{
  "resourceType": "StructureDefinition",
  "id": "zib-VisualAcuity",
  "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://nictiz.nl/fhir/StructureDefinition/zib-VisualAcuity",
  "name": "ZibVisualAcuity",
  "title": "zib VisualAcuity",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Visual acuity is a measurement of sharpness of vision. It is a measure of the smallest details that someone can still distinguish.",
  "purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) VisualAcuity v1.0 (2020)](https://zibs.nl/wiki/VisualAcuity-v1.0(2020EN)).",
  "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": "zib-visualacuity-v1.0-2020EN",
      "uri": "https://zibs.nl/wiki/VisualAcuity-v1.0(2020EN)",
      "name": "zib VisualAcuity-v1.0(2020EN)"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "VisualAcuity",
        "alias": [
          "Visus"
        ],
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.1",
            "comment": "VisualAcuity"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260246004"
            }
          ]
        }
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effective[x]",
        "sliceName": "effectiveDateTime",
        "short": "VisualAcuityDateTime",
        "definition": "The date and time when the visual acuity was measured.",
        "alias": [
          "VisusDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.4",
            "comment": "VisualAcuityDateTime"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.value[x]",
        "sliceName": "valueQuantity",
        "short": "DecimalVisualAqcuity",
        "definition": "The measured decimal visual acuity.",
        "comment": "Visual acuity is measured a dimensionless decimal. Therefore, a pattern with unit '1' is defined on `.valueQuantity`.",
        "alias": [
          "DecimaleVisusWaarde"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "patternQuantity": {
          "system": "http://unitsofmeasure.org",
          "code": "1"
        },
        "minValueQuantity": {
          "value": 0,
          "system": "http://unitsofmeasure.org",
          "code": "1"
        },
        "maxValueQuantity": {
          "value": 2,
          "system": "http://unitsofmeasure.org",
          "code": "1"
        },
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.11",
            "comment": "VisualAcuity"
          }
        ]
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "definition": "The laterality of the eye of which the visual acuity has been measured.",
        "comment": "The code on this element is added to make explicit what is implicit in the zib. See [ZIB-1442](https://bits.nictiz.nl/browse/ZIB-1442) for details.",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation"
            ]
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "81745001"
            }
          ]
        }
      },
      {
        "id": "Observation.bodySite.extension:laterality",
        "path": "Observation.bodySite.extension",
        "sliceName": "laterality"
      },
      {
        "id": "Observation.bodySite.extension:laterality.value[x]",
        "path": "Observation.bodySite.extension.value[x]",
        "short": "AnatomicalLocation",
        "definition": "The laterality of the eye of which the visual acuity has been measured.",
        "alias": [
          "AnatomischeLocatie"
        ],
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.5",
            "comment": "AnatomicalLocation"
          }
        ]
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/DeviceMetric",
              "http://nictiz.nl/fhir/StructureDefinition/zib-VisualAcuity.VisualAcuityMeasurementDevice"
            ]
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:visualAcuityType",
        "path": "Observation.component",
        "sliceName": "visualAcuityType",
        "max": "1"
      },
      {
        "id": "Observation.component:visualAcuityType.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "16830007"
            }
          ]
        }
      },
      {
        "id": "Observation.component:visualAcuityType.value[x]",
        "path": "Observation.component.value[x]",
        "short": "VisualAcuityType",
        "definition": "Type of visual acuity measurement.",
        "alias": [
          "VisusMetingType"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.19.2--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.2",
            "comment": "VisualAcuityType"
          }
        ]
      },
      {
        "id": "Observation.component:visualAcuityMeasurementChart",
        "path": "Observation.component",
        "sliceName": "visualAcuityMeasurementChart",
        "max": "1"
      },
      {
        "id": "Observation.component:visualAcuityMeasurementChart.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "363691001"
            }
          ]
        }
      },
      {
        "id": "Observation.component:visualAcuityMeasurementChart.value[x]",
        "path": "Observation.component.value[x]",
        "short": "VisualAcuityMeasurementChart",
        "definition": "The type of chart used for the visual acuity measurement.",
        "alias": [
          "VisusMetingKaart"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.19.3--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.7",
            "comment": "VisualAcuityMeasurementChart"
          }
        ]
      },
      {
        "id": "Observation.component:distanceFromChart",
        "path": "Observation.component",
        "sliceName": "distanceFromChart",
        "max": "1"
      },
      {
        "id": "Observation.component:distanceFromChart.code",
        "path": "Observation.component.code",
        "comment": "This code aligns with the future version of this zib. See [ZIB-1441](https://bits.nictiz.nl/browse/ZIB-1441).",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "152731000146106"
            }
          ]
        }
      },
      {
        "id": "Observation.component:distanceFromChart.value[x]",
        "path": "Observation.component.value[x]",
        "short": "DistanceFromChart",
        "definition": "Distance to the chart in meters",
        "alias": [
          "AfstandTotKaart"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "patternQuantity": {
          "system": "http://unitsofmeasure.org",
          "code": "m"
        },
        "mapping": [
          {
            "identity": "zib-visualacuity-v1.0-2020EN",
            "map": "NL-CM:12.19.8",
            "comment": "DistanceFromChart"
          }
        ]
      }
    ]
  }
}