<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="zib-HeadCircumference" />
  <url value="http://nictiz.nl/fhir/StructureDefinition/zib-HeadCircumference" />
  <version value="1.0.2" />
  <name value="Zib HeadCircumference" />
  <title value="HCIM HeadCircumference" />
  <status value="active" />
  <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 head circumference is the size of the head as measured around the head." />
  <purpose value="The head circumference can provide insight into the growth of a(n unborn) child. There may also be a smaller (microcephaly) or larger (macrocephaly) head circumference than average, which can indicate certain diseases or syndromes." />
  <copyright value="CC0" />
  <fhirVersion value="3.0.2" />
  <mapping>
    <identity value="hcim-basicelements-v1.0-2017EN" />
    <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" />
    <name value="HCIM BasicElements-v1.0(2017EN)" />
  </mapping>
  <mapping>
    <identity value="hcim-HeadCircumference-v1.1-2017EN" />
    <uri value="https://zibs.nl/wiki/HeadCircumference-v1.1(2017EN)" />
    <name value="HCIM HeadCircumference-v1.1(2017EN)" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/headcircum" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="Head Circumference" />
      <definition value="This profile defines how to represent Head Circumference observations in FHIR using a standard LOINC code and UCUM units of measure. The Head Circumference is measured in centimeters." />
      <alias value="Schedelomvang" />
      <mapping>
        <identity value="hcim-HeadCircumference-v1.1-2017EN" />
        <map value="NL-CM:12.14.1" />
        <comment value="HeadCircumference" />
      </mapping>
    </element>
    <element id="Observation.code.coding:HCIMHeadCircumCode">
      <path value="Observation.code.coding" />
      <sliceName value="HCIMHeadCircumCode" />
      <comment value="SNOMED code 56792006 is prescribed by HCIM HeadCircumference, but both the 2020 release of this HCIM and the Vital Signs HeadCircum profile in FHIR R4 will adopt LOINC code 9843-4. Therefore, this SNOMED code is made optional in favor of the LOINC code in the HeadCircumferenceCode slice." />
    </element>
    <element id="Observation.code.coding:HCIMHeadCircumCode.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.code.coding:HCIMHeadCircumCode.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
      <fixedCode value="56792006" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <short value="HeadCircumferenceDate" />
      <definition value="The date on which the head circumference was measured." />
      <alias value="SchedelomvangDatumTijd" />
      <mapping>
        <identity value="hcim-HeadCircumference-v1.1-2017EN" />
        <map value="NL-CM:12.14.2" />
        <comment value="HeadCircumferenceDate" />
      </mapping>
    </element>
    <element id="Observation.valueQuantity:valueQuantity">
      <path value="Observation.valueQuantity" />
      <sliceName value="valueQuantity" />
      <short value="SchedelomvangDatumTijd" />
      <definition value="The value of the head circumference as measured in centimeters (cm)." />
      <alias value="SchedelomvangWaarde" />
      <mapping>
        <identity value="hcim-HeadCircumference-v1.1-2017EN" />
        <map value="NL-CM:12.14.3" />
        <comment value="HeadCircumferenceMeasurement" />
      </mapping>
    </element>
    <element id="Observation.comment">
      <path value="Observation.comment" />
      <short value="Comment" />
      <definition value="Comment on the head circumference." />
      <alias value="Toelichting" />
      <mapping>
        <identity value="hcim-HeadCircumference-v1.1-2017EN" />
        <map value="NL-CM:12.14.4" />
        <comment value="Comment" />
      </mapping>
    </element>
    <element id="Observation.method">
      <path value="Observation.method" />
      <short value="HeadCircumferenceMeasuringMethod" />
      <definition value="There are different methods to measure the head circumference: prenatal measurement using ultrasound or postnatal measurement using a measuring tape by measuring from the backside of the head (occiput) to above the eyes (supraorbital)." />
      <alias value="SchedelomvangMeetmethode" />
      <binding>
        <strength value="extensible" />
        <description value="SchedelomvangMeetmethodeCodelijst" />
        <valueSetReference>
          <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.14.1--20171231000000" />
          <display value="SchedelomvangMeetmethodeCodelijst" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="hcim-HeadCircumference-v1.1-2017EN" />
        <map value="NL-CM:12.14.5" />
        <comment value="HeadCircumferenceMeasuringMethod" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>