BeModelChildReport
type: StructureDefinition
node role: treeRoot
id:
  v: BeModelChildReport
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition BeModelChildReport Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> BeModelChildReport 0..* BeModelDocument Child Report Logical Model Elements defined in Ancestors:subject, documentType, status, identifier, recordedDate, author[x], presentedForm, documentTitle, section Instances of this logical model can be the target of a Reference #xD; subject 1..1 BeModelPatient Child that the report is about #xD; recordedDate 1..1 dateTime The date when the document was last updated #xD; presentedForm 1..1 Attachment Child report PDF file #xD; pregnancyDetails 0..1 Base Pregnancy details #xD; durationOfPregnancy 0..1 Base [BeClinicalObservation] The duration of pregnancy in weeks, as an observation. #xD; subject 1..1 Reference() Child #xD; code 1..1 CodeableConcept Length of gestation at birth Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://snomed.info/sct #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: 412726003 #xD; display 1..1 string Representation defined by the system Fixed Value: Length of gestation at birth #xD; valueInteger 1..1 integer The duration of pregnancy in weeks #xD; pregnancyCMVInfection 0..1 Base [BeClinicalObservation] Pregnancy CMV infection #xD; subject 1..1 Reference() Child #xD; code 1..1 CodeableConcept CMV infection during pregnancy Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: cmv-infection-during-pregnancy #xD; display 1..1 string Representation defined by the system Fixed Value: CMV infection during pregnancy #xD; valueBoolean 1..1 boolean Indicates whether CMV infection occurred during pregnancy. #xD; bacterialMeningitis …
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-be-target
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-be-target
url:
  v: https://www.ehealth.fgov.be/standards/fhir/childrecord/StructureDefinition/BeModelChildReport
  l: BeModelChildReport
version:
  v: 0.1.0
name:
  v: BeModelChildReport
title:
  v: Child Report Logical Model
status:
  v: draft
date:
  v: 2026-02-26T07:42:00+00:00
publisher:
  v: HL7 Belgium
contact:
  name:
    v: HL7 Belgium
  telecom:
    system:
      v: url
    value:
      v: https://www.hl7belgium.org
  telecom:
    system:
      v: email
contact:
  name:
    v: Message Structure eHealth
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: A logical model representing child report data elements.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: BE
    display:
      v: Belgium
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: https://www.ehealth.fgov.be/standards/fhir/childrecord/StructureDefinition/BeModelChildReport
  l: BeModelChildReport
base definition:
  v: https://www.ehealth.fgov.be/standards/fhir/childrecord/StructureDefinition/BeModelDocument
  l: BeModelDocument
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 0.1.0
  element:
    id:
      v: BeModelChildReport
    path:
      v: BeModelChildReport
    short:
      v: Child Report Logical Model
    definition:
      v: A logical model representing child report data elements.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
  element:
    id:
      v: BeModelChildReport.subject
    path:
      v: BeModelChildReport.subject
    short:
      v: Child that the report is about
    definition:
      v: Patient/subject information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: BeModelDocument.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/BeModelPatient
        l: BeModelPatient
  element:
    id:
      v: BeModelChildReport.documentType
    path:
      v: BeModelChildReport.documentType
    short:
      v: Document type
    definition:
      v: Type of the document, e.g. report, discharge letter, etc.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: BeModelDocument.documentType
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: CodeableConcept
        l: CodeableConcept
  element:
    id:
      v: BeModelChildReport.status
    path:
      v: BeModelChildReport.status
    short:
      v: Status of the resource
    definition:
      v: Status of the resource
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: BeModelDocument.status
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: CodeableConcept
        l: CodeableConcept
  element:
    id:
      v: BeModelChildReport.identifier
    path:
      v: BeModelChildReport.identifier
    short:
      v: Business identifier for the document
    definition:
      v: Business identifier for the document
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: BeModelDocument.identifier
      min:
        v: 1
      max:
        v: *
    type:
      code:
        v: Identifier
        l: Identifier

id:
  v: BeModelChildReport.recordedDate
path:
  v: BeModelChildReport.recordedDate
short:
  v: The date when the document was last updated
definition:
  v: The date when the document was last updated
comment:
  v: The date of the child report is the date when the report was created, not the date of the examination or observation. In case of reports migrated from KMEHR, the date is the date of the conversion, not the KMEHR message creation, which is unknown.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelDocument.recordedDate
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: BeModelChildReport.author[x]
path:
  v: BeModelChildReport.author[x]
short:
  v: Author
definition:
  v: Author(s) by whom the resource was/were authored. Multiple authors could be provided.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelDocument.author[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Practitioner
    l: Practitioner
  profile:
    v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner
    l: be-practitioner
type:
  code:
    v: Organization
    l: Organization
  profile:
    v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization
    l: be-organization

