<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="HdBe-Problem" />
  <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-Problem" />
  <name value="HdBeProblem">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeProbleem" />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBeProblème" />
      </extension>
    </extension>
  </name>
  <title value="HdBe Problem">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBe Probleem" />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="HdBe Problème" />
      </extension>
    </extension>
  </title>
  <status value="draft" />
  <date value="2022-07-07T15:04:03.259205+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="A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint), or by their healthcare professional (in the form of a diagnosis, for example). The situation can form cause for diagnostic or therapeutic policy. &#xD;&#xA;A problem includes all kinds of medical or nursing information that represents a health problem. A problem can represent various types of health problems: &#xD;&#xA; &#xD;&#xA;&#xD;&#xA;* A complaint, finding by patient: a subjective, negatively experienced observation of the patient’s health. Examples: stomach ache, amnesia.&#xD;&#xA;* A symptom: an observation by or about the patient which may indicate a certain disease. Examples: fever, blood in stool, white spots on the roof of the mouth.&#xD;&#xA;* A diagnosis: medical interpretation of complaints and findings. Examples: Diabetes Mellitus type II, pneumonia, hemolytic-uremic syndrome.&#xD;&#xA;* A functional limitation: a reduction of functional options. Examples: reduced mobility, help required for dressing.&#xD;&#xA;* A complication: Every diagnosis seen by the healthcare professional as an unforeseen and undesired result of medical action. Examples: post-operative wound infections, loss of hearing through the use of antibiotics.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;#### Purpose&#xD;&#xA;An overview of a patient’s health problems has the purpose of informing all healthcare professionals involved in the patient’s care on the patient’s current and past health condition. It provides insight into which problems require medical action, which are under control and which are no longer current. The problem overview also directly provides medical context for medication administered and procedures carried out. &#xD;&#xA;The overview promotes an efficient, targeted continuation of the patient’s care. &#xD;&#xA;A complete list of problems is of importance for automated decision support and determining contraindications.">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="nl-NL" />
      </extension>
      <extension url="content">
        <valueMarkdown value="Een probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de betroffene (de patiënt) zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose). De toestand kan aanleiding zijn voor diagnostisch of therapeutisch beleid.&amp;#13;&#xA;Een probleem omvat allerlei soorten medische of verpleegkundige gegevens, die een gezondheidsprobleem representeren. Een probleem kan verschillende typen gezondheidsproblemen representeren:&amp;#13;&#xA; &amp;#13;&#xA;&amp;#13;&#xA;* Een klacht (Complaint, finding by patient): een subjectieve, als negatief ervaren waarneming van de gezondheid. Voorbeelden: buikpijn, geheugenverlies&amp;#13;&#xA;* Een symptoom (Symptom): een waarneming door of over de patiënt die betrekking zou kunnen hebben op een bepaalde ziekte. Voorbeelden : koorts, bloed bij de ontlasting, witte vlekken op het gehemelte;&amp;#13;&#xA;* Een diagnose (Diagnosis): medische interpretatie van klachten en bevindingen. Voorbeelden: Diabetes Mellitus type II, pneumonie, Hemolytisch Uremisch Syndroom.&amp;#13;&#xA;* Een functionele beperking (Functional Limitation): een vermindering van functionele mogelijkheden. Voorbeelden: verminderde mobiliteit, hulp nodig bij aankleden.&amp;#13;&#xA;* Een complicatie (Complication): Iedere diagnose die door de zorgverlener gezien wordt als een onvoorzien en ongewenst gevolg van medisch handelen. Voorbeelden: wondinfectie na chirurgie, gehoorverlies door antibioticagebruik.&amp;#13;&#xA;&amp;#13;&#xA;&amp;#13;&#xA;&amp;#13;&#xA;#### Purpose&amp;#13;&#xA;Een overzicht van de problemen met betrekking tot de gezondheid van een patiënt heeft tot doel om alle bij de patiënt betrokken zorgverleners te informeren over de gezondheidstoestand van de patiënt in het heden en het verleden. Het geeft inzicht in welke problemen medisch handelen verlangen en welke niet meer actueel zijn. Het probleemoverzicht geeft ook direct de medische context weer voor toegediende medicatie en uitgevoerde procedures.&amp;#13;&#xA;Het overzicht bevordert een gerichte en efficiënte voortzetting van de zorg voor de patiënt.&amp;#13;&#xA;Een volledige probleemlijst is van belang ten behoeve van geautomatiseerde beslissingsondersteuning en het bepalen van contra-indicaties." />
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr-BE" />
      </extension>
      <extension url="content">
        <valueMarkdown value="Un problème décrit une situation concernant la santé et/ou le bien-être d'une personne. Cette situation peut être décrite par la personne concernée elle-même (le patient) (sous la forme d'une plainte) ou par son professionnel de la santé (sous la forme d'un diagnostic, par exemple). La situation peut amener à une politique diagnostique ou thérapeutique. &#xA;Un problème comprend toutes sortes de renseignements médicaux ou infirmiers qui représentent un problème de santé. Un problème peut représenter divers types de problèmes de santé : &#xA; &#xA;&#xA;* Une plainte, constatation faite par le patient : une perception subjective, ressentie comme négative, de sa santé par le patient. Exemples : maux d'estomac, amnésie.* Un symptôme : une perception par le patient ou à son sujet susceptible d'indiquer une certaine maladie. Exemples : fièvre, sang dans les selles, taches blanches au niveau du palais.* Un diagnostic : interprétation médicale des plaintes et constatations. Exemples : Diabète sucré de type II, pneumonie, syndrome hémolytique urémique.* Une limitation fonctionnelle : une réduction des possibilités fonctionnelles. Exemples : mobilité réduite, aide requise pour s'habiller.* Une complication : tout diagnostic considéré par le professionnel de la santé comme un résultat imprévu et non désiré de l'action médicale. Exemples : infections postopératoires des plaies, perte d'audition due à l'utilisation d'antibiotiques.&#xA;&#xA;&#xA;&#xA;#### Purpose&#xA;Une vue d'ensemble des problèmes de santé d'un patient a pour but d'informer tous les professionnels de la santé impliqués dans les soins du patient de l'état de santé actuel et passé du patient. Elle fournit des informations sur les problèmes qui nécessitent une action médicale, ceux qui sont sous contrôle et ceux qui ne sont plus d'actualité. La vue d'ensemble des problèmes fournit également directement le contexte médical de la médication administrée et des procédures suivies. &#xA;La vue d'ensemble favorise une poursuite efficace et ciblée des soins du patient. &#xA;Une liste complète des problèmes est importante pour l'aide à la décision automatisée et la détermination des contre-indications." />
