </extension> </short> <definition value="Root concept of the FamilySituation information model. This concept contains all data elements of the FamilySituation information 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 Gezinssituatie. Dit concept bevat alle gegevenselementen van de bouwsteen Gezinssituatie." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="FamilySituation.MaritalStatus"> <path value="FamilySituation.MaritalStatus" /> <short value="MaritalStatus"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="BurgerlijkeStaat" /> </extension> </extension> </short> <definition value="Patient’s marital status."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De burgerlijke staat van de patiënt." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-MaritalStatusRC" /> </type> </element> <element id="FamilySituation.FamilyComposition"> <path value="FamilySituation.FamilyComposition" /> <short value="FamilyComposition"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Gezinssamenstelling" /> </extension> </extension> </short> <definition value="The family composition describes the patient’s home situation and the form of cohabitation. A family can consist of one or more people."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De gezinssamenstelling beschrijft de thuissituatie van de patiënt en de samenlevingsvorm. Een gezin kan uit één of meer personen bestaan." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="FamilyComposition codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/Gezinssamenstelling" /> </binding> </element> <element id="FamilySituation.NumberOfChildren"> <path value="FamilySituation.NumberOfChildren" /> <short value="NumberOfChildren"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AantalKinderen" /> </extension> </extension> </short> <definition value="The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het aantal kinderen dat de patiënt heeft. Kinderen in de context van deze bouwsteen zijn stiefkinderen, pleegkinderen, biologische en geadopteerde kinderen." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Count" /> </type> </element> <element id="FamilySituation.NumberOfChildrenLivingAtHome"> <path value="FamilySituation.NumberOfChildrenLivingAtHome" /> <short value="NumberOfChildrenLivingAtHome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AantalKinderenInwonend" /> </extension> </extension> </short> <definition value="The number of children living at home with the patient."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het aantal kinderen dat bij de patiënt woont." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Count" /> </type> </element> <element id="FamilySituation.CareResponsibility"> <path value="FamilySituation.CareResponsibility" /> <short value="CareResponsibility"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Zorgtaak" /> </extension> </extension> </short> <definition value="The activities the patient carries out to care for a dependent family member."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De activiteiten die de patiënt verricht in het kader van zorg voor een afhankelijk gezinslid." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="string" /> </type> </element> <element id="FamilySituation.CommentFamilySituation"> <path value="FamilySituation.CommentFamilySituation" /> <short value="CommentFamilySituation"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ToelichtingGezinssituatie" /> </extension> </extension> </short> <definition value="A comment on the family situation."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de gezinssituatie." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="FamilySituation.Child"> <path value="FamilySituation.Child" /> <short value="Child"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Kind" /> </extension> </extension> </short> <definition value="Container of the Child concept. This container contains all data elements of the Child concept."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Container van het concept Kind. Deze container bevat alle gegevenselementen van het concept Kind." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="FamilySituation.Child.DateOfBirth"> <path value="FamilySituation.Child.DateOfBirth" /> <short value="DateOfBirth"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Geboortedatum" /> </extension> </extension> </short> <definition value="The child’s date of birth."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De geboortedatum van het kind." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="FamilySituation.Child.LivingAtHome"> <path value="FamilySituation.Child.LivingAtHome" /> <short value="LivingAtHome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Inwonend" /> </extension> </extension> </short> <definition value="An indication stating whether the child lives at home."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een indicator die aangeeft of het kind inwonend is." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="boolean" /> </type> </element> <element id="FamilySituation.Child.CommentChild"> <path value="FamilySituation.Child.CommentChild" /> <short value="CommentChild"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="ToelichtingKind" /> </extension> </extension> </short> <definition value="A comment on the childs family situation."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de gezinssituatie van het kind." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>