id:
  v: BeModelChildReport.presentedForm
path:
  v: BeModelChildReport.presentedForm
short:
  v: Child report PDF file
definition:
  v: A base64 encoded PDF file with the remaining child report information (biometric data, charts, etc.).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelDocument.presentedForm
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Attachment
    l: Attachment

id:
  v: BeModelChildReport.documentTitle
path:
  v: BeModelChildReport.documentTitle
short:
  v: Document title
definition:
  v: Document title
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelDocument.documentTitle
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: BeModelChildReport.section
path:
  v: BeModelChildReport.section
short:
  v: Sections
definition:
  v: Sections
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelDocument.section
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: *
    l: fhir

id:
  v: BeModelChildReport.section.subsection
path:
  v: BeModelChildReport.section.subsection
short:
  v: subsection
definition:
  v: subsection
min:
  v: 0
max:
  v: *
base:
  path:
    v: BeModelDocument.section.subsection
  min:
    v: 0
  max:
    v: *
content reference:
  v: https://www.ehealth.fgov.be/standards/fhir/childrecord/StructureDefinition/BeModelDocument#BeModelDocument.section
  l: BeModelDocument.section

id:
  v: BeModelChildReport.pregnancyDetails
path:
  v: BeModelChildReport.pregnancyDetails
short:
  v: Pregnancy details
definition:
  v: Details about the pregnancy.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy
path:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy
short:
  v: [BeClinicalObservation] The duration of pregnancy in weeks, as an observation.
definition:
  v: [BeClinicalObservation] The duration of pregnancy in weeks, as an observation.
min:
  v: 0
max:
  v: 1
base:
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    v: BeModelChildReport.pregnancyDetails.durationOfPregnancy
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type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.subject
path:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.subject
short:
  v: Child
definition:
  v: subject
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference

id:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.code
path:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.code
short:
  v: Length of gestation at birth
definition:
  v: Length of gestation at birth
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding: http://snomed.info/id/412726003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 412726003
    display:
      v: Length of gestation at birth

id:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.valueInteger
path:
  v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.valueInteger
short:
  v: The duration of pregnancy in weeks
definition:
  v: The duration of pregnancy in weeks
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.durationOfPregnancy.valueInteger
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: integer
    l: integer

id:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection
path:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection
short:
  v: [BeClinicalObservation] Pregnancy CMV infection
definition:
  v: Indicates whether CMV infection occurred during pregnancy.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.subject
path:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.subject
short:
  v: Child
definition:
  v: subject
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference

id:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.code
path:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.code
short:
  v: CMV infection during pregnancy
definition:
  v: CMV infection during pregnancy
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    code:
      v: cmv-infection-during-pregnancy
    display:
      v: CMV infection during pregnancy

id:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.valueBoolean
path:
  v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.valueBoolean
short:
  v: Indicates whether CMV infection occurred during pregnancy.
definition:
  v: The value indicates whether the mother had a CMV infection during pregnancy.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.pregnancyDetails.pregnancyCMVInfection.valueBoolean
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: BeModelChildReport.bacterialMeningitis
path:
  v: BeModelChildReport.bacterialMeningitis
short:
  v: [BeClinicalObservation] Bacterial meningitis
definition:
  v: Indicates whether bacterial meningitis occurred during pregnancy.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelChildReport.bacterialMeningitis
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.bacterialMeningitis.code
path:
  v: BeModelChildReport.bacterialMeningitis.code
short:
  v: Code
definition:
  v: Code
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.bacterialMeningitis.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    code:
      v: bacterial-meningitis-during-pregnancy
    display:
      v: bacterial meningitis during pregnancy

id:
  v: BeModelChildReport.bacterialMeningitis.subject
path:
  v: BeModelChildReport.bacterialMeningitis.subject
short:
  v: Child
definition:
  v: subject
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.bacterialMeningitis.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference

id:
  v: BeModelChildReport.bacterialMeningitis.valueBoolean
path:
  v: BeModelChildReport.bacterialMeningitis.valueBoolean
short:
  v: Indicates whether bacterial meningitis occurred during pregnancy.
definition:
  v: The value indicates whether the mother had a bacterial meningitis during pregnancy.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.bacterialMeningitis.valueBoolean
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft
short:
  v: [BeClinicalObservation] Left ear result
definition:
  v: Result of neonatal hearing screening for the left ear.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningLeft
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.date
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.date
short:
  v: Date of neonatal hearing screening
definition:
  v: The date of neonatal hearing screening.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningLeft.date
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: date
    l: date

