<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="zib-AbilityToPerformMouthcareActivities" />
  <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://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities" />
  <name value="ZibAbilityToPerformMouthcareActivities" />
  <title value="zib AbilityToPerformMouthcareActivities" />
  <status value="draft" />
  <publisher value="Nictiz" />
  <contact>
    <name value="Nictiz" />
    <telecom>
      <system value="url" />
      <value value="https://www.nictiz.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth.&#xD;&#xA;Limitations in this ability indicate a reduced ability to cope for oneself.&#xD;&#xA;This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.&#xD;&#xA;&#xD;&#xA;(Source: Instruction card for oral hygiene, 2011)" />
  <purpose value="This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) AbilityToPerformMouthcareActivities v3.1 (2020)](https://zibs.nl/wiki/AbilityToPerformMouthcareActivities-v3.1(2020EN))." />
  <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="zib-abilitytoperformmouthcareactivities-v3.1-2020EN" />
    <uri value="https://zibs.nl/wiki/AbilityToPerformMouthcareActivities-v3.1(2020EN)" />
    <name value="zib AbilityToPerformMouthcareActivities-v3.1(2020EN)" />
  </mapping>
  <kind value="resource" />
  <abstract value="true" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="AbilityToPerformMouthcareActivities" />
      <alias value="VermogenTotMondverzorging" />
      <mapping>
        <identity value="zib-abilitytoperformmouthcareactivities-v3.1-2020EN" />
        <map value="NL-CM:4.13.1" />
        <comment value="AbilityToPerformMouthcareActivities" />
      </mapping>
    </element>
    <element id="Observation.extension:prosthesis">
      <path value="Observation.extension" />
      <sliceName value="prosthesis" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Observation.extension:prosthesis.value[x]">
      <path value="Observation.extension.value[x]" />
      <short value="Prosthesis" />
      <definition value="Information on the dental aids used by the patient." />
      <alias value="Prothese" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-AbilityToPerformMouthcareActivities.Prosthesis" />
      </type>
      <mapping>
        <identity value="zib-abilitytoperformmouthcareactivities-v3.1-2020EN" />
        <map value="NL-CM:4.13.4" />
        <comment value="Prosthesis" />
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="288470005" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.value[x]:valueCodeableConcept">
      <path value="Observation.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <short value="DentalHygiene" />
      <definition value="Taking care of mouth and teeth/molars or dentures." />
      <alias value="VerzorgenTanden" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.13.1--20200901000000" />
      </binding>
      <mapping>
        <identity value="zib-abilitytoperformmouthcareactivities-v3.1-2020EN" />
        <map value="NL-CM:4.13.2" />
        <comment value="DentalHygiene" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>