{
  "resourceType": "StructureDefinition",
  "id": "zib-DevelopmentChild",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-DevelopmentChild",
  "version": "1.0.3",
  "name": "Zib DevelopmentChild",
  "title": "HCIM DevelopmentChild",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An Observation resource as defined by the Dutch HCIM DevelopmentChild-v1.1(2017EN)",
  "purpose": "Information about milestones within the normal development and growth of a child can provide insight in the process of development and whether the child has a developmental delay. This concerns a general impression and description of the development of the child without judgement of quality, different from the very specific evaluation of the development as is normal in youth health care. The purpose is to provide the receiving organisation a basis for further evaluation and care of the child.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-developmentchild-v1.1-2017EN",
      "uri": "https://zibs.nl/wiki/DevelopmentChild-v1.1(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "DevelopmentChild",
        "definition": "Information on the development and growth of a child is important in determining the kind of care that should be provided to the child and the family. When the child is being transferred, continuity of care can be achieved . Information can provide insight in the process of development and whether the child has a developmental delay.",
        "alias": [
          "OntwikkelingKind"
        ],
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.1",
            "comment": "DevelopmentChild"
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.1",
            "comment": "DevelopmentChild"
          }
        ]
      },
      {
        "id": "Observation.code.coding:DevelopmentChildCode",
        "path": "Observation.code.coding",
        "sliceName": "DevelopmentChildCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:DevelopmentChildCode.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:DevelopmentChildCode.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "251803000"
      },
      {
        "id": "Observation.code.coding:DevelopmentChildCode.display",
        "path": "Observation.code.coding.display",
        "defaultValueString": "Child developmental finding"
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "DevelopmentChildDateTime",
        "definition": "The date and time on which the status of the development of the child are registered.",
        "alias": [
          "OntwikkelingKindDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.2",
            "comment": "DevelopmentChildDateTime"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "definition": "Comment on the development of the child.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.3",
            "comment": "Toelichting"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:ToiletTrainednessUrine",
        "path": "Observation.component",
        "sliceName": "ToiletTrainednessUrine"
      },
      {
        "id": "Observation.component:ToiletTrainednessUrine.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "275819003"
            }
          ]
        }
      },
      {
        "id": "Observation.component:ToiletTrainednessUrine.value[x]",
        "path": "Observation.component.value[x]",
        "short": "ToiletTrainednessUrine",
        "definition": "Degree of toilet trainedness for urine.",
        "alias": [
          "ZindelijkheidUrine"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "ZindelijkheidUrineCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.1--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.4",
            "comment": "ToiletTrainednessUrine"
          }
        ]
      },
      {
        "id": "Observation.component:ToiletTrainednessFeces",
        "path": "Observation.component",
        "sliceName": "ToiletTrainednessFeces"
      },
      {
        "id": "Observation.component:ToiletTrainednessFeces.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "275818006"
            }
          ]
        }
      },
      {
        "id": "Observation.component:ToiletTrainednessFeces.value[x]",
        "path": "Observation.component.value[x]",
        "short": "ToiletTrainednessFeces",
        "definition": "Degree of toilet trainedness for feces.",
        "alias": [
          "ZindelijkheidFeces"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "ZindelijkheidFecesCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.2--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.5"
          }
        ]
      },
      {
        "id": "Observation.component:AgeFirstMenstruation",
        "path": "Observation.component",
        "sliceName": "AgeFirstMenstruation"
      },
      {
        "id": "Observation.component:AgeFirstMenstruation.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "42798-9"
            }
          ]
        }
      },
      {
        "id": "Observation.component:AgeFirstMenstruation.value[x]",
        "path": "Observation.component.value[x]",
        "short": "AgeFirstMenstruation",
        "definition": "The age of the start of the first menstruation.",
        "alias": [
          "LeeftijdEersteMenstruatie"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.7"
          }
        ]
      },
      {
        "id": "Observation.component:DevelopmentLocomotion",
        "path": "Observation.component",
        "sliceName": "DevelopmentLocomotion"
      },
      {
        "id": "Observation.component:DevelopmentLocomotion.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "282716004"
            }
          ]
        }
      },
      {
        "id": "Observation.component:DevelopmentLocomotion.value[x]",
        "path": "Observation.component.value[x]",
        "short": "DevelopmentLocomotion",
        "definition": "Milestones of locomotive development of a child.",
        "alias": [
          "OntwikkelingMotoriek"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "OntwikkelingMotoriekCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.3--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.6",
            "comment": "DevelopmentLocomotion"
          }
        ]
      },
      {
        "id": "Observation.component:DevelopmentSocial",
        "path": "Observation.component",
        "sliceName": "DevelopmentSocial"
      },
      {
        "id": "Observation.component:DevelopmentSocial.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "225597007"
            }
          ]
        }
      },
      {
        "id": "Observation.component:DevelopmentSocial.value[x]",
        "path": "Observation.component.value[x]",
        "short": "DevelopmentSocial",
        "definition": "Milestones of social development of a child.",
        "alias": [
          "OntwikkelingSociaal"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "OntwikkelingSociaalCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.4--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.8",
            "comment": "DevelopmentSocial"
          }
        ]
      },
      {
        "id": "Observation.component:DevelopmentLinguistics",
        "path": "Observation.component",
        "sliceName": "DevelopmentLinguistics"
      },
      {
        "id": "Observation.component:DevelopmentLinguistics.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "61909002"
            }
          ]
        }
      },
      {
        "id": "Observation.component:DevelopmentLinguistics.value[x]",
        "path": "Observation.component.value[x]",
        "short": "DevelopmentLinguistics",
        "definition": "Milestones of lingual development of a child.",
        "alias": [
          "OntwikkelingTaal"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "OntwikkelingTaalCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.5--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.9",
            "comment": "DevelopmentLinguistics"
          }
        ]
      },
      {
        "id": "Observation.component:DevelopmentCognition",
        "path": "Observation.component",
        "sliceName": "DevelopmentCognition"
      },
      {
        "id": "Observation.component:DevelopmentCognition.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "364644000"
            }
          ]
        }
      },
      {
        "id": "Observation.component:DevelopmentCognition.value[x]",
        "path": "Observation.component.value[x]",
        "short": "DevelopmentCognition",
        "definition": "Milestones of cognitive development of a child.",
        "alias": [
          "OntwikkelingVerstandelijk"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "OntwikkelingVerstandelijkCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.32.6--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-developmentchild-v1.1-2017EN",
            "map": "NL-CM:4.32.10",
            "comment": "DevelopmentCognition"
          }
        ]
      }
    ]
  }
}