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject
short:
  v: Child that the report is about
definition:
  v: The child that the report is about.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningLeft.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
    l: be-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.id
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.extension
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.reference
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.type
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
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base:
  path:
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  max:
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type:
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    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    l: http://hl7.org/fhir/ValueSet/resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.identifier
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
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base:
  path:
    v: Reference.identifier
  min:
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  max:
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type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.code
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.code
short:
  v: Result of neonatal hearing screening - left
definition:
  v: Result of neonatal hearing screening - left
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  v: 1
max:
  v: 1
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    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    code:
      v: neonatal-hearing-screening-left
    display:
      v: Result of neonatal hearing screening (left ear)

id:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.valueCode
path:
  v: BeModelChildReport.neonatalHearingScreeningLeft.subject.valueCode
short:
  v: Result of neonatal hearing screening (left ear)
definition:
  v: Neonatal hearing screening result for the left ear.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningLeft.subject.valueCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  strength:
    v: required
  value set:
    v: https://www.ehealth.fgov.be/standards/fhir/childrecord/ValueSet/VSNeonatalHearingScreeningResults
    l: VSNeonatalHearingScreeningResults

id:
  v: BeModelChildReport.neonatalHearingScreeningRight
path:
  v: BeModelChildReport.neonatalHearingScreeningRight
short:
  v: [BeClinicalObservation] Right ear result
definition:
  v: Result of neonatal hearing screening for the right ear.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningRight
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  max:
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type:
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    v: Base
    l: Base

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.date
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.date
short:
  v: Date of neonatal hearing screening
definition:
  v: The date of neonatal hearing screening.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningRight.date
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: date
    l: date

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject
short:
  v: Child that the report is about
definition:
  v: The child that the report is about.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningRight.subject
  min:
    v: 1
  max:
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
    l: be-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.id
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.extension
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.reference
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.type
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
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    v: 0
  max:
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type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    l: http://hl7.org/fhir/ValueSet/resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.identifier
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.code
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.code
short:
  v: Result of neonatal hearing screening - right
definition:
  v: Result of neonatal hearing screening - right
min:
  v: 1
max:
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base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningRight.subject.code
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    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    code:
      v: neonatal-hearing-screening-right
    display:
      v: Result of neonatal hearing screening (right ear)

id:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.valueCode
path:
  v: BeModelChildReport.neonatalHearingScreeningRight.subject.valueCode
short:
  v: Result of neonatal hearing screening (right ear)
definition:
  v: Neonatal hearing screening result for the right ear.
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  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.neonatalHearingScreeningRight.subject.valueCode
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    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  strength:
    v: required
  value set:
    v: https://www.ehealth.fgov.be/standards/fhir/childrecord/ValueSet/VSNeonatalHearingScreeningResults
    l: VSNeonatalHearingScreeningResults

id:
  v: BeModelChildReport.severeHeadTrauma
path:
  v: BeModelChildReport.severeHeadTrauma
short:
  v: [BeProblem] Severe head trauma
definition:
  v: Indicates whether severe head trauma was identified.
min:
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max:
  v: 1
base:
  path:
    v: BeModelChildReport.severeHeadTrauma
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: BeModelChildReport.severeHeadTrauma.subject
path:
  v: BeModelChildReport.severeHeadTrauma.subject
short:
  v: Child that the report is about
definition:
  v: The child that the report is about.
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  v: 1
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base:
  path:
    v: BeModelChildReport.severeHeadTrauma.subject
  min:
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
    l: be-patient

id:
  v: BeModelChildReport.severeHeadTrauma.date
path:
  v: BeModelChildReport.severeHeadTrauma.date
short:
  v: Date of reporting the trauma.
definition:
  v: Date of reporting the trauma.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.severeHeadTrauma.date
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: date
    l: date

id:
  v: BeModelChildReport.severeHeadTrauma.code
path:
  v: BeModelChildReport.severeHeadTrauma.code
short:
  v: Code
definition:
  v: Code
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max:
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base:
  path:
    v: BeModelChildReport.severeHeadTrauma.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    code:
      v: severe-head-trauma-during-delivery
    display:
      v: Severe head trauma

id:
  v: BeModelChildReport.severeHeadTrauma.valueBoolean
path:
  v: BeModelChildReport.severeHeadTrauma.valueBoolean
short:
  v: Indicates whether severe head trauma was identified.
definition:
  v: The value indicates whether severe head trauma was identified in the child.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BeModelChildReport.severeHeadTrauma.valueBoolean
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: BeModelChildReport.eyeScreening
path:
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id:
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id:
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comment:
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requirements:
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id:
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id:
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id:
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id:
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id:
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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element:
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id:
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  v: Result of neonatal hearing screening (right ear)
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id:
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id:
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  v: Indicates whether severe head trauma was identified.
definition:
  v: The value indicates whether severe head trauma was identified in the child.
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id:
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id:
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id:
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id:
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id:
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id:
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id:
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id:
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id:
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