{
  "resourceType": "StructureDefinition",
  "id": "zib-FeedingPatternInfant",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingPatternInfant",
  "version": "1.0.3",
  "name": "Zib FeedingPatternInfant",
  "title": "HCIM FeedingPatternInfant",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An Observation as defined by the Dutch HCIM Zorginformatiebouwsteen VoedingsPatroonZuigeling v1.0(2017EN). A healthy diet means that we do not consume too much or too little (energy intake balanced with energy use) and that the composition of food (mainly important nutrients) follows the recommendations from the Health Council. For an infant, this means that the child receives breastfeeding or formula milk or a combination thereof.",
  "purpose": "The purpose is to register which type of feeding the infant receives and when, to enable early estimation whether there are problems or whether the care surrounding feeding the infant can be taken over.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
      "uri": "https://zibs.nl/wiki/FeedingPatternInfant-v1.0(2017EN)",
      "name": "HCIM FeedingPatternInfant-v1.0(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": "FeedingPatternInfant",
        "alias": [
          "VoedingspatroonZuigeling"
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.1",
            "comment": "FeedingPatternInfant"
          }
        ]
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "short": "NutritionAdvice",
        "alias": [
          "Voedingsadvies"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
          },
          {
            "code": "Reference",
            "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.9",
            "comment": "NutritionAdvice"
          }
        ]
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:FeedingPatternInfantCode",
        "path": "Observation.code.coding",
        "sliceName": "FeedingPatternInfantCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:FeedingPatternInfantCode.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:FeedingPatternInfantCode.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "289145007"
      },
      {
        "id": "Observation.code.coding:FeedingPatternInfantCode.display",
        "path": "Observation.code.coding.display",
        "defaultValueString": "Finding of infant feeding pattern"
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "short": "FeedingPatternInfantDateTime",
        "definition": "The date and time on which the characteristics of feeding of the infant are registered.",
        "alias": [
          "VoedingspatroonZuigelingDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.6",
            "comment": "FeedingPatternInfantDateTime"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Comment",
        "definition": "Comment on the feeding of the infant.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.8",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:FeedingSupplement",
        "path": "Observation.component",
        "sliceName": "FeedingSupplement",
        "max": "1"
      },
      {
        "id": "Observation.component:FeedingSupplement.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "373453009"
            }
          ]
        }
      },
      {
        "id": "Observation.component:FeedingSupplement.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Nutritional supplement"
      },
      {
        "id": "Observation.component:FeedingSupplement.value[x]:valueString",
        "path": "Observation.component.valueString",
        "sliceName": "valueString",
        "short": "FeedingSupplement",
        "definition": "It is possible to add supplements to breast and formula milk, such as locust bean gum to thicken milk in case of infant reflux.",
        "alias": [
          "VoedingToevoeging"
        ],
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.7",
            "comment": "FeedingSupplement"
          }
        ]
      },
      {
        "id": "Observation.component:FeedingFrequency",
        "path": "Observation.component",
        "sliceName": "FeedingFrequency",
        "max": "1"
      },
      {
        "id": "Observation.component:FeedingFrequency.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "364653007"
            }
          ]
        }
      },
      {
        "id": "Observation.component:FeedingFrequency.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Frequency of infant feeding"
      },
      {
        "id": "Observation.component:FeedingFrequency.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "FeedingFrequency",
        "definition": "The number of feeding gifts within 24 hours.",
        "alias": [
          "VoedingFrequentie"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.5",
            "comment": "FeedingFrequency"
          }
        ]
      },
      {
        "id": "Observation.component:FeedingType",
        "path": "Observation.component",
        "sliceName": "FeedingType"
      },
      {
        "id": "Observation.component:FeedingType.extension",
        "path": "Observation.component.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:FeedingType.extension:feedingMethod",
        "path": "Observation.component.extension",
        "sliceName": "feedingMethod",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-FeedingPatternInfant-FeedingMethod"
          }
        ]
      },
      {
        "id": "Observation.component:FeedingType.extension:feedingMethod.valueCodeableConcept:valueCodeableConcept",
        "path": "Observation.component.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "FeedingMethod",
        "definition": "The method how the feeding is given to the infant.",
        "alias": [
          "VoedingMethode"
        ],
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.4",
            "comment": "FeedingMethod"
          }
        ]
      },
      {
        "id": "Observation.component:FeedingType.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "109021000146107"
            }
          ]
        }
      },
      {
        "id": "Observation.component:FeedingType.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "defaultValueString": "Feeding Type"
      },
      {
        "id": "Observation.component:FeedingType.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "FeedingType",
        "definition": "The type of feeding (breast or formula milk) that is given to the infant.",
        "alias": [
          "VoedingSoort"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "VoedingSoortCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.4.31.1--20171231000000"
          }
        },
        "mapping": [
          {
            "identity": "hcim-feedingpatterninfant-v1.0-2017EN",
            "map": "NL-CM:4.31.3",
            "comment": "FeedingType"
          }
        ]
      }
    ]
  }
}