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HdBe-DevelopmentChild

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBB	Description	Status
HdBe-DevelopmentChild	Information on the development and growth of a child is important in determining the kind of care that should be provided to the child and the family. When the child is being transferred, continuity of care can be achieved . Information can provide insight in the process of development and whether the child has a developmental delay. Purpose Information about milestones within the normal development and growth of a child can provide insight in the process of development and whether the child has a developmental delay. This concerns a general impression and description of the development of the child without judgement of quality, different from the very specific evaluation of the development as is normal in youth health care. The purpose is to provide the receiving organisation a basis for further evaluation and care of the child. Evidence Base The definitions of the concepts and value lists were partially based on (i.e. phrased for practical use) information gathered from the Van Wiechen scheme, the NCJ guideline Toilet Trainedness of urine and feces, and information from the VKS (www.ontwikkelingsachterstand.nl). Instructions Examples for evaluating the speech development of the child: Able to comprehend short daily used sentences: "Put on your coat" Able to speak short daily used sentences: 2-3 words	draft

CBB

Description

Status

HdBe-DevelopmentChild

Information on the development and growth of a child is important in determining the kind of care that should be provided to the child and the family. When the child is being transferred, continuity of care can be achieved . Information can provide insight in the process of development and whether the child has a developmental delay.

Purpose

Information about milestones within the normal development and growth of a child can provide insight in the process of development and whether the child has a developmental delay. This concerns a general impression and description of the development of the child without judgement of quality, different from the very specific evaluation of the development as is normal in youth health care. The purpose is to provide the receiving organisation a basis for further evaluation and care of the child.

Evidence Base

The definitions of the concepts and value lists were partially based on (i.e. phrased for practical use) information gathered from the Van Wiechen scheme, the NCJ guideline Toilet Trainedness of urine and feces, and information from the VKS (www.ontwikkelingsachterstand.nl).

Instructions

Examples for evaluating the speech development of the child:

Able to comprehend short daily used sentences: "Put on your coat"
Able to speak short daily used sentences: 2-3 words

draft

DevelopmentChild			DevelopmentChild	Element id DevelopmentChild Short description DevelopmentChild Definition Root concept of the DevelopmentChild information model. This root concept contains all data elements of the DevelopmentChild Einformation model. Data type DevelopmentChild Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id DevelopmentChild.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id DevelopmentChild.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
DevelopmentChildDateTime		1..1	dateTime	Element id DevelopmentChild.DevelopmentChildDateTime Short description DevelopmentChildDateTime Definition The date and time on which the status of the development of the child are registered. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
ToiletTrainednessUrine		0..1	CodeableConceptBinding	Element id DevelopmentChild.ToiletTrainednessUrine Short description ToiletTrainednessUrine Definition Degree of toilet trainedness for urine. Comments 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. Data type CodeableConcept Binding ToiletTrainednessUrine codes ToiletTrainednessUrine (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ToiletTrainednessFeces		0..1	CodeableConceptBinding	Element id DevelopmentChild.ToiletTrainednessFeces Short description ToiletTrainednessFeces Definition Degree of toilet trainedness for feces. Comments 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. Data type CodeableConcept Binding ToiletTrainednessFeces codes ToiletTrainednessFeces (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
AgeFirstMenstruation	I	0..1	Quantity	Element id DevelopmentChild.AgeFirstMenstruation Short description AgeFirstMenstruation Definition The age of the start of the first menstruation. Comments 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. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
DevelopmentLocomotion		0..1	CodeableConceptBinding	Element id DevelopmentChild.DevelopmentLocomotion Short description DevelopmentLocomotion Definition Milestones of locomotive development of a child. Comments 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. Data type CodeableConcept Binding DevelopmentLocomotion codes DevelopmentLocomotion (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentSocial		0..1	CodeableConceptBinding	Element id DevelopmentChild.DevelopmentSocial Short description DevelopmentSocial Definition Milestones of social development of a child. Comments 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. Data type CodeableConcept Binding DevelopmentSocial codes DevelopmentSocialChild (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentLinguistics		0..1	CodeableConceptBinding	Element id DevelopmentChild.DevelopmentLinguistics Short description DevelopmentLinguistics Definition Milestones of lingual development of a child. Comments 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. Data type CodeableConcept Binding DevelopmentLinguistics codes DevelopmentLinguistics (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentCognition		0..1	CodeableConceptBinding	Element id DevelopmentChild.DevelopmentCognition Short description DevelopmentCognition Definition Milestones of cognitive development of a child. Comments 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. Data type CodeableConcept Binding DevelopmentCognition codes DevelopmentCognition (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Comment		0..1	string	Element id DevelopmentChild.Comment Short description Comment Definition Comment on the development of the child. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

