{
  "resourceType": "StructureDefinition",
  "id": "mz-lm-PeriodicPeriodontalScreeningScore",
  "text": {
    "status": "empty",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>"
  },
  "url": "http://medmij.nl/fhir/StructureDefinition/mz-lm-PeriodicPeriodontalScreeningScore",
  "identifier": [
    {
      "use": "official",
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.528.1.1023.3.1.3"
    }
  ],
  "name": "MzLmPeriodicPeriodontalScreeningScore",
  "title": "PeriodicPeriodontalScreeningScore",
  "status": "draft",
  "publisher": "MedMij",
  "contact": [
    {
      "name": "MedMij",
      "telecom": [
        {
          "system": "email",
          "value": "info@medmij.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
  "purpose": "This LogicalModel represents the PeriodicPeriodontalScreeningScore Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is based on the [Richtlijn Parodontale Screening, Diagnostiek en Behandeling in de Algemene praktijk](https://www.nvvp.org/voor-professionals/richtlijnen) authored by the NVvP.",
  "copyright": "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": "4.0.1",
  "mapping": [
    {
      "identity": "mz-dataset-100-beta2-20260401",
      "name": "Dataset Mondzorg MedMij 1.0.0-beta.2 20260401"
    },
    {
      "identity": "SNOMED",
      "uri": "http://snomed.info/sct",
      "name": "SNOMED CT"
    },
    {
      "identity": "LOINC",
      "uri": "http://loinc.org",
      "name": "LOINC"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://medmij.nl/fhir/StructureDefinition/mz-lm-PeriodicPeriodontalScreeningScore",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore",
        "short": "PeriodicPeriodontalScreeningScore",
        "definition": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
        "alias": [
          "PeriodiekeParodontaleScreeningScore"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "mz-lm-PeriodicPeriodontalScreeningScore",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-21",
            "comment": "PeriodicPeriodontalScreeningScore"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.id",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.extension",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreDateTime",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreDateTime",
        "short": "Periodic Periodontal Screening score date/time",
        "definition": "The date and time at which the PPS was performed.",
        "alias": [
          "PeriodiekeParodontaleScreeningScoreDatumTijd"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreDateTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-22",
            "comment": "PeriodicPeriodontalScreeningScoreDateTime"
          },
          {
            "identity": "SNOMED",
            "map": "439771001",
            "comment": "datum van gebeurtenis"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreValue",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreValue",
        "short": "Periodic Periodontal Screening score value",
        "definition": "The score of the PPS.",
        "comment": "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.",
        "alias": [
          "PeriodiekeParodontaleScreeningScoreWaarde"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreValue",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://medmij.nl/fhir/ValueSet/PeriodicPeriodontalScreeningScore"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-23",
            "comment": "PeriodicPeriodontalScreeningScoreValue"
          },
          {
            "identity": "SNOMED",
            "map": "540501000146103",
            "comment": "score op periodieke parodontale screening"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.Performer",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.Performer",
        "short": "Performer",
        "definition": "The health professional who performed the PPS.",
        "comment": "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.",
        "alias": [
          "Uitvoerder"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "mz-lm-PeriodicPeriodontalScreeningScore.Performer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-24",
            "comment": "Performer"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.Comment",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.Comment",
        "short": "Comment",
        "definition": "Comment on the PPS, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "alias": [
          "Toelichting"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "mz-lm-PeriodicPeriodontalScreeningScore.Comment",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-25",
            "comment": "Comment"
          },
          {
            "identity": "LOINC",
            "map": "48767-8",
            "comment": "Verklarend commentaar"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore",
        "short": "PeriodicPeriodontalScreeningScore",
        "definition": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine the patient, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
        "alias": [
          "PeriodiekeParodontaleScreeningScore"
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-21",
            "comment": "PeriodicPeriodontalScreeningScore"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreDateTime",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreDateTime",
        "short": "Periodic Periodontal Screening score date/time",
        "definition": "The date and time at which the PPS was performed.",
        "alias": [
          "PeriodiekeParodontaleScreeningScoreDatumTijd"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-22",
            "comment": "PeriodicPeriodontalScreeningScoreDateTime"
          },
          {
            "identity": "SNOMED",
            "map": "439771001",
            "comment": "datum van gebeurtenis"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreValue",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.PeriodicPeriodontalScreeningScoreValue",
        "short": "Periodic Periodontal Screening score value",
        "definition": "The score of the PPS.",
        "alias": [
          "PeriodiekeParodontaleScreeningScoreWaarde"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://medmij.nl/fhir/ValueSet/PeriodicPeriodontalScreeningScore"
        },
        "mapping": [
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-23",
            "comment": "PeriodicPeriodontalScreeningScoreValue"
          },
          {
            "identity": "SNOMED",
            "map": "540501000146103",
            "comment": "score op periodieke parodontale screening"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.Performer",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.Performer",
        "short": "Performer",
        "definition": "The health professional who performed the PPS.",
        "alias": [
          "Uitvoerder"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-24",
            "comment": "Performer"
          }
        ]
      },
      {
        "id": "mz-lm-PeriodicPeriodontalScreeningScore.Comment",
        "path": "mz-lm-PeriodicPeriodontalScreeningScore.Comment",
        "short": "Comment",
        "definition": "Comment on the PPS, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
        "alias": [
          "Toelichting"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta2-20260401",
            "map": "mz-dataelement-25",
            "comment": "Comment"
          },
          {
            "identity": "LOINC",
            "map": "48767-8",
            "comment": "Verklarend commentaar"
          }
        ]
      }
    ]
  }
}