{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Palpationofthecervix-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-palpationofthecervix-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.exam-palpation-cervix.v0"
    }
  ],
  "version": "0",
  "name": "Palpationofthecervix",
  "title": "Palpation of the cervix",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Findings observed by palpation of the cervix.",
  "purpose": "To record a narrative description and clinical interpretation of the findings observed only by palpation of the cervix.",
  "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": "Palpation_of_the_cervix",
        "path": "Palpation_of_the_cervix",
        "short": "Palpation of the cervix",
        "definition": "Findings observed by palpation of the cervix.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.System_or_structure_examined",
        "path": "Palpation_of_the_cervix.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": "Palpation_of_the_cervix.System_or_structure_examined",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.System_or_structure_examined.value",
        "path": "Palpation_of_the_cervix.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": "Palpation_of_the_cervix.System_or_structure_examined.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Body_site",
        "path": "Palpation_of_the_cervix.Body_site",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Body_site",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Body_site.value",
        "path": "Palpation_of_the_cervix.Body_site.value",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Body_site.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Structured_body_site",
        "path": "Palpation_of_the_cervix.Structured_body_site",
        "short": "Structured body site",
        "definition": "A structured description of the area of the body under examination.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Palpation_of_the_cervix.Structured_body_site",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.No_abnormality_detected",
        "path": "Palpation_of_the_cervix.No_abnormality_detected",
        "short": "No abnormality detected",
        "definition": "Statement that no abnormality was detected (NAD) on physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.No_abnormality_detected",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.No_abnormality_detected.value",
        "path": "Palpation_of_the_cervix.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": "Palpation_of_the_cervix.No_abnormality_detected.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Clinical_description",
        "path": "Palpation_of_the_cervix.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Clinical_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Clinical_description.value",
        "path": "Palpation_of_the_cervix.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Relative_position",
        "path": "Palpation_of_the_cervix.Relative_position",
        "short": "Relative position",
        "definition": "Actual cervical position in relation to the expected, central anatomical position.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Relative_position",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Relative_position.value",
        "path": "Palpation_of_the_cervix.Relative_position.value",
        "short": "Relative position",
        "definition": "Actual cervical position in relation to the expected, central anatomical position.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Relative_position.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Consistency",
        "path": "Palpation_of_the_cervix.Consistency",
        "short": "Consistency",
        "definition": "The firmness of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Consistency",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Consistency.value",
        "path": "Palpation_of_the_cervix.Consistency.value",
        "short": "Consistency",
        "definition": "The firmness of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Consistency.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Surface_description",
        "path": "Palpation_of_the_cervix.Surface_description",
        "short": "Surface description",
        "definition": "Narrative description about the surface of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Surface_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Surface_description.value",
        "path": "Palpation_of_the_cervix.Surface_description.value",
        "short": "Surface description",
        "definition": "Narrative description about the surface of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Surface_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Mobility",
        "path": "Palpation_of_the_cervix.Mobility",
        "short": "Mobility",
        "definition": "Narrative description of the mobility of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Mobility",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Mobility.value",
        "path": "Palpation_of_the_cervix.Mobility.value",
        "short": "Mobility",
        "definition": "Narrative description of the mobility of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Mobility.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Tenderness",
        "path": "Palpation_of_the_cervix.Tenderness",
        "short": "Tenderness",
        "definition": "Narrative description of the tenderness of the cervix, especially on movement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Tenderness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Tenderness.value",
        "path": "Palpation_of_the_cervix.Tenderness.value",
        "short": "Tenderness",
        "definition": "Narrative description of the tenderness of the cervix, especially on movement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Tenderness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Thickness",
        "path": "Palpation_of_the_cervix.Thickness",
        "short": "Thickness",
        "definition": "The thickness of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Thickness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Thickness.value",
        "path": "Palpation_of_the_cervix.Thickness.value",
        "short": "Thickness",
        "definition": "The thickness of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Thickness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Effacement",
        "path": "Palpation_of_the_cervix.Effacement",
        "short": "Effacement",
        "definition": "Estimation of the proportion of cervical effacement during late pregnancy or labour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Effacement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Effacement.value",
        "path": "Palpation_of_the_cervix.Effacement.value",
        "short": "Effacement",
        "definition": "Estimation of the proportion of cervical effacement during late pregnancy or labour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Effacement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Cervical_length",
        "path": "Palpation_of_the_cervix.Cervical_length",
        "short": "Cervical length",
        "definition": "Estimation of the length of the cervix during late pregnancy or labour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Cervical_length",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Cervical_length.value",
        "path": "Palpation_of_the_cervix.Cervical_length.value",
        "short": "Cervical length",
        "definition": "Estimation of the length of the cervix during late pregnancy or labour.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Cervical_length.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Application_to_presenting_part",
        "path": "Palpation_of_the_cervix.Application_to_presenting_part",
        "short": "Application to presenting part",
        "definition": "Application of the cervix to the presenting part of the fetus during late pregnancy or labour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Application_to_presenting_part",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Application_to_presenting_part.value",
        "path": "Palpation_of_the_cervix.Application_to_presenting_part.value",
        "short": "Application to presenting part",
        "definition": "Application of the cervix to the presenting part of the fetus during late pregnancy or labour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Application_to_presenting_part.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Anterior_lip_presence",
        "path": "Palpation_of_the_cervix.Anterior_lip_presence",
        "short": "Anterior lip presence",
        "definition": "The presence of an anterior lip of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Anterior_lip_presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Anterior_lip_presence.value",
        "path": "Palpation_of_the_cervix.Anterior_lip_presence.value",
        "short": "Anterior lip presence",
        "definition