DevelopmentChild		0..*
DevelopmentChild.DevelopmentChildDateTime	dateTime	1..1
DevelopmentChild.ToiletTrainednessUrine	CodeableConcept	0..1
DevelopmentChild.ToiletTrainednessFeces	CodeableConcept	0..1
DevelopmentChild.AgeFirstMenstruation	Quantity	0..1
DevelopmentChild.DevelopmentLocomotion	CodeableConcept	0..1
DevelopmentChild.DevelopmentSocial	CodeableConcept	0..1
DevelopmentChild.DevelopmentLinguistics	CodeableConcept	0..1
DevelopmentChild.DevelopmentCognition	CodeableConcept	0..1
DevelopmentChild.Comment	string	0..1

DevelopmentChild
Definition	Root concept of the DevelopmentChild information model. This root concept contains all data elements of the DevelopmentChild Einformation model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
DevelopmentChild.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
DevelopmentChild.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
DevelopmentChild.DevelopmentChildDateTime
Definition	The date and time on which the status of the development of the child are registered.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
DevelopmentChild.ToiletTrainednessUrine
Definition	Degree of toilet trainedness for urine.
Cardinality	0...1
Type	CodeableConcept
Binding	ToiletTrainednessUrine codes ToiletTrainednessUrine (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.ToiletTrainednessFeces
Definition	Degree of toilet trainedness for feces.
Cardinality	0...1
Type	CodeableConcept
Binding	ToiletTrainednessFeces codes ToiletTrainednessFeces (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.AgeFirstMenstruation
Definition	The age of the start of the first menstruation.
Cardinality	0...1
Type	Quantity
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
DevelopmentChild.DevelopmentLocomotion
Definition	Milestones of locomotive development of a child.
Cardinality	0...1
Type	CodeableConcept
Binding	DevelopmentLocomotion codes DevelopmentLocomotion (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.DevelopmentSocial
Definition	Milestones of social development of a child.
Cardinality	0...1
Type	CodeableConcept
Binding	DevelopmentSocial codes DevelopmentSocialChild (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.DevelopmentLinguistics
Definition	Milestones of lingual development of a child.
Cardinality	0...1
Type	CodeableConcept
Binding	DevelopmentLinguistics codes DevelopmentLinguistics (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.DevelopmentCognition
Definition	Milestones of cognitive development of a child.
Cardinality	0...1
Type	CodeableConcept
Binding	DevelopmentCognition codes DevelopmentCognition (required)
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DevelopmentChild.Comment
Definition	Comment on the development of the child.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
ToiletTrainednessUrine	ToiletTrainednessUrine	required	https://fhir.healthdata.be/ValueSet/ToiletTrainednessUrine
ToiletTrainednessFeces	ToiletTrainednessFeces	required	https://fhir.healthdata.be/ValueSet/ToiletTrainednessFeces
DevelopmentLocomotion	DevelopmentLocomotion	required	https://fhir.healthdata.be/ValueSet/DevelopmentLocomotion
DevelopmentSocial	DevelopmentSocialChild	required	https://fhir.healthdata.be/ValueSet/DevelopmentSocialChild
DevelopmentLinguistics	DevelopmentLinguistics	required	https://fhir.healthdata.be/ValueSet/DevelopmentLinguistics
DevelopmentCognition	DevelopmentCognition	required	https://fhir.healthdata.be/ValueSet/DevelopmentCognition