      </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/Problem" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="Problem">
      <path value="Problem" />
      <short value="Problem">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Probleem" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Problème" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the Problem information model.&#xD;&#xA;A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient themselves (in the form of a complaint) or by their health professional (in the form of a diagnosis, for example).">
        <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 Probleem.&amp;#13;&#xA;Een probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de patiënt zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose)." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Concept root du modèle d'information Problème.Un problème décrit une situation concernant la santé et/ou le bien-être d'une personne. Cette situation peut être décrite par le patient lui-même (sous la forme d'une plainte) ou par son professionnel de la santé (sous la forme d'un diagnostic par exemple)." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Problem" />
        <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="Problem.id">
      <path value="Problem.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="Problem.extension">
      <path value="Problem.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="Problem.ProblemType">
      <path value="Problem.ProblemType" />
      <short value="ProblemType">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemType" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="TypeProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The type of problem; see the concept description.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het type probleem, zie de conceptbeschrijving." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le type de problème ; voir la description du concept." />
          </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="Problem.ProblemType" />
        <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="extensible" />
        <description value="ProblemType codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes TypeProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemType" />
      </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="Problem.ProblemName">
      <path value="Problem.ProblemName" />
      <short value="ProblemName">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemNaam" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NomProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The problem name defines the problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De probleemnaam definieert het probleem." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le nom du problème définit le problème." />
          </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="1" />
      <max value="1" />
      <base>
        <path value="Problem.ProblemName" />
        <min value="1" />
        <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="extensible" />
        <description value="ProblemName codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes NomProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemName" />
      </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="Problem.FurtherSpecificationProblemName">
      <path value="Problem.FurtherSpecificationProblemName" />
      <short value="FurtherSpecificationProblemName">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NadereSpecificatieProbleemNaam" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NomProblèmeSpécificationSupplémentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Further specification of problem name when it is recorded via a thesaurus or code system in which the required level of detail is not (yet) available.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Nadere specificatie van de probleem naam wanneer deze via een thesaurus of codesysteem wordt vastgelegd en de vereiste mate van detail (nog) niet beschikbaar is." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Spécification supplémentaire du nom du problème lorsqu'il est enregistré via un thésaurus ou un système de code dans lequel le niveau de détail requis n'est pas (encore) disponible." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Problem.FurtherSpecificationProblemName" />
        <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="Problem.ProblemAnatomicalLocation">
      <path value="Problem.ProblemAnatomicalLocation" />
      <short value="ProblemAnatomicalLocation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemAnatomischeLocatie" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="LocalisationAnatomiqueProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Anatomical location which is the focus of the problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Anatomische locatie die de focus is van het probleem." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La localisation anatomique qui est au centre du problème." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Problem.ProblemAnatomicalLocation" />
        <min value="0" />
        <max value="1" />
      </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() &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="Problem.ProblemAnatomicalLocation.id">
      <path value="Problem.ProblemAnatomicalLocation.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="Problem.ProblemAnatomicalLocation.extension">
      <path value="Problem.ProblemAnatomicalLocation.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="Problem.ProblemAnatomicalLocation.modifierExtension">
      <path value="Problem.ProblemAnatomicalLocation.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() &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>
