{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Intermacsprofile-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-intermacsprofile-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.intermacs_profile.v0"
    }
  ],
  "version": "0",
  "name": "Intermacsprofile",
  "title": "INTERMACS profile",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Categorisation of the severity and level of limitation of advanced heart failure on at patient at the time of implant of a mechanical support, as defined by the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) data registry.",
  "purpose": "To record the INTERMACS profile of a patient at the time of implant of a mechanical support.",
  "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": "INTERMACS_profile",
        "path": "INTERMACS_profile",
        "short": "INTERMACS profile",
        "definition": "Categorisation of the severity and level of limitation of advanced heart failure on at patient at the time of implant of a mechanical support, as defined by the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) data registry.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.ItemTree",
        "path": "INTERMACS_profile.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.ItemTree",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.ItemTree.Extension",
        "path": "INTERMACS_profile.ItemTree.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local context or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "INTERMACS_profile.ItemTree.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History",
        "path": "INTERMACS_profile.History",
        "short": "History",
        "definition": "History.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event",
        "path": "INTERMACS_profile.History.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": "INTERMACS_profile.History.Any_Event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree",
        "short": "ItemTree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.Profile",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.Profile",
        "short": "Profile",
        "definition": "Categorisation of the level of limitation at the time of implant.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.Profile",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.Profile.value",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.Profile.value",
        "short": "Profile",
        "definition": "Categorisation of the level of limitation at the time of implant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.Profile.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier",
        "short": "'TCS' modifier",
        "definition": "Modifier indicating the use of temporary circulatory support (TCS).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier.value",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier.value",
        "short": "'TCS' modifier",
        "definition": "Modifier indicating the use of temporary circulatory support (TCS).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'TCS'_modifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier",
        "short": "'A' modifier",
        "definition": "Modifier indicating the occurrence of frequent arrhythmias (A).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier.value",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier.value",
        "short": "'A' modifier",
        "definition": "Modifier indicating the occurrence of frequent arrhythmias (A).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'A'_modifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier",
        "short": "'FF' modifier",
        "definition": "Modifier indicating the need for frequent rehospitalisation (FF).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier.value",
        "path": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier.value",
        "short": "'FF' modifier",
        "definition": "Modifier indicating the need for frequent rehospitalisation (FF).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "INTERMACS_profile.History.Any_Event.ItemTree.'FF'_modifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}