{
  "description": "Oral hygiene finding.",
  "_filename": "StructureDefinition-mz-OralHygiene.json",
  "package_name": "medmij.fhir.nl.r4.dentalcare",
  "date": null,
  "derivation": "constraint",
  "publisher": "MedMij",
  "fhirVersion": "4.0.1",
  "purpose": "This Observation resource represents the OralHygiene building block for implementations following the information standard [Dental Care (Mondzorg)](https://simplifier.net/medmij-r4-dental-care).",
  "name": "MzOralHygiene",
  "mapping": [ {
    "name": "Dataset Mondzorg 1.0.0-beta.1 20250814",
    "identity": "mz-dataset-100-beta1-20250814"
  } ],
  "abstract": false,
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "mz OralHygiene",
  "package_version": "1.0.0-beta.1",
  "status": "draft",
  "id": "fa21422d-56e0-401a-b42b-ab62328056d3",
  "kind": "resource",
  "url": "http://medmij.nl/fhir/StructureDefinition/mz-OralHygiene",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "alias": [ "Mondhygiëne", "Measurement", "Results", "Tests" ],
      "short": "OralHygiene",
      "mapping": [ {
        "map": "mz-dataelement-120",
        "comment": "OralHygiene",
        "identity": "mz-dataset-100-beta1-20250814"
      } ]
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "364126007",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "Observation.subject",
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" ]
      } ],
      "alias": [ "Patient" ],
      "short": "Patient",
      "mapping": [ {
        "map": "mz-dataelement-1",
        "comment": "Patient",
        "identity": "mz-dataset-100-beta1-20250814"
      } ]
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "Observation.effective[x]",
      "min": 0,
      "definition": "The date and time at which the oral hygiene was determined.",
      "short": "OralHygieneDateTime",
      "mapping": [ {
        "map": "mz-dataelement-121",
        "comment": "OralHygieneDateTime",
        "identity": "mz-dataset-100-beta1-20250814"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime",
      "alias": [ "MondhygiëneDatumTijd" ],
      "max": "1",
      "id": "Observation.effective[x]:effectiveDateTime"
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ]
      } ],
      "alias": [ "Uitvoerder" ],
      "short": "Performer",
      "comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\n\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.",
      "mapping": [ {
        "map": "mz-dataelement-146",
        "comment": "Performer",
        "identity": "mz-dataset-100-beta1-20250814"
      } ],
      "definition": "The health professional who determined the oral hygiene."
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "Observation.value[x]",
      "min": 1,
      "definition": "The oral hygiene.",
      "short": "OralHygieneValue",
      "mapping": [ {
        "map": "mz-dataelement-122",
        "comment": "OralHygieneValue",
        "identity": "mz-dataset-100-beta1-20250814"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://medmij.nl/fhir/ValueSet/OralHygiene"
      },
      "alias": [ "MondhygiëneWaarde" ],
      "max": "1",
      "id": "Observation.value[x]:valueCodeableConcept"
    }, {
      "id": "Observation.note.text",
      "path": "Observation.note.text",
      "alias": [ "Toelichting" ],
      "short": "Comment",
      "mapping": [ {
        "map": "mz-dataelement-123",
        "comment": "Comment",
        "identity": "mz-dataset-100-beta1-20250814"
      } ],
      "definition": "Comment on the oral hygiene, including comments on for example the circumstances and/or disruptive factors that may influence the result."
    } ]
  },
  "contact": [ {
    "name": "MedMij",
    "telecom": [ {
      "use": "work",
      "value": "info@medmij.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}