<status value="active" /> <date value="2022-02-21T07:41:41.2725532+00:00" /> <description value="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 value="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 value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="https://fhir.cambio.se/StructureDefinition/ObservationBreastStageFemaleCore/v1" /> <derivation value="constraint" /> <differential> <element id="Observation.implicitRules"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.implicitRules" /> <max value="0" /> </element> <element id="Observation.language"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.language" /> <max value="0" /> </element> <element id="Observation.text"> <path value="Observation.text" /> <max value="0" /> </element> <element id="Observation.contained"> <path value="Observation.contained" /> <max value="0" /> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.partOf"> <path value="Observation.partOf" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.status"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.status" /> <binding> <strength value="required" /> <description value="The status of th result value. FHIR - Cambio preliminary -> unsigned final -> signed and completednonSignable entered in error -> invalidated cancelled -> removed amended -> resigned" /> <valueSet value="https://cambio.codes/fhir/vs/vital-sign-status/v1" /> </binding> </element> <element id="Observation.category"> <path value="Observation.category" /> <max value="0" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.coding.system" /> </element> <element id="Observation.code.coding.version"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.coding.version" /> </element> <element id="Observation.code.coding.code"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.coding.code" /> </element> <element id="Observation.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.coding.display" /> </element> <element id="Observation.code.coding.userSelected"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.coding.userSelected" /> </element> <element id="Observation.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.code.text" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.subject.reference"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.reference" /> </element> <element id="Observation.subject.type"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.type" /> </element> <element id="Observation.subject.identifier:personnummer"> <path value="Observation.subject.identifier" /> <sliceName value="personnummer" /> </element> <element id="Observation.subject.identifier:personnummer.use"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.use" /> </element> <element id="Observation.subject.identifier:personnummer.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.system" /> </element> <element id="Observation.subject.identifier:personnummer.value"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.value" /> </element> <element id="Observation.subject.identifier:personnummer.assigner"> <path value="Observation.subject.identifier.assigner" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.subject.identifier:samordningsnummer"> <path value="Observation.subject.identifier" /> <sliceName value="samordningsnummer" /> </element> <element id="Observation.subject.identifier:samordningsnummer.use"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.use" /> </element> <element id="Observation.subject.identifier:samordningsnummer.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.system" /> </element> <element id="Observation.subject.identifier:samordningsnummer.value"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.identifier.value" /> </element> <element id="Observation.subject.identifier:samordningsnummer.assigner"> <path value="Observation.subject.identifier.assigner" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.subject.display" /> </element> <element id="Observation.focus"> <path value="Observation.focus" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.effective[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.effective[x]" /> </element> <element id="Observation.issued"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.issued" /> <max value="0" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <min value="1" /> <max value="2" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <constraint> <key value="qty-3" /> <severity value="error" /> <human value="If a code for the unit is present, the system SHALL also be present" /> <expression value="code.empty() or system.exists()" /> <xpath value="not(exists(f:code)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/Observation" /> </constraint> </element> <element id="Observation.value[x].coding"> <path value="Observation.value[x].coding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.value[x].coding.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].coding.system" /> </element> <element id="Observation.value[x].coding.version"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].coding.version" /> </element> <element id="Observation.value[x].coding.code"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].coding.code" /> <binding> <strength value="required" /> <description value="Value set of TannerGirlsBreastvDevelopmentStages" /> <valueSet value="https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1" /> </binding> </element> <element id="Observation.value[x].coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].coding.display" /> </element> <element id="Observation.value[x].coding.userSelected"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].coding.userSelected" /> </element> <element id="Observation.value[x].text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.value[x].text" /> </element> <element id="Observation.dataAbsentReason.coding"> <path value="Observation.dataAbsentReason.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.dataAbsentReason.coding.system"> <path value="Observation.dataAbsentReason.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/data-absent-reason" /> </element> <element id="Observation.dataAbsentReason.coding.code"> <path value="Observation.dataAbsentReason.coding.code" /> <short value="System isn't capable of supporting this element" /> <min value="1" /> <fixedCode value="unsupported" /> </element> <element id="Observation.dataAbsentReason.text"> <path value="Observation.dataAbsentReason.text" /> <short value="Comment/note about the observation when the value is empty" /> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <max value="0" /> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <max value="0" /> </element> <element id="Observation.method"> <path value="Observation.method" /> <max value="0" /> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.device"> <path value="Observation.device" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <max value="0" /> </element> <element id="Observation.referenceRange.text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Observation.referenceRange.text" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <max value="0" /> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> </element> <element id="Observation.component"> <path value="Observation.component" /> <max value="0" /> </element> <element id="Observation.component.value[x]"> <path value="Observation.component.value[x]" /> <constraint> <key value="qty-3" /> <severity value="error" /> <human value="If a code for the unit is present, the system SHALL also be present" /> <expression value="code.empty() or system.exists()" /> <xpath value="not(exists(f:code)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/Observation" /> </constraint> </element> <element id="Observation.component.referenceRange"> <path value="Observation.component.referenceRange" /> <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" /> </element> </differential> </StructureDefinition>