      <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="Problem.ProblemAnatomicalLocation.Location">
      <path value="Problem.ProblemAnatomicalLocation.Location" />
      <short value="Location">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Locatie" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisation" />
          </extension>
        </extension>
      </short>
      <definition value="Location on/in the body.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisatie op/in het lichaam." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisation sur/dans le corps." />
          </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="Problem.ProblemAnatomicalLocation.Location" />
        <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="Location codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes Localisation" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/Location" />
      </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="Problem.ProblemAnatomicalLocation.Laterality">
      <path value="Problem.ProblemAnatomicalLocation.Laterality" />
      <short value="Laterality">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Lateraliteit" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Latéralité" />
          </extension>
        </extension>
      </short>
      <definition value="Laterality adds information about body site to the anatomic location, e.g. left.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Lateraliteit verbijzondert de anatomische locatie door, indien van toepassing, de zijdigheid vast te leggen, bijvoorbeeld links." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La latéralité ajoute à la localisation anatomique des informations concernant le site physique, par ex. à gauche." />
          </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="Problem.ProblemAnatomicalLocation.Laterality" />
        <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="Laterality codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes Latéralité" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/Laterality" />
      </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="Problem.ProblemStartDate">
      <path value="Problem.ProblemStartDate" />
      <short value="ProblemStartDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemBeginDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateDébutProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Onset of the symptom, complaint, functional limitation, complication or date of diagnosis. A ‘vague’ date, such as only the year or the month and the year, is permitted.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Begin van de klacht, beperking, complicatie of het symptoom of de datum van de diagnose waarop het probleem betrekking heeft. Een vage datum, bijv. alleen een jaartal of een maand en een jaartal, is toegestaan." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Apparition du symptôme, de la plainte, de la limitation fonctionnelle, de la complication ou date du diagnostic. Une date ‘vague’, telle que l'année uniquement ou le mois et l'année, est autorisée." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Problem.ProblemStartDate" />
        <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() &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="Problem.ProblemEndDate">
      <path value="Problem.ProblemEndDate" />
      <short value="ProblemEndDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemEindDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateFinProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Date on which the disorder to which the problem applies, is considered not to be present anymore.This datum needs not to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Datum waarop de aandoening, waarop het probleem betrekking heeft, als niet meer aanwezig wordt beschouwd. Deze datum hoeft niet gelijk te zijn aan de datum waarop de statuswijzinging van het probleem is vastgelegd. Een vage datum, bijv. alleen een jaartal of een maand en een jaartal, is toegestaan." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La date à laquelle le trouble auquel s'applique le problème est considéré comme n'étant plus présent. Cette date ne doit pas être identique à la date du changement de statut du problème. Une date ‘vague’, telle que l'année uniquement ou le mois et l'année, est autorisée." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Problem.ProblemEndDate" />
        <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() &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="Problem.ProblemStatus">
      <path value="Problem.ProblemStatus" />
      <short value="ProblemStatus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemStatus" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="StatutProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The problem status describes the condition of the problem: &#xD;&#xA;&#xD;&#xA;1. Active problems are problems of which the patient experiences symptoms or for which evidence exists. &#xD;&#xA;&#xD;&#xA;1. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De probleemstatus beschrijft de toestand van het probleem: &amp;#13;&#xA;&amp;#13;&#xA;1. Actuele problemen zijn problemen waar de patiënt symptomen van ondervindt of waar bewijsmateriaal voor is. &amp;#13;&#xA;&amp;#13;&#xA;1. Problemen met status 'Niet actueel' verwijzen naar problemen waar de patiënt geen last meer van heeft of waar geen aanwijzingen meer voor zijn." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le statut du problème décrit l'état du problème : &#xA;&#xA;- Les problèmes actifs sont des problèmes dont le patient présente des symptômes ou pour lesquels des preuves existent. &#xA;&#xA;- Les problèmes ayant le statut ‘Inactif’ font référence à des problèmes qui n'affectent plus le patient ou dont il n'existe plus de preuve d'existence." />
          </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="Problem.ProblemStatus" />
        <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="ProblemStatus codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes StatutProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemStatus" />
      </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="Problem.VerificationStatus">
      <path value="Problem.VerificationStatus" />
      <short value="VerificationStatus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VerificatieStatus" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="StatutVérification" />
