{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.clevermed.com/StructureDefinition/Observation-BNet-Preg-MentalHealthStatus",
  "name": "Observation-BNet-Preg-MentalHealthStatus",
  "status": "active",
  "date": "2025-03-25T11:59:26.6258889Z",
  "publisher": "Clevermed Ltd.",
  "contact": [
    {
      "name": "Clevermed BadgerNet Spine FHIR Team",
      "telecom": [
        {
          "system": "email",
          "value": "support@clevermed.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This resource contains the mother's mental health status at appointment.",
  "copyright": "(c) Clevermed Ltd.  Usage by permission and for BadgerNet Spine Platform integration only.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "Mental health status at appointment",
        "definition": "This resource contains the mother's mental health status at appointment."
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "short": "Required snomed code for - Observation-BNet-Preg-MentalHealthStatus",
        "min": 1,
        "fixedCode": "391281002"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Values for whether discussed mental health issues",
          "valueSet": "https://clevermed.com/fhir/ValueSet/ValueSet-BNet-Preg-MentalHealthProblems"
        }
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Fixed code for status of observation.",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.valueCodeableConcept.text",
        "path": "Observation.valueCodeableConcept.text",
        "short": "String for where the codeableConcept is 'other'.",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for loss of pleasure",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "247796005"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Loss of capacity for enjoyment (finding)"
      },
      {
        "id": "Observation.component.valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "short": "Allowable codes for interest or pleasure findings.",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.system",
        "path": "Observation.component.valueCodeableConcept.coding.system",
        "fixedUri": "snomed"
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.code",
        "path": "Observation.component.valueCodeableConcept.coding.code",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Values for current depression status",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-LittleInterest"
        }
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for mental health support",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "390808007"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Mental health care"
      },
      {
        "id": "Observation.component.valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "short": "Mental health help required.",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.system",
        "path": "Observation.component.valueCodeableConcept.coding.system",
        "fixedUri": "snomed"
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.code",
        "path": "Observation.component.valueCodeableConcept.coding.code",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Values for whether mental health help is required",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-HelpRequired"
        }
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for depressed mood.",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "366979004"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Depressed mood"
      },
      {
        "id": "Observation.component.valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "short": "Feeling of being down, depressed or hopelessness.",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.system",
        "path": "Observation.component.valueCodeableConcept.coding.system",
        "fixedUri": "snomed"
      },
      {
        "id": "Observation.component.valueCodeableConcept.coding.code",
        "path": "Observation.component.valueCodeableConcept.coding.code",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Values for current depression status",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-DepressedStatus"
        }
      }
    ]
  }
}