description: Profile for the child report document - a Bundle of type 'document' that contains a Composition resource and other related resources with information about the child and the pregnancy. This profile is used for the exchange of information about the child, to be first implemented in Flanders.
package_name: hl7.fhir.be.childreport
derivation: constraint
name: BeChildReport
type: Bundle
elements:
  identifier: {short: Persistent identifier for the Bundle, index: 0}
  type: {short: document, index: 1}
  timestamp: {short: The time when the document was created, index: 2}
  entry:
    short: Entry resource in the child report bundle
    orderMeaning: The first entry in this bundle is always a Composition.
    array: true
    min: 3
    index: 3
    elements:
      fullUrl: {mustSupport: true, index: 4}
    required: [fullUrl]
    slicing:
      rules: open
      ordered: true
      discriminator:
      - {path: resource, type: value}
      min: 3
      slices:
        patient:
          match: {resource: null}
          schema:
            short: The child (patient)
            mustSupport: true
            _required: true
            index: 7
            elements:
              resource: {type: Patient, short: The child, index: 8}
        relatedPerson:
          match: {resource: null}
          schema:
            short: The mother or guardian
            mustSupport: true
            _required: true
            index: 9
            elements:
              resource: {type: RelatedPerson, short: The mother or guardian, index: 10}
        severeHeadTrauma:
          match: {resource: null}
          schema:
            short: Whether severe head trauma occurred during delivery
            mustSupport: true
            index: 86
            elements:
              resource:
                type: Observation
                short: Observation for severe head trauma during delivery
                index: 87
                elements:
                  code:
                    short: Intracranial injury
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '127296001', system: 'http://snomed.info/sct', display: Intracranial injury}
                    index: 88
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 89
                  value:
                    short: Whether severe head trauma was present
                    choices: [valueBoolean]
                    index: 91
                  valueBoolean: {type: boolean, short: Whether severe head trauma was present, choiceOf: value, index: 92}
                  bodySite: {index: 93}
                  component: {index: 94}
        inspectionPupilAbnormal:
          match: {resource: null}
          schema:
            short: Whether pupil inspection was abnormal
            mustSupport: true
            index: 104
            elements:
              resource:
                type: Observation
                short: Observation for abnormal pupil inspection
                index: 105
                elements:
                  code:
                    short: Abnormal pupil finding
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '274093008', system: 'http://snomed.info/sct', display: Abnormal pupil}
                    index: 106
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 107
                  value:
                    short: Whether pupil abnormality was found
                    choices: [valueBoolean]
                    index: 109
                  valueBoolean: {type: boolean, short: Whether pupil abnormality was found, choiceOf: value, index: 110}
                  bodySite: {index: 111}
                  component: {index: 112}
        eyeRemarks:
          match: {resource: null}
          schema:
            short: Free text remarks about the eyes
            mustSupport: true
            index: 139
            elements:
              resource:
                type: Observation
                short: Observation for free text eye remarks
                index: 140
                elements:
                  code:
                    short: Eye remarks
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: eye-remarks-observation, system: 'https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/cs-child-report-documentation'}
                    index: 141
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 142
                  value:
                    short: Free text eye remarks
                    choices: [valueString]
                    index: 144
                  valueString: {type: string, short: Free text eye remarks, choiceOf: value, index: 145}
                  bodySite: {index: 146}
                  component: {index: 147}
        neonatalHearingScreening:
          match: {resource: null}
          schema:
            short: Overall neonatal hearing screening result
            mustSupport: true
            array: true
            index: 43
            elements:
              resource:
                type: Observation
                short: Observation for overall neonatal hearing screening
                index: 44
                elements:
                  code:
                    short: Hearing screening test code
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '102972004', system: 'http://snomed.info/sct', display: 'Brain stem auditory evoked potential, function'}
                    index: 45
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 46
                  effective:
                    choices: [effectiveDateTime]
                    index: 48
                  effectiveDateTime: {type: dateTime, choiceOf: effective, index: 49}
                  value:
                    short: normal result | abnormal result | invalid result | test not done
                    choices: [valueCodeableConcept]
                    index: 51
                  valueCodeableConcept: {type: CodeableConcept, short: normal result | abnormal result | invalid result | test not done, choiceOf: value, index: 52}
                  component: {index: 53}
                required: [value, valueCodeableConcept]
        eyeMovementAndPositionLeft:
          match: {resource: null}
          schema:
            short: Eye movement and position finding - left eye
            mustSupport: true
            array: true
            index: 113
            elements:
              resource:
                type: Observation
                short: Observation for eye movement and position - left eye
                index: 114
                elements:
                  code:
                    short: Ocular motility
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '31763002', system: 'http://snomed.info/sct', display: Ocular motility observable}
                    index: 115
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 116
                  value:
                    short: intermittent strabismus | continuous strabismus | nystagmus present
                    choices: [valueCodeableConcept]
                    index: 118
                  valueCodeableConcept: {type: CodeableConcept, short: intermittent strabismus | continuous strabismus | nystagmus present, choiceOf: value, index: 119}
                  bodySite:
                    short: Left eye
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '81745001', system: 'http://snomed.info/sct', display: Structure of eye proper}
                    index: 120
                    extensions:
                      laterality:
                        url: null
                        _required: true
                        index: 122
                        elements:
                          value:
                            pattern:
                              type: Coding
                              value: {code: '7771000', system: 'http://snomed.info/sct', display: Left}
                            choices: []
                            index: 124
                    elements:
                      extension:
                        index: 121
                        slicing:
                          slices:
                            laterality:
                              match: {}
                              schema:
                                _required: true
                                index: 122
                                elements:
                                  value:
                                    pattern:
                                      type: Coding
                                      value: {code: '7771000', system: 'http://snomed.info/sct', display: Left}
                                    choices: []
                                    index: 124
                    required: [extension]
                  component: {index: 125}
        eyeMovementAndPositionRight:
          match: {resource: null}
          schema:
            short: Eye movement and position finding - right eye
            mustSupport: true
            array: true
            index: 126
            elements:
              resource:
                type: Observation
                short: Observation for eye movement and position - right eye
                index: 127
                elements:
                  code:
                    short: Ocular motility
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '31763002', system: 'http://snomed.info/sct', display: Ocular motility observable}
                    index: 128
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 129
                  value:
                    short: intermittent strabismus | continuous strabismus | nystagmus present
                    choices: [valueCodeableConcept]
                    index: 131
                  valueCodeableConcept: {type: CodeableConcept, short: intermittent strabismus | continuous strabismus | nystagmus present, choiceOf: value, index: 132}
                  bodySite:
                    short: Right eye
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '81745001', system: 'http://snomed.info/sct', display: Structure of eye proper}
                    index: 133
                    extensions:
                      laterality:
                        url: null
                        _required: true
                        index: 135
                        elements:
                          value:
                            pattern:
                              type: Coding
                              value: {code: '24028007', system: 'http://snomed.info/sct', display: Right}
                            choices: []
                            index: 137
                    elements:
                      extension:
                        index: 134
                        slicing:
                          slices:
                            laterality:
                              match: {}
                              schema:
                                _required: true
                                index: 135
                                elements:
                                  value:
                                    pattern:
                                      type: Coding
                                      value: {code: '24028007', system: 'http://snomed.info/sct', display: Right}
                                    choices: []
                                    index: 137
                    required: [extension]
                  component: {index: 138}
        pregnancyDuration:
          match: {resource: null}
          schema:
            short: Duration of the pregnancy in weeks
            mustSupport: true
            index: 11
            elements:
              resource:
                type: Observation
                short: Observation for pregnancy duration in weeks
                index: 12
                elements:
                  code:
                    short: Length of gestation at birth
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '412726003', system: 'http://snomed.info/sct', display: Length of gestation at birth}
                    index: 13
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 14
                  focus:
                    type: Reference
                    short: The mother (RelatedPerson)
                    mustSupport: true
                    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson']