          </extension>
        </extension>
      </short>
      <definition value="Clinical status of the problem or the diagnosis.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Klinische status van het probleem of de diagnose." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Statut clinique du problème ou diagnostic." />
          </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="Problem.VerificationStatus" />
        <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="VerificationStatus codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes StatutVérification" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/VerificationStatus" />
      </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="Problem.Comment">
      <path value="Problem.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>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Comment by the one who determined or updated the Problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting van diegene die het Probleem heeft vastgesteld of bijgewerkt." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire de celui qui a déterminé ou mis à jour le problème." />
          </extension>
        </extension>
      </definition>
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Problem.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="Problem">
      <path value="Problem" />
      <short value="Problem">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Probleem" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Problème" />
          </extension>
        </extension>
      </short>
      <definition value="Root concept of the Problem information model.&#xD;&#xA;A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient themselves (in the form of a complaint) or by their health professional (in the form of a diagnosis, for example).">
        <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 Probleem.&amp;#13;&#xA;Een probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de patiënt zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose)." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Concept root du modèle d'information Problème.Un problème décrit une situation concernant la santé et/ou le bien-être d'une personne. Cette situation peut être décrite par le patient lui-même (sous la forme d'une plainte) ou par son professionnel de la santé (sous la forme d'un diagnostic par exemple)." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Problem.ProblemType">
      <path value="Problem.ProblemType" />
      <short value="ProblemType">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemType" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="TypeProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The type of problem; see the concept description.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Het type probleem, zie de conceptbeschrijving." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le type de problème ; voir la description du concept." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="ProblemType codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes TypeProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemType" />
      </binding>
    </element>
    <element id="Problem.ProblemName">
      <path value="Problem.ProblemName" />
      <short value="ProblemName">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemNaam" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NomProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The problem name defines the problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De probleemnaam definieert het probleem." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le nom du problème définit le problème." />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="ProblemName codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes NomProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemName" />
      </binding>
    </element>
    <element id="Problem.FurtherSpecificationProblemName">
      <path value="Problem.FurtherSpecificationProblemName" />
      <short value="FurtherSpecificationProblemName">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NadereSpecificatieProbleemNaam" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="NomProblèmeSpécificationSupplémentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Further specification of problem name when it is recorded via a thesaurus or code system in which the required level of detail is not (yet) available.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Nadere specificatie van de probleem naam wanneer deze via een thesaurus of codesysteem wordt vastgelegd en de vereiste mate van detail (nog) niet beschikbaar is." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Spécification supplémentaire du nom du problème lorsqu'il est enregistré via un thésaurus ou un système de code dans lequel le niveau de détail requis n'est pas (encore) disponible." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Problem.ProblemAnatomicalLocation">
      <path value="Problem.ProblemAnatomicalLocation" />
      <short value="ProblemAnatomicalLocation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemAnatomischeLocatie" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="LocalisationAnatomiqueProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Anatomical location which is the focus of the problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Anatomische locatie die de focus is van het probleem." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La localisation anatomique qui est au centre du problème." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="Problem.ProblemAnatomicalLocation.Location">
      <path value="Problem.ProblemAnatomicalLocation.Location" />
      <short value="Location">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Locatie" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisation" />
          </extension>
        </extension>
      </short>
      <definition value="Location on/in the body.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisatie op/in het lichaam." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Localisation sur/dans le corps." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Location codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes Localisation" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/Location" />
      </binding>
    </element>
    <element id="Problem.ProblemAnatomicalLocation.Laterality">
      <path value="Problem.ProblemAnatomicalLocation.Laterality" />
