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