                    index: 15
                  value:
                    short: Duration in weeks
                    choices: [valueQuantity]
                    index: 17
                  valueQuantity: {type: Quantity, short: Duration in weeks, choiceOf: value, index: 18}
                  value[x]:
                    elements:
                      unit:
                        pattern: {type: String, value: weeks}
                        index: 19
                      code:
                        pattern: {type: Code, value: wk}
                        index: 20
                  bodySite: {index: 21}
                  component: {index: 22}
        eyeScreening:
          match: {resource: null}
          schema:
            short: Eye screening result
            mustSupport: true
            array: true
            index: 95
            elements:
              resource:
                type: Observation
                short: Observation for eye screening result
                index: 96
                elements:
                  code:
                    short: Eye/vision screening
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '363926002', system: 'http://snomed.info/sct', display: Eye/vision observable}
                    index: 97
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 98
                  value:
                    short: normal result | abnormal result | invalid result | test not done
                    choices: [valueCodeableConcept]
                    index: 100
                  valueCodeableConcept: {type: CodeableConcept, short: normal result | abnormal result | invalid result | test not done, choiceOf: value, index: 101}
                  bodySite: {index: 102}
                  component: {index: 103}
        neonatalHearingScreeningRight:
          match: {resource: null}
          schema:
            short: Hearing screening result for the right ear
            mustSupport: true
            index: 70
            elements:
              resource:
                type: Observation
                short: Observation for hearing screening - right ear
                index: 71
                elements:
                  code:
                    short: Hearing screening test code
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '102972004', system: 'http://snomed.info/sct', display: 'Brain stem auditory evoked potential, function'}
                    index: 72
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 73
                  effective:
                    choices: [effectiveDateTime]
                    index: 75
                  effectiveDateTime: {type: dateTime, choiceOf: effective, index: 76}
                  value:
                    short: normal result | abnormal result | invalid result | test not done
                    choices: [valueCodeableConcept]
                    index: 78
                  valueCodeableConcept: {type: CodeableConcept, short: normal result | abnormal result | invalid result | test not done, choiceOf: value, index: 79}
                  bodySite:
                    short: Right ear
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '117590005', system: 'http://snomed.info/sct', display: Ear structure}
                    index: 80
                    extensions:
                      laterality:
                        url: null
                        _required: true
                        index: 82
                        elements:
                          value:
                            pattern:
                              type: Coding
                              value: {code: '24028007', system: 'http://snomed.info/sct', display: Right}
                            choices: []
                            index: 84
                    elements:
                      extension:
                        index: 81
                        slicing:
                          slices:
                            laterality:
                              match: {}
                              schema:
                                _required: true
                                index: 82
                                elements:
                                  value:
                                    pattern:
                                      type: Coding
                                      value: {code: '24028007', system: 'http://snomed.info/sct', display: Right}
                                    choices: []
                                    index: 84
                    required: [extension]
                  component: {index: 85}
                required: [value, valueCodeableConcept]
        composition:
          match: {resource: null}
          schema:
            short: The Child Report Composition
            mustSupport: true
            _required: true
            index: 5
            elements:
              resource: {type: Composition, short: The Composition for the child report, index: 6}
        pregnancyBacterialMeningitis:
          match: {resource: null}
          schema:
            short: Whether bacterial meningitis occurred
            mustSupport: true
            index: 33
            elements:
              resource:
                type: Observation
                short: Observation for bacterial meningitis
                index: 34
                elements:
                  code:
                    short: Bacterial meningitis
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '95883001', system: 'http://snomed.info/sct', display: Bacterial meningitis}
                    index: 35
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 36
                  focus:
                    type: Reference
                    short: The mother (RelatedPerson)
                    mustSupport: true
                    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson']
                    index: 37
                  value:
                    short: Whether bacterial meningitis was present
                    choices: [valueBoolean]
                    index: 39
                  valueBoolean: {type: boolean, short: Whether bacterial meningitis was present, choiceOf: value, index: 40}