      <short value="Laterality">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Lateraliteit" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Latéralité" />
          </extension>
        </extension>
      </short>
      <definition value="Laterality adds information about body site to the anatomic location, e.g. left.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Lateraliteit verbijzondert de anatomische locatie door, indien van toepassing, de zijdigheid vast te leggen, bijvoorbeeld links." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La latéralité ajoute à la localisation anatomique des informations concernant le site physique, par ex. à gauche." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Laterality codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes Latéralité" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/Laterality" />
      </binding>
    </element>
    <element id="Problem.ProblemStartDate">
      <path value="Problem.ProblemStartDate" />
      <short value="ProblemStartDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemBeginDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateDébutProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Onset of the symptom, complaint, functional limitation, complication or date of diagnosis. A ‘vague’ date, such as only the year or the month and the year, is permitted.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Begin van de klacht, beperking, complicatie of het symptoom of de datum van de diagnose waarop het probleem betrekking heeft. Een vage datum, bijv. alleen een jaartal of een maand en een jaartal, is toegestaan." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Apparition du symptôme, de la plainte, de la limitation fonctionnelle, de la complication ou date du diagnostic. Une date ‘vague’, telle que l'année uniquement ou le mois et l'année, est autorisée." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Problem.ProblemEndDate">
      <path value="Problem.ProblemEndDate" />
      <short value="ProblemEndDate">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemEindDatum" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="DateFinProblème" />
          </extension>
        </extension>
      </short>
      <definition value="Date on which the disorder to which the problem applies, is considered not to be present anymore.This datum needs not to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Datum waarop de aandoening, waarop het probleem betrekking heeft, als niet meer aanwezig wordt beschouwd. Deze datum hoeft niet gelijk te zijn aan de datum waarop de statuswijzinging van het probleem is vastgelegd. Een vage datum, bijv. alleen een jaartal of een maand en een jaartal, is toegestaan." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="La date à laquelle le trouble auquel s'applique le problème est considéré comme n'étant plus présent. Cette date ne doit pas être identique à la date du changement de statut du problème. Une date ‘vague’, telle que l'année uniquement ou le mois et l'année, est autorisée." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Problem.ProblemStatus">
      <path value="Problem.ProblemStatus" />
      <short value="ProblemStatus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="ProbleemStatus" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="StatutProblème" />
          </extension>
        </extension>
      </short>
      <definition value="The problem status describes the condition of the problem: &#xD;&#xA;&#xD;&#xA;1. Active problems are problems of which the patient experiences symptoms or for which evidence exists. &#xD;&#xA;&#xD;&#xA;1. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="De probleemstatus beschrijft de toestand van het probleem: &amp;#13;&#xA;&amp;#13;&#xA;1. Actuele problemen zijn problemen waar de patiënt symptomen van ondervindt of waar bewijsmateriaal voor is. &amp;#13;&#xA;&amp;#13;&#xA;1. Problemen met status 'Niet actueel' verwijzen naar problemen waar de patiënt geen last meer van heeft of waar geen aanwijzingen meer voor zijn." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Le statut du problème décrit l'état du problème : &#xA;&#xA;- Les problèmes actifs sont des problèmes dont le patient présente des symptômes ou pour lesquels des preuves existent. &#xA;&#xA;- Les problèmes ayant le statut ‘Inactif’ font référence à des problèmes qui n'affectent plus le patient ou dont il n'existe plus de preuve d'existence." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="ProblemStatus codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes StatutProblème" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/ProblemStatus" />
      </binding>
    </element>
    <element id="Problem.VerificationStatus">
      <path value="Problem.VerificationStatus" />
      <short value="VerificationStatus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="VerificatieStatus" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="StatutVérification" />
          </extension>
        </extension>
      </short>
      <definition value="Clinical status of the problem or the diagnosis.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Klinische status van het probleem of de diagnose." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Statut clinique du problème ou diagnostic." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="VerificationStatus codes">
          <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE" />
            </extension>
            <extension url="content">
              <valueMarkdown value="Codes StatutVérification" />
            </extension>
          </extension>
        </description>
        <valueSet value="https://fhir.healthdata.be/ValueSet/VerificationStatus" />
      </binding>
    </element>
    <element id="Problem.Comment">
      <path value="Problem.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>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire" />
          </extension>
        </extension>
      </short>
      <definition value="Comment by the one who determined or updated the Problem.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="nl-NL" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Toelichting van diegene die het Probleem heeft vastgesteld of bijgewerkt." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE" />
          </extension>
          <extension url="content">
            <valueMarkdown value="Commentaire de celui qui a déterminé ou mis à jour le problème." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>