{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Examinationofapupil-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-examinationofapupil-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.exam-pupil.v0"
    }
  ],
  "version": "0",
  "name": "Examinationofapupil",
  "title": "Examination of a pupil",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Findings observed during the physical examination of the pupil of an eye.",
  "purpose": "To record a narrative description and clinical interpretation of the findings observed during the physical examination of the pupil of an eye.",
  "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": "Examination_of_a_pupil",
        "path": "Examination_of_a_pupil",
        "short": "Examination of a pupil",
        "definition": "Findings observed during the physical examination of the pupil of an eye.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.System_or_structure_examined",
        "path": "Examination_of_a_pupil.System_or_structure_examined",
        "short": "System or structure examined",
        "definition": "Identification of the examined body system or anatomical structure.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.System_or_structure_examined",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.System_or_structure_examined.value",
        "path": "Examination_of_a_pupil.System_or_structure_examined.value",
        "short": "System or structure examined",
        "definition": "Identification of the examined body system or anatomical structure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.System_or_structure_examined.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Body_site",
        "path": "Examination_of_a_pupil.Body_site",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Body_site",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Body_site.value",
        "path": "Examination_of_a_pupil.Body_site.value",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Body_site.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Structured_body_site",
        "path": "Examination_of_a_pupil.Structured_body_site",
        "short": "Structured body site",
        "definition": "A structured description of the area of the body under examination.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_pupil.Structured_body_site",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.No_abnormality_detected",
        "path": "Examination_of_a_pupil.No_abnormality_detected",
        "short": "No abnormality detected",
        "definition": "Statement that no abnormality was detected (NAD) on physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.No_abnormality_detected",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.No_abnormality_detected.value",
        "path": "Examination_of_a_pupil.No_abnormality_detected.value",
        "short": "No abnormality detected",
        "definition": "Statement that no abnormality was detected (NAD) on physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.No_abnormality_detected.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Clinical_description",
        "path": "Examination_of_a_pupil.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Clinical_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Clinical_description.value",
        "path": "Examination_of_a_pupil.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Shape",
        "path": "Examination_of_a_pupil.Shape",
        "short": "Shape",
        "definition": "The shape of the pupil.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Shape",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Shape.value",
        "path": "Examination_of_a_pupil.Shape.value",
        "short": "Shape",
        "definition": "The shape of the pupil.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Shape.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Size",
        "path": "Examination_of_a_pupil.Size",
        "short": "Size",
        "definition": "The size of the pupil.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Size",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Size.value_DvQuantity",
        "path": "Examination_of_a_pupil.Size.value_DvQuantity",
        "short": "Size",
        "definition": "The size of the pupil.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Size.value_DvQuantity",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Size.value_DV_CODED_TEXT",
        "path": "Examination_of_a_pupil.Size.value_DV_CODED_TEXT",
        "short": "Size",
        "definition": "The size of the pupil.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Size.value_DV_CODED_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Direct_reflex_(DLR)",
        "path": "Examination_of_a_pupil.Direct_reflex_(DLR)",
        "short": "Direct reflex (DLR)",
        "definition": "Presence of a reflex constriction of the same pupil when light is shone into the identified eye.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Direct_reflex_(DLR)",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Direct_reflex_(DLR).value",
        "path": "Examination_of_a_pupil.Direct_reflex_(DLR).value",
        "short": "Direct reflex (DLR)",
        "definition": "Presence of a reflex constriction of the same pupil when light is shone into the identified eye.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Direct_reflex_(DLR).value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.DLR_speed",
        "path": "Examination_of_a_pupil.DLR_speed",
        "short": "DLR speed",
        "definition": "Subjective estimate of the reactivity of the direct light reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.DLR_speed",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.DLR_speed.value",
        "path": "Examination_of_a_pupil.DLR_speed.value",
        "short": "DLR speed",
        "definition": "Subjective estimate of the reactivity of the direct light reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.DLR_speed.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Consensual_reflex_(CLR)",
        "path": "Examination_of_a_pupil.Consensual_reflex_(CLR)",
        "short": "Consensual reflex (CLR)",
        "definition": "Presence of a reflex constriction of the opposite pupil when light is shone into the identified eye.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Consensual_reflex_(CLR)",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Consensual_reflex_(CLR).value",
        "path": "Examination_of_a_pupil.Consensual_reflex_(CLR).value",
        "short": "Consensual reflex (CLR)",
        "definition": "Presence of a reflex constriction of the opposite pupil when light is shone into the identified eye.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Consensual_reflex_(CLR).value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.CLR_speed",
        "path": "Examination_of_a_pupil.CLR_speed",
        "short": "CLR speed",
        "definition": "Subjective estimate of the reactivity of the consensual light reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.CLR_speed",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.CLR_speed.value",
        "path": "Examination_of_a_pupil.CLR_speed.value",
        "short": "CLR speed",
        "definition": "Subjective estimate of the reactivity of the consensual light reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.CLR_speed.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Accommodation_reflex_(AR)",
        "path": "Examination_of_a_pupil.Accommodation_reflex_(AR)",
        "short": "Accommodation reflex (AR)",
        "definition": "Presence of a reflex constriction of the pupil, in response to changing focusing on a near or far objects.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Accommodation_reflex_(AR)",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Accommodation_reflex_(AR).value",
        "path": "Examination_of_a_pupil.Accommodation_reflex_(AR).value",
        "short": "Accommodation reflex (AR)",
        "definition": "Presence of a reflex constriction of the pupil, in response to changing focusing on a near or far objects.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Accommodation_reflex_(AR).value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.AR_speed",
        "path": "Examination_of_a_pupil.AR_speed",
        "short": "AR speed",
        "definition": "Subjective estimate of the reactivity of the accommodation reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.AR_speed",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.AR_speed.value",
        "path": "Examination_of_a_pupil.AR_speed.value",
        "short": "AR speed",
        "definition": "Subjective estimate of the reactivity of the accommodation reflex on stimulus by a light.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.AR_speed.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Examination_findings",
        "path": "Examination_of_a_pupil.Examination_findings",
        "short": "Examination findings",
        "definition": "Structured details about the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_pupil.Examination_findings",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Multimedia_representation",
        "path": "Examination_of_a_pupil.Multimedia_representation",
        "short": "Multimedia representation",
        "definition": "Digital image, video or diagram representing the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_pupil.Multimedia_representation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Clinical_interpretation",
        "path": "Examination_of_a_pupil.Clinical_interpretation",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_pupil.Clinical_interpretation",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Examination_of_a_pupil.Clinical_interpretation.value",
        "path": "Examination_of_a_pupil.Clinical_interpretation.value",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Clinical_interpretation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Comment",
        "path": "Examination_of_a_pupil.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the physical examination findings, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_pupil.Comment.value",
        "path": "Examination_of_a_pupil.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the physical examination findings, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_pupil.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_pupil.Examination_not_done",
        "path": "Examination_of_a_pupil.Examination_not_done",
        "short": "Examination not done",
        "definition": "Details to explicitly record that this examination was not performed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_pupil.Examination_not_done",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}