{
  "resourceType": "StructureDefinition",
  "id": "Observation",
  "url": "http://amphi.eu/fhir/prehospitalsolution/StructureDefinition/Observation/v1",
  "version": "1.0",
  "name": "Observation",
  "status": "active",
  "date": "2024-01-10T14:02:01.1873929+00:00",
  "description": "This profile contains information about the observations made by a clinician.\r\nThe profile is based on the Observation Resource.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "max": "0"
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta"
      },
      {
        "id": "Observation.meta.id",
        "path": "Observation.meta.id",
        "max": "0"
      },
      {
        "id": "Observation.meta.versionId",
        "path": "Observation.meta.versionId",
        "min": 1
      },
      {
        "id": "Observation.meta.lastUpdated",
        "path": "Observation.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "max": "0"
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "max": "0"
      },
      {
        "id": "Observation.meta.security",
        "path": "Observation.meta.security",
        "max": "0"
      },
      {
        "id": "Observation.meta.tag",
        "path": "Observation.meta.tag",
        "max": "0"
      },
      {
        "id": "Observation.implicitRules",
        "path": "Observation.implicitRules",
        "max": "0"
      },
      {
        "id": "Observation.language",
        "path": "Observation.language",
        "max": "0"
      },
      {
        "id": "Observation.text",
        "path": "Observation.text",
        "max": "0"
      },
      {
        "id": "Observation.contained",
        "path": "Observation.contained",
        "max": "0"
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "definition": "An identifier for this observation.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.identifier.use",
        "path": "Observation.identifier.use",
        "max": "0"
      },
      {
        "id": "Observation.identifier.type",
        "path": "Observation.identifier.type",
        "max": "0"
      },
      {
        "id": "Observation.identifier.system",
        "path": "Observation.identifier.system",
        "definition": "Namespace for the identifier value.",
        "min": 1,
        "fixedUri": "http://amphisystems.com/amphi/journaldatasystemid"
      },
      {
        "id": "Observation.identifier.value",
        "path": "Observation.identifier.value",
        "definition": "Unique value – observation id.",
        "min": 1
      },
      {
        "id": "Observation.identifier.period",
        "path": "Observation.identifier.period",
        "max": "0"
      },
      {
        "id": "Observation.identifier.assigner",
        "path": "Observation.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "max": "0"
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "max": "0"
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "definition": "The status of the result value.\r\n\r\nStatus will be final when observation is recorded. If the observation is deleted in amPHI, the status is set to entered-in-error."
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "max": "0"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "definition": "Type of observation."
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "definition": "Code defined by a terminology system."
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "definition": "Identity of the terminology system.",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "definition": "Code defined by the system.",
        "min": 1
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "definition": "Representation defined by the system."
      },
      {
        "id": "Observation.code.coding.userSelected",
        "path": "Observation.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.code.text",
        "path": "Observation.code.text",
        "max": "0"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "definition": "Who the observation is about.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://amphi.eu/fhir/prehospitalsolution/StructureDefinition/Patient/v1"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.subject.reference",
        "path": "Observation.subject.reference",
        "definition": "Literal reference to a patient resource. Relative URL is being used.",
        "min": 1
      },
      {
        "id": "Observation.subject.type",
        "path": "Observation.subject.type",
        "max": "0"
      },
      {
        "id": "Observation.subject.identifier",
        "path": "Observation.subject.identifier",
        "max": "0"
      },
      {
        "id": "Observation.subject.display",
        "path": "Observation.subject.display",
        "max": "0"
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "max": "0"
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "definition": "Healthcare event during which this observation is made. The health record this observation belongs to.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://amphi.eu/fhir/prehospitalsolution/StructureDefinition/Encounter/v1"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.encounter.reference",
        "path": "Observation.encounter.reference",
        "definition": "Literal reference to an encounter resource. Relative URL is being used.",
        "min": 1
      },
      {
        "id": "Observation.encounter.type",
        "path": "Observation.encounter.type",
        "max": "0"
      },
      {
        "id": "Observation.encounter.identifier",
        "path": "Observation.encounter.identifier",
        "max": "0"
      },
      {
        "id": "Observation.encounter.display",
        "path": "Observation.encounter.display",
        "max": "0"
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "definition": "Registration time for observation.",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "max": "0"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "definition": "The Clinician who recorded the observation.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://amphi.eu/fhir/prehospitalsolution/StructureDefinition/Practitioner/v1"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.performer.reference",
        "path": "Observation.performer.reference",
        "definition": "Literal reference to a practitioner resource. Relative URL is being used.",
        "min": 1
      },
      {
        "id": "Observation.performer.type",
        "path": "Observation.performer.type",
        "max": "0"
      },
      {
        "id": "Observation.performer.identifier",
        "path": "Observation.performer.identifier",
        "max": "0"
      },
      {
        "id": "Observation.performer.display",
        "path": "Observation.performer.display",
        "max": "0"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "definition": "Actual result.",
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "string"
          },
          {
            "code": "boolean"
          },
          {
            "code": "integer"
          },
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "definition": "The assessment made based on the result of the observation. It is used for observations of triage to state the severity.",
        "max": "1"
      },
      {
        "id": "Observation.interpretation.coding",
        "path": "Observation.interpretation.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.interpretation.coding.system",
        "path": "Observation.interpretation.coding.system",
        "min": 1
      },
      {
        "id": "Observation.interpretation.coding.version",
        "path": "Observation.interpretation.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.coding.code",
        "path": "Observation.interpretation.coding.code",
        "min": 1
      },
      {
        "id": "Observation.interpretation.coding.userSelected",
        "path": "Observation.interpretation.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.text",
        "path": "Observation.interpretation.text",
        "max": "0"
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "max": "1"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "definition": "How it was done. It is used to differentiate between observations with the same code, i.e. a measurement of pulse."
      },
      {
        "id": "Observation.method.coding",
        "path": "Observation.method.coding",
        "definition": "Code defined by a terminology system.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.method.coding.system",
        "path": "Observation.method.coding.system",
        "definition": "Identity of the terminology system.",
        "min": 1
      },
      {
        "id": "Observation.method.coding.version",
        "path": "Observation.method.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.method.coding.code",
        "path": "Observation.method.coding.code",
        "definition": "Code defined by the system.",
        "min": 1
      },
      {
        "id": "Observation.method.coding.display",
        "path": "Observation.method.coding.display",
        "definition": "Representation defined by the system."
      },
      {
        "id": "Observation.method.coding.userSelected",
        "path": "Observation.method.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.method.text",
        "path": "Observation.method.text",
        "max": "0"
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "max": "0"
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "definition": "Related measurements the observation is made from. This is used for observations of triage to reference QuestionnaireResponses.",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Observation.derivedFrom.reference",
        "path": "Observation.derivedFrom.reference",
        "definition": "Literal reference to the questionnaire response resource. Relative URL is being used.",
        "min": 1
      },
      {
        "id": "Observation.derivedFrom.type",
        "path": "Observation.derivedFrom.type",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom.identifier",
        "path": "Observation.derivedFrom.identifier",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom.display",
        "path": "Observation.derivedFrom.display",
        "max": "0"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "definition": "Component results. This is used for subresults. It is used for observations of trauma to state the subscores of the total trauma score, for observations of blood pressure to state the systolic and diastolic blood pressure separately, and for observations of Glasgow Coma Scale."
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "definition": "Type of component."
      },
      {
        "id": "Observation.component.code.coding",
        "path": "Observation.component.code.coding",
        "definition": "Code defined by a terminology system.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "definition": "Identity of the terminology system.",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding.version",
        "path": "Observation.component.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "definition": "Code defined by the system.",
        "min": 1
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "definition": "Representation defined by the system."
      },
      {
        "id": "Observation.component.code.coding.userSelected",
        "path": "Observation.component.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component.code.text",
        "path": "Observation.component.code.text",
        "max": "0"
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "definition": "Actual component result.",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "string"
          },
          {
            "code": "boolean"
          },
          {
            "code": "integer"
          },
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.component.dataAbsentReason",
        "path": "Observation.component.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      }
    ]
  }
}