                  bodySite: {index: 41}
                  component: {index: 42}
        neonatalHearingScreeningLeft:
          match: {resource: null}
          schema:
            short: Hearing screening result for the left ear
            mustSupport: true
            index: 54
            elements:
              resource:
                type: Observation
                short: Observation for hearing screening - left ear
                index: 55
                elements:
                  code:
                    short: Hearing screening test code
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '102972004', system: 'http://snomed.info/sct', display: 'Brain stem auditory evoked potential, function'}
                    index: 56
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 57
                  effective:
                    choices: [effectiveDateTime]
                    index: 59
                  effectiveDateTime: {type: dateTime, choiceOf: effective, index: 60}
                  value:
                    short: normal result | abnormal result | invalid result | test not done
                    choices: [valueCodeableConcept]
                    index: 62
                  valueCodeableConcept: {type: CodeableConcept, short: normal result | abnormal result | invalid result | test not done, choiceOf: value, index: 63}
                  bodySite:
                    short: Left ear
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '117590005', system: 'http://snomed.info/sct', display: Ear structure}
                    index: 64
                    extensions:
                      laterality:
                        url: null
                        _required: true
                        index: 66
                        elements:
                          value:
                            pattern:
                              type: Coding
                              value: {code: '7771000', system: 'http://snomed.info/sct', display: Left}
                            choices: []
                            index: 68
                    elements:
                      extension:
                        index: 65
                        slicing:
                          slices:
                            laterality:
                              match: {}
                              schema:
                                _required: true
                                index: 66
                                elements:
                                  value:
                                    pattern:
                                      type: Coding
                                      value: {code: '7771000', system: 'http://snomed.info/sct', display: Left}
                                    choices: []
                                    index: 68
                    required: [extension]
                  component: {index: 69}
                required: [value, valueCodeableConcept]
        inTreatmentWithOphthalmologist:
          match: {resource: null}
          schema:
            short: Treatment the patient has followed with an ophthalmologist
            mustSupport: true
            array: true
            index: 148
            elements:
              resource:
                type: Observation
                short: Observation for treatment with an ophthalmologist
                index: 149
                elements:
                  code:
                    short: In treatment with ophthalmologist
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: ophthalmologist-treatment-observation, system: 'https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/cs-child-report-documentation'}
                    index: 150
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 151
                  value:
                    short: prescription of spectacles | application of eye patch | surgical procedure on eye proper | (extensible)
                    choices: [valueCodeableConcept]
                    index: 153
                  valueCodeableConcept: {type: CodeableConcept, short: prescription of spectacles | application of eye patch | surgical procedure on eye proper | (extensible), choiceOf: value, index: 154}
                  bodySite: {index: 155}
                  component: {index: 156}
        pregnancyCMVInfection:
          match: {resource: null}
          schema:
            short: Whether CMV infection occurred during pregnancy
            mustSupport: true
            index: 23
            elements:
              resource:
                type: Observation
                short: 'Observation for CMV infection during pregnancy (focus: the mother)'
                index: 24
                elements:
                  code:
                    short: CMV infection
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: '28944009', system: 'http://snomed.info/sct', display: CMV - Cytomegalovirus infection}
                    index: 25
                  subject:
                    type: Reference
                    short: The child that is the subject of this document
                    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
                    index: 26
                  focus:
                    type: Reference
                    short: The mother (RelatedPerson)
                    mustSupport: true
                    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson']
                    index: 27
                  value:
                    short: Whether CMV infection was present
                    choices: [valueBoolean]
                    index: 29
                  valueBoolean: {type: boolean, short: Whether CMV infection was present, choiceOf: value, index: 30}
                  bodySite: {index: 31}
                  component: {index: 32}
                required: [focus]
package_version: 1.0.0
class: profile
kind: resource
url: https://www.ehealth.fgov.be/standards/fhir/childreport/StructureDefinition/be-childreport
base: https://www.ehealth.fgov.be/standards/fhir/patient-dossier/StructureDefinition/be-document
version: 1.0.0
required: [timestamp, identifier]