<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="mz-OralHygiene" />
  <text>
    <status value="empty" />
    <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>
  </text>
  <url value="http://medmij.nl/fhir/StructureDefinition/mz-OralHygiene" />
  <name value="MzOralHygiene" />
  <title value="mz OralHygiene" />
  <status value="draft" />
  <publisher value="MedMij" />
  <contact>
    <name value="MedMij" />
    <telecom>
      <system value="email" />
      <value value="info@medmij.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="Oral hygiene." />
  <purpose value="This Observation resource represents the OralHygiene Clinical Information Model (CIM) for patient use cases in the context of Dental Care." />
  <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" />
  <mapping>
    <identity value="mz-dataset-100-beta2-20260401" />
    <name value="Dataset Mondzorg MedMij 1.0.0-beta.2 20260401" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="OralHygiene" />
      <definition value="Oral hygiene." />
      <alias value="Mondhygiëne" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-11" />
        <comment value="OralHygiene" />
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="364126007" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
      </type>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.effective[x]:effectiveDateTime">
      <path value="Observation.effective[x]" />
      <sliceName value="effectiveDateTime" />
      <short value="OralHygieneDateTime" />
      <definition value="The date and time at which the oral hygiene was determined." />
      <alias value="MondhygiëneDatumTijd" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-12" />
        <comment value="OralHygieneDateTime" />
      </mapping>
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <short value="Performer" />
      <definition value="The health professional who determined the oral hygiene." />
      <comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.&#xA;&#xA;In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." />
      <alias value="Uitvoerder" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-14" />
        <comment value="Performer" />
      </mapping>
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.value[x]:valueCodeableConcept">
      <path value="Observation.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <short value="OralHygieneValue" />
      <definition value="The oral hygiene." />
      <alias value="MondhygiëneWaarde" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <valueSet value="http://medmij.nl/fhir/ValueSet/OralHygiene" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-13" />
        <comment value="OralHygieneValue" />
      </mapping>
    </element>
    <element id="Observation.note.text">
      <path value="Observation.note.text" />
      <short value="Comment" />
      <definition value="Comment on the oral hygiene, including comments on for example the circumstances and/or disruptive factors that may influence the result." />
      <alias value="Toelichting" />
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-15" />
        <comment value="Comment" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>