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Source1

{
  "resourceType": "StructureDefinition",
  "id": "mz-PeriodicPeriodontalScreeningScore",
  "text": {
    "status": "empty",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://medmij.nl/fhir/StructureDefinition/mz-PeriodicPeriodontalScreeningScore",
  "name": "MzPeriodicPeriodontalScreeningScore",
  "title": "mz PeriodicPeriodontalScreeningScore",
  "status": "draft",
  "publisher": "MedMij",
  "contact": [
    {
      "name": "MedMij",
      "telecom": [
        {
          "system": "email",
          "value": "info@medmij.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Periodontal screening for dental plaque-related diseases (Periodic Periodontal Screening, PPS) is a critical routine examination method. The dentist or the dental hygienist can thereby examine, periodically and at each tooth, in a simple and rapid way to identify potential periodontal problems at an early stage. This screening should preferably take place annually.",
  "purpose": "This Observation resource represents the PeriodicPeriodontalScreeningScore building block for implementations following the information standard [Dental Care (Mondzorg)](https://simplifier.net/medmij-r4-dental-care).",
  "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.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "mz-dataset-100-beta1-20250814",
      "name": "Dataset Mondzorg 1.0.0-beta.1 20250814"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "PeriodicPeriodontalScreeningScore",
        "alias": [
          "PeriodiekeParodontaleScreeningScore",
          "Measurement",
          "Results",
          "Tests"
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-136",
            "comment": "PeriodicPeriodontalScreeningScore"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "540501000146103",
              "system": "http://snomed.info/sct"
            }
          ]
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Patient",
        "alias": [
          "Patient"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-1",
            "comment": "Patient"
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effective[x]",
        "sliceName": "effectiveDateTime",
        "short": "PPSDateTime",
        "definition": "The date and time at which the PPS was performed.",
        "alias": [
          "PPSDatumTijd"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-137",
            "comment": "PPSDateTime"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "short": "Performer",
        "definition": "The health professional who performed the PPS.",
        "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.",
        "alias": [
          "Uitvoerder"
        ],
        "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"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-150",
            "comment": "Performer"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "PPSScore",
        "definition": "The score of the PPS.",
        "alias": [
          "PPSScore"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://medmij.nl/fhir/ValueSet/PeriodicPeriodontalScreeningScore"
        },
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-138",
            "comment": "PPSScore"
          }
        ]
      },
      {
        "id": "Observation.note.text",
        "path": "Observation.note.text",
        "short": "Comment",
        "definition": "Comment on the PPS, including comments on for example the circumstances and/or disruptive factors that may influence the result.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "mz-dataset-100-beta1-20250814",
            "map": "mz-dataelement-139",
            "comment": "Comment"
          }
        ]
      }
    ]
  }
}