{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.clevermed.com/StructureDefinition/Observation-BNet-Preg-SocialInformation",
  "name": "Observation-BNet-Preg-SocialInformation",
  "status": "active",
  "date": "2025-03-25T15:48:13.15254Z",
  "publisher": "Clevermed Ltd.",
  "contact": [
    {
      "name": "Clevermed BadgerNet Spine FHIR Team",
      "telecom": [
        {
          "system": "email",
          "value": "support@clevermed.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Social/safeguarding information relating to the pregnancy.",
  "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": "Social/safeguarding information",
        "definition": "Social/safeguarding information relating to the pregnancy."
      },
      {
        "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-SocialInformation",
        "min": 1,
        "fixedCode": "887041000000104"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "UNKNOWN"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Fixed code for status of observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "short": "Effective date and time for the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "1064311000000109"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Child protection plan"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Previous child protection plan",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "135891007"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Child in need"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Previous children in need",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "160871009"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Child in foster care"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Previous child in foster care",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "105432008"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Child given for adoption"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Previous child adopted",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "224161001"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Offspring leaving home, life event"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Previous child living elsewhere",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "818901000000100"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unborn child(ren) subject to child protection plan"
      },
      {
        "id": "Observation.component.valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "short": "Unborn child subject to child protection plan",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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 unborn child(ren) protection plan",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-UnbornProtectionPlan"
        }
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevermed.com/codesystem"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "unbornchild_inneed"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unborn child(ren) in need"
      },
      {
        "id": "Observation.component.valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "short": "Unborn child in need",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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 unborn child(ren) in need",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-UnbornChildInNeed"
        }
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevemed.com/codesystem"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "unbornchild_fostercare"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unborn child(ren) for foster care"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Unborn child in foster care",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevemed.com/codesystem"
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      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "unbornchild_adoption"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unborn child(ren) for adoption"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Unborn child for foster care",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevemed.com/codesystem"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "unbornchild_team"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unborn child(ren) under team around the family"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Unborn child(ren) under team around the family",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "300731000000106"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Family is cause for concern"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Cause for concern",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
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      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "1041000119100"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Partner relationship problem"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Relationship issues",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevermed.com/codesystem"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "partner_childrensupport"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Partner with other children in support"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Does partner have any other children in support",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "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": "224331001"
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      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Involved with police"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Involvement with police or probation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
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        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
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        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "105531004"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Housing unsatisfactory"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Housing problems",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
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        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "276101003"
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      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Unhappy childhood"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Significant issues in either parents childhood",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
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      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
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      {
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        "fixedString": "300686005"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Difficulty managing personal financial activities"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Financial difficulties",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "Fixed code for the component of the observation",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "https://fhir.clevermed.com/codesystem"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedString": "mother_childhoodcare"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Pregnant person/mother previously accommodated or looked after in childhood"
      },
      {
        "id": "Observation.component.valueBoolean",
        "path": "Observation.component.valueBoolean",
        "short": "Pregnant person/mother previously accommodated or looked after in childhood",
        "definition": "",
        "min": 1,
        "max": "1"
      }
    ]
  }
}