{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Edinburghpostnataldepressionscale-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-edinburghpostnataldepressionscale-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.edinburgh_pnd_scale.v0"
    }
  ],
  "version": "0",
  "name": "Edinburghpostnataldepressionscale",
  "title": "Edinburgh postnatal depression scale",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "The 10-question Edinburgh Postnatal Depression Scale (EPDS) is used to screen for pregnancy or postnatal depression by assessing how a women has been feeling over the past 7 days.",
  "purpose": "To detect depression in women who are pregnant or have recently had a baby. Developed by Cox JL, Holden JM and Sagovsky R 1987 (See references).\r\n\r\nInternationally, the Edinburgh Postnatal Depression Scale (EPDS) is the most widely accepted screening instrument used in the perinatal period. The EPDS was designed to allow screening of postnatal depression in the primary care setting1. It excludes some symptoms that are common in the perinatal period (tiredness, sleep disturbance, irritability) that other depression instruments include, as such symptoms do not differentiate between depressed and non-depressed postnatal women.\r\n\r\nThe value of the EPDS lies in the fact that it is easy to complete, has been validated in relation to other standardized psychiatric\r\nmeasures and has been found to be acceptable to women who are asked to complete it. Its use provides women with the\r\nopportunity to discuss their feelings and enables health professionals to discreetly raise the issue of postnatal depression.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Edinburgh_postnatal_depression_scale",
        "path": "Edinburgh_postnatal_depression_scale",
        "short": "Edinburgh postnatal depression scale",
        "definition": "The 10-question Edinburgh Postnatal Depression Scale (EPDS) is used to screen for pregnancy or postnatal depression by assessing how a women has been feeling over the past 7 days.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.protocol",
        "path": "Edinburgh_postnatal_depression_scale.protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.protocol.Extension",
        "path": "Edinburgh_postnatal_depression_scale.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event",
        "short": "Any Event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things",
        "short": "I have been able to laugh and see the funny side of things",
        "definition": "Item 1.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things.value",
        "short": "I have been able to laugh and see the funny side of things",
        "definition": "Item 1.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_able_to_laugh_and_see_the_funny_side_of_things.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things",
        "short": "I have looked forward with enjoyment to things",
        "definition": "Item 2.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things.value",
        "short": "I have looked forward with enjoyment to things",
        "definition": "Item 2.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_looked_forward_with_enjoyment_to_things.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong",
        "short": "I have blamed myself unnecessarily when things went wrong",
        "definition": "Item 3.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong.value",
        "short": "I have blamed myself unnecessarily when things went wrong",
        "definition": "Item 3.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_blamed_myself_unnecessarily_when_things_went_wrong.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason",
        "short": "I have been worried and anxious for no good reason",
        "definition": "Item 4.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason.value",
        "short": "I have been worried and anxious for no good reason",
        "definition": "Item 4.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_worried_and_anxious_for_no_good_reason.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason",
        "short": "I have felt scared or panicky for no very good reason",
        "definition": "Item 5.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason.value",
        "short": "I have felt scared or panicky for no very good reason",
        "definition": "Item 5.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_scared_or_panicky_for_no_very_good_reason.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me",
        "short": "Things have been getting on top of me",
        "definition": "Item 6.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me.value",
        "short": "Things have been getting on top of me",
        "definition": "Item 6.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Things_have_been_getting_on_top_of_me.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping",
        "short": "I have been so unhappy that I have had difficulties sleeping",
        "definition": "Item 7.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping.value",
        "short": "I have been so unhappy that I have had difficulties sleeping",
        "definition": "Item 7.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_had_difficulties_sleeping.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable",
        "short": "I have felt sad or miserable",
        "definition": "Item 8.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable.value",
        "short": "I have felt sad or miserable",
        "definition": "Item 8.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_felt_sad_or_miserable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying",
        "short": "I have been so unhappy that I have been crying",
        "definition": "Item 9.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying.value",
        "short": "I have been so unhappy that I have been crying",
        "definition": "Item 9.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.I_have_been_so_unhappy_that_I_have_been_crying.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me",
        "short": "The thought of harming myself has occurred to me",
        "definition": "Item 10.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me.value",
        "short": "The thought of harming myself has occurred to me",
        "definition": "Item 10.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.The_thought_of_harming_myself_has_occurred_to_me.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score",
        "short": "Total score",
        "definition": "Total score for the Edinburgh Postnatal Depression Scale.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score.value",
        "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score.value",
        "short": "Total score",
        "definition": "Total score for the Edinburgh Postnatal Depression Scale.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Edinburgh_postnatal_depression_scale.Event_Series.Any_Event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}