description: '**Concept**\r\nInformation 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.\r\n**Purpose**\r\nInformation 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.\r\n**Evidence Base**\r\nThe definitions of the concepts and value lists were partially based on (i.e. phrased for practical use) information gathered from the Van Wiechen scheme, the NCJ guideline Toilet Trainedness of urine and feces, and information from the VKS (www.ontwikkelingsachterstand.nl).\r\n**Example Instances**\r\n\r\n**Instructions**\r\nExamples for evaluating the speech development of the child:\r\n\r\n* Able to comprehend short daily used sentences: \"Put on your coat\"\r\n* Able to speak short daily used sentences: 2-3 words' package_name: healthdata.be.r4.cbb derivation: specialization name: HdBeDevelopmentChild abstract: true type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/development_child elements: development_child_date_time: short: DevelopmentChildDateTime _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De datum en tijdstip waarop de status van de ontwikkeling van het kind zijn geregistreerd.} type: dateTime _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: OntwikkelingKindDatumTijd} base: {max: '1', min: 1, path: development_child.development_child_date_time} index: 0 development_linguistics: short: DevelopmentLinguistics _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mijlpalen voor de taalontwikkeling van een kind.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: OntwikkelingTaal} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/OntwikkelingTaal'} base: {max: '1', min: 0, path: development_child.development_linguistics} index: 6 development_cognition: short: DevelopmentCognition _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mijlpalen voor de verstandelijke ontwikkeling van een kind.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: OntwikkelingVerstandelijk} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/OntwikkelingVerstandelijk'} base: {max: '1', min: 0, path: development_child.development_cognition} index: 7 toilet_trainedness_urine: short: ToiletTrainednessUrine _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mate van zindelijk zijn voor urine.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: ZindelijkheidUrine} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/ZindelijkheidUrine'} base: {max: '1', min: 0, path: development_child.toilet_trainedness_urine} index: 1 development_locomotion: short: DevelopmentLocomotion _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mijlpalen voor de ontwikkeling van grove motoriek bij een kind.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: OntwikkelingMotoriek} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/OntwikkelingMotoriek'} base: {max: '1', min: 0, path: development_child.development_locomotion} index: 4 age_first_menstruation: short: AgeFirstMenstruation _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De leeftijd van de aanvang van de eerste menstruatie.} type: Quantity _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: LeeftijdEersteMenstruatie} base: {max: '1', min: 0, path: development_child.age_first_menstruation} index: 3 comment: short: Comment _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: De toelichting op de ontwikkeling van het kind.} type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Toelichting} base: {max: '1', min: 0, path: development_child.comment} index: 8 toilet_trainedness_feces: short: ToiletTrainednessFeces _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mate van zindelijk zijn voor feces.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: ZindelijkheidFeces} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/ZindelijkheidFeces'} base: {max: '1', min: 0, path: development_child.toilet_trainedness_feces} index: 2 development_social: short: DevelopmentSocial _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: Mijlpalen voor de sociale ontwikkeling van een kind.} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-NL} - {url: content, valueMarkdown: OntwikkelingSociaal} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/OntwikkelingSociaal'} base: {max: '1', min: 0, path: development_child.development_social} index: 5 package_version: 0.4.0-alpha class: logical kind: logical url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-DevelopmentChild base: http://hl7.org/fhir/StructureDefinition/Element version: null required: [development_child_date_time]