description: 'The ability to perform mouthcare activities is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth. \r\nLimitations in this ability indicate a reduced ability to cope for oneself. \r\nThis activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently. \r\n\r\n(Source: Instruction card for oral hygiene, 2011)\r\n\r\n#### Purpose\r\nProblems with oral health can lead to malnutrition or disease: if the patient has difficulty eating, insufficient nutrients are absorbed. A bad set of teeth can also have negative social consequences, such as no longer being able to talk properly, having bad breath or a patient being embarrassed because of their appearance. \r\nInformation on limitations in a patient’s ability to keep up their own dental hygiene is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it offers the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient. \r\nIf policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to evaluate the efficiency of the treatment.\r\n\r\n#### Evidence Base\r\nThe definitions of the concepts were (partially) taken from the ICNP definitions. \r\nIn addition to this information model, there are more tools for entering the extent of independence, such as the BarthelIndex. The BarthelIndex is mainly used for patients who have had a stroke. \r\nThis information model evaluates the ability to keep up their own dental hygiene on a three-point scale. In the BarthelIndex, this falls under the aspect of Grooming. In this tool, the ability is scored on a scale with fewer points.' package_name: healthdata.be.r4.cbb derivation: specialization name: HdBeAbilityToPerformMouthcareActivities abstract: true type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/AbilityToPerformMouthcareActivities elements: DentalHygiene: short: DentalHygiene _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: 'Mondhygiëne: het verzorgen van mond en tanden/kiezen of gebitsprothese/ -orthese.'} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: VerzorgenTanden} binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/DentalHygiene'} index: 0 Prosthesis: short: Prosthesis _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: De gegevens over de door de patiënt gebruikte dentale hulpmiddelen.} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Prothese} array: true index: 1 elements: MedicalDevice: short: MedicalDevice _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Rootconcept van de bouwsteen MedischHulpmiddel. Dit rootconcept bevat alle gegevenselementen van de bouwsteen MedischHulpmiddel.} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: MedischHulpmiddel} index: 2 elements: Product: short: Product _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Het medische hulpmiddel dat wordt gebruikt (inwendig of uitwendig).} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Product} index: 3 elements: ProductId: short: ProductID _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - url: content valueMarkdown: "Unieke identificatie van het product, bijvoorbeeld het serienummer.\r\nVeel gebruikte coderingen zijn HIBC en GTIN.\r\nIndien de wet verplicht stelt dat deze geregistreerd wordt op basis van een UDI (Unique Device Identifier), dient de unieke identificatie opgebouwd te zijn uit een UDI-DI (Device Identifier) en een UDI-PI (Production Identifier(s)). Voor meer informatie, zie: http://www.gs1.org/healthcare/udi .\r\n\r\nDe UDI-DI dient m.b.t. GS1 GTIN (01) coderingen worden vastgelegd, waarmee o.a. een firma aan het producttype wordt gekoppeld. De UDI-PI dient te bestaan uit de volgende application identifier (AI); vervaldatum (17) en serienummer (21) en/of batch- of lotnummer (10)." type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: ProductID} index: 4 ProductType: short: ProductType _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: 'Een specificatie van het soort hulpmiddelen dat de patient gebruikt, zoals een prothese of orthothese.'} type: CodeableConcept _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: ProductType} array: true binding: {strength: extensible, valueSet: 'https://fhir.healthdata.be/ValueSet/ProthesisType'} index: 5 ProductDescription: short: ProductDescription _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Tekstuele beschrijving van het product.} type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: ProductOmschrijving} index: 6 StartDate: short: StartDate _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: 'De startdatum van eerste toepassing of implantatie het medische hulpmiddel. Een vage datum, bijv. alleen een jaartal, is toegestaan.'} type: dateTime _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: BeginDatum} index: 10 Comment: short: Comment _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Opmerking bij de toepassing of informatie over het gebruikte hulpmiddel.} type: string _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Toelichting} index: 12 EindDatum: short: EindDatum _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: 'De einddatum van de laatste toepassing of explantatie van het medische hulpmiddel. Een vage datum, bijv. alleen een jaartal, is toegestaan.'} type: dateTime _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: EindDatum} index: 11 Indication: short: Indication _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: De medische reden voor het gebruik van het medisch hulpmiddel.} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Indicatie} array: true index: 8 elements: Problem: short: Problem _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - url: content valueMarkdown: "Rootconcept van de bouwsteen Probleem.\r\nEen probleem beschrijft een toestand met betrekking tot de gezondheid en/of het welzijn van een individu. Deze toestand kan zijn benoemd door de patiënt zelf (een klacht), of door zijn of haar zorgverlener (onder andere een diagnose)." refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Probleem} index: 9 required: [Problem] HealthProfessional: short: HealthProfessional _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: De zorgverlener betrokken bij de indicatiestelling voor het gebruik of de implantatie van het hulpmiddel.} refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthProfessional'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Zorgverlener} index: 15 Location: short: Location _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: De zorgaanbieder waar het gebruik van het hulpmiddel geïnitieerd werd of waar het hulpmiddel geïmplanteerd werd.} type: BackboneElement _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Locatie} index: 13 elements: HealthcareOrganization: short: HealthcareOrganization _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Rootconcept van de bouwsteen Zorgaanbieder. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Zorgaanbieder.} refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-HealthcareOrganization'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Zorgaanbieder} index: 14 required: [HealthcareOrganization] AnatomicalLocation: short: AnatomicalLocation _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: Anatomische locatie van het gebruikte hulpmiddel bij de patiënt.} refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation'] type: Reference _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: nl-BE} - {url: content, valueMarkdown: AnatomischeLocatie} index: 7 required: [Product] required: [MedicalDevice] package_version: 0.16.0-beta class: logical kind: logical url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AbilityToPerformMouthcareActivities base: http://hl7.org/fhir/StructureDefinition/Element version: null required: [DentalHygiene]