{
  "resourceType": "StructureDefinition",
  "id": "77d53e25-48c2-4d3a-81f3-d95b90ca0d26",
  "meta": {
    "versionId": "10",
    "lastUpdated": "2022-08-15T11:15:48.5567162+00:00",
    "profile": [
      "https://fhir.cambio.se/StructureDefinition/ObservationBreastFemaleLite/v1"
    ]
  },
  "url": "https://fhir.cambio.se/StructureDefinition/ObservationBreastStageFemaleLite/v1",
  "version": "1.0.0",
  "name": "ObservationBreastStageFemaleLite",
  "title": "ObservationBreastStageFemaleLite",
  "status": "active",
  "date": "2022-02-21T07:41:41.2725532+00:00",
  "description": "This is a generic level use case profile to communicate the Breast Stage of female. This profile can be derived for more specific use case profile. This is used to record the visible stages (tanner stage) of puberty of a female patient.",
  "purpose": "The profile ObservationBreastFemaleLite is used for communicating an entry of a breast development stage of a female patient by sending a value in the element observation.value. The API can be used to read patient Breast development Stage information from COSMIC.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "https://fhir.cambio.se/StructureDefinition/ObservationBreastStageFemaleCore/v1",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.implicitRules",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.implicitRules",
        "max": "0"
      },
      {
        "id": "Observation.language",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.language",
        "max": "0"
      },
      {
        "id": "Observation.text",
        "path": "Observation.text",
        "max": "0"
      },
      {
        "id": "Observation.contained",
        "path": "Observation.contained",
        "max": "0"
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.status",
        "binding": {
          "strength": "required",
          "description": "The status of th result value. FHIR - Cambio preliminary -> unsigned final -> signed and completednonSignable entered in error -> invalidated cancelled -> removed amended -> resigned",
          "valueSet": "https://cambio.codes/fhir/vs/vital-sign-status/v1"
        }
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "max": "0"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.coding.system"
      },
      {
        "id": "Observation.code.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.coding.version"
      },
      {
        "id": "Observation.code.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.coding.code"
      },
      {
        "id": "Observation.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.coding.display"
      },
      {
        "id": "Observation.code.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.coding.userSelected"
      },
      {
        "id": "Observation.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.code.text"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.subject.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.reference"
      },
      {
        "id": "Observation.subject.type",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.type"
      },
      {
        "id": "Observation.subject.identifier:personnummer",
        "path": "Observation.subject.identifier",
        "sliceName": "personnummer"
      },
      {
        "id": "Observation.subject.identifier:personnummer.use",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.use"
      },
      {
        "id": "Observation.subject.identifier:personnummer.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.system"
      },
      {
        "id": "Observation.subject.identifier:personnummer.value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.value"
      },
      {
        "id": "Observation.subject.identifier:personnummer.assigner",
        "path": "Observation.subject.identifier.assigner",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.subject.identifier:samordningsnummer",
        "path": "Observation.subject.identifier",
        "sliceName": "samordningsnummer"
      },
      {
        "id": "Observation.subject.identifier:samordningsnummer.use",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.use"
      },
      {
        "id": "Observation.subject.identifier:samordningsnummer.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.system"
      },
      {
        "id": "Observation.subject.identifier:samordningsnummer.value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.identifier.value"
      },
      {
        "id": "Observation.subject.identifier:samordningsnummer.assigner",
        "path": "Observation.subject.identifier.assigner",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.subject.display"
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.effective[x]"
      },
      {
        "id": "Observation.issued",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.issued",
        "max": "0"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 1,
        "max": "2",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "constraint": [
          {
            "key": "qty-3",
            "severity": "error",
            "human": "If a code for the unit is present, the system SHALL also be present",
            "expression": "code.empty() or system.exists()",
            "xpath": "not(exists(f:code)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.value[x].coding",
        "path": "Observation.value[x].coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.value[x].coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].coding.system"
      },
      {
        "id": "Observation.value[x].coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].coding.version"
      },
      {
        "id": "Observation.value[x].coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].coding.code",
        "binding": {
          "strength": "required",
          "description": "Value set of TannerGirlsBreastvDevelopmentStages",
          "valueSet": "https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1"
        }
      },
      {
        "id": "Observation.value[x].coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].coding.display"
      },
      {
        "id": "Observation.value[x].coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].coding.userSelected"
      },
      {
        "id": "Observation.value[x].text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].text"
      },
      {
        "id": "Observation.dataAbsentReason.coding",
        "path": "Observation.dataAbsentReason.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.dataAbsentReason.coding.system",
        "path": "Observation.dataAbsentReason.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/data-absent-reason"
      },
      {
        "id": "Observation.dataAbsentReason.coding.code",
        "path": "Observation.dataAbsentReason.coding.code",
        "short": "System isn't capable of supporting this element",
        "min": 1,
        "fixedCode": "unsupported"
      },
      {
        "id": "Observation.dataAbsentReason.text",
        "path": "Observation.dataAbsentReason.text",
        "short": "Comment/note about the observation when the value is empty"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "max": "0"
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.referenceRange.text"
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "max": "0",
        "constraint": [
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "max": "0"
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "constraint": [
          {
            "key": "qty-3",
            "severity": "error",
            "human": "If a code for the unit is present, the system SHALL also be present",
            "expression": "code.empty() or system.exists()",
            "xpath": "not(exists(f:code)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.component.referenceRange",
        "path": "Observation.component.referenceRange",
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange"
      }
    ]
  }
}