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HdBe-VoedingspatroonZuigeling

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	Concept	Status
HdBe-FeedingPatternInfant	Een gezonde voeding houdt in dat we niet te veel of te weinig eten (energie-inname in balans met het energieverbruik) en dat de voedingssamenstelling (m.b.t. belangrijke voedingsstoffen) is zoals aanbevolen door de Gezondheidsraad. Voor een zuigeling betekent dit dat het kind borstvoeding, kunstvoeding of een combinatie hiervan krijgt. Purpose Het doel is om vast te leggen welke voeding de zuigeling krijgt en op wat voor een moment, zodat vroegtijdig kan worden ingeschat als er problemen zijn of de zorg voor de voeding aan de zuigeling kan worden overgenomen. Evidence Base De definities van de concepten zijn (deels) gebaseerd op de Multidisciplinaire richtlijn Borstvoeding van het NCJ. Instructions De container Voeding kan meermalen ingevuld worden om verschillende combinaties aan soort melk en voedingsmethode weer te geven. Er zijn verschillende combinaties mogelijk: VoedingSoort borstvoeding, VoedingMethode borstvoeding = borst geven op de natuurlijke wijze. VoedingSoort borstvoeding, VoedingMethode flesvoeding = afgekolfte borstvoeding geven per fles. VoedingSoort kunstvoeding, VoedingMethode flesvoeding = fles met kunstvoeding geven. Vul de container voor elke relevante combinatie in.	draft

CBB

Concept

Status

HdBe-FeedingPatternInfant

Een gezonde voeding houdt in dat we niet te veel of te weinig eten (energie-inname in balans met het energieverbruik) en dat de voedingssamenstelling (m.b.t. belangrijke voedingsstoffen) is zoals aanbevolen door de Gezondheidsraad. Voor een zuigeling betekent dit dat het kind borstvoeding, kunstvoeding of een combinatie hiervan krijgt.

Purpose

Het doel is om vast te leggen welke voeding de zuigeling krijgt en op wat voor een moment, zodat vroegtijdig kan worden ingeschat als er problemen zijn of de zorg voor de voeding aan de zuigeling kan worden overgenomen.

Evidence Base

De definities van de concepten zijn (deels) gebaseerd op de Multidisciplinaire richtlijn Borstvoeding van het NCJ.

Instructions

De container Voeding kan meermalen ingevuld worden om verschillende combinaties aan soort melk en voedingsmethode weer te geven. Er zijn verschillende combinaties mogelijk:

VoedingSoort borstvoeding, VoedingMethode borstvoeding = borst geven op de natuurlijke wijze.
VoedingSoort borstvoeding, VoedingMethode flesvoeding = afgekolfte borstvoeding geven per fles.
VoedingSoort kunstvoeding, VoedingMethode flesvoeding = fles met kunstvoeding geven. Vul de container voor elke relevante combinatie in.

draft

FeedingPatternInfant			FeedingPatternInfant	Element id FeedingPatternInfant Short description VoedingspatroonZuigeling Definition Rootconcept van de bouwsteen VoedingspatroonZuigeling. Dit rootconcept bevat alle gegevenselementen van de bouwsteen VoedingspatroonZuigeling. Data type FeedingPatternInfant 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 FeedingPatternInfant.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 FeedingPatternInfant.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
FeedingPatternInfantDateTime		1..1	dateTime	Element id FeedingPatternInfant.FeedingPatternInfantDateTime Short description VoedingspatroonZuigelingDatumTijd Definition De datum en tijd waarop de kenmerken van voeding van de zuigeling zijn geregistreerd. 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
FeedingSupplement		0..1	string	Element id FeedingPatternInfant.FeedingSupplement Short description VoedingToevoeging Definition Het is mogelijk om toevoegingen aan borst- en kunstvoeding toe te voegen, zoals johannesbroodpitmeel om de voeding dikker te maken bij reflux van de zuigeling. 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
FeedingFrequency	I	0..1	Quantity	Element id FeedingPatternInfant.FeedingFrequency Short description VoedingFrequentie Definition Het aantal giften van voeding per 24 uur. 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
Comment		0..1	string	Element id FeedingPatternInfant.Comment Short description Toelichting Definition De toelichting op de voeding van de zuigeling. 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
NutritionAdvice	I	0..1	Reference(HdBe-NutritionAdvice)	Element id FeedingPatternInfant.NutritionAdvice Short description Voedingsadvies Definition Dit is een verwijzing naar het rootconcept Voedingsadvies van de bouwsteen Voedingsadvies. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-NutritionAdvice) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Feeding		0..*	BackboneElement	Element id FeedingPatternInfant.Feeding Short description Voeding Definition Container van het concept Voeding. Deze container bevat alle gegevenselementen van het concept Voeding. Er zijn verschillende combinaties mogelijk: VoedingSoort borstvoeding, VoedingMethode borstvoeding = borst geven op de natuurlijke wijze. VoedingSoort borstvoeding, VoedingMethode flesvoeding = afgekolfte borstvoeding geven per fles. VoedingSoort kunstvoeding, VoedingMethode flesvoeding = fles met kunstvoeding geven. Vul de container voor elke relevante combinatie in. Data type BackboneElement 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 FeedingPatternInfant.Feeding.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 FeedingPatternInfant.Feeding.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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id FeedingPatternInfant.Feeding.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
FeedingType		0..1	CodeableConceptBinding	Element id FeedingPatternInfant.Feeding.FeedingType Short description VoedingSoort Definition Het soort voeding (borst- of kunstvoeding) wat aan de zuigeling wordt gegeven. 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 FeedingType codes FeedingType (extensible) 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
FeedingMethod		0..1	CodeableConceptBinding	Element id FeedingPatternInfant.Feeding.FeedingMethod Short description VoedingMethode Definition De manier waarop de voeding aan de zuigeling wordt gegeven. 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 FeedingMethod codes FeedingMethod (extensible) 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

FeedingPatternInfant		0..*
FeedingPatternInfant.FeedingPatternInfantDateTime	dateTime	1..1
FeedingPatternInfant.FeedingSupplement	string	0..1
FeedingPatternInfant.FeedingFrequency	Quantity	0..1
FeedingPatternInfant.Comment	string	0..1
FeedingPatternInfant.NutritionAdvice	Reference(HdBe-NutritionAdvice)	0..1
FeedingPatternInfant.Feeding	BackboneElement	0..*
FeedingPatternInfant.Feeding.FeedingType	CodeableConcept	0..1
FeedingPatternInfant.Feeding.FeedingMethod	CodeableConcept	0..1

FeedingPatternInfant
Definition	Root concept of the FeedingPatternInfant information model. This root concept contains all data elements of the FeedingPatternInfant information 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
FeedingPatternInfant.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
FeedingPatternInfant.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
FeedingPatternInfant.FeedingPatternInfantDateTime
Definition	The date and time on which the characteristics of feeding of the infant 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
FeedingPatternInfant.FeedingSupplement
Definition	It is possible to add supplements to breast and formula milk, such as locust bean gum to thicken milk in case of infant reflux.
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
FeedingPatternInfant.FeedingFrequency
Definition	The number of feeding gifts within 24 hours.
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
FeedingPatternInfant.Comment
Definition	Comment on the feeding of the infant.
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
FeedingPatternInfant.NutritionAdvice
Definition	This is a reference to the rootconcept DietaryRecommendations of information model DietaryRecommendations.
Cardinality	0...1
Type	Reference(HdBe-NutritionAdvice)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
FeedingPatternInfant.Feeding
Definition	Container of the Feeding concept. This container contains all data elements of the Feeding concept. Several combinations are possible: 1) FeedingType breast milk, FeedingMethod breastfed = to give breastfeeding naturally. 2) FeedingType breast milk, FeedingMethod bottle fed = to give expressed breast milk via bottle. 3) FeedingType formula milk, FeedingMethod bottle fed = to give formula milk via bottle. Fill in the container for each relevant combination.
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
FeedingPatternInfant.Feeding.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
FeedingPatternInfant.Feeding.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
FeedingPatternInfant.Feeding.modifierExtension
Definition	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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
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.
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
FeedingPatternInfant.Feeding.FeedingType
Definition	The type of feeding (breast or formula milk) that is given to the infant.
Cardinality	0...1
Type	CodeableConcept
Binding	FeedingType codes FeedingType (extensible)
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
FeedingPatternInfant.Feeding.FeedingMethod
Definition	The method how the feeding is given to the infant.
Cardinality	0...1
Type	CodeableConcept
Binding	FeedingMethod codes FeedingMethod (extensible)
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

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
Feeding.FeedingType	FeedingType	extensible	https://fhir.healthdata.be/ValueSet/FeedingType
Feeding.FeedingMethod	FeedingMethod	extensible	https://fhir.healthdata.be/ValueSet/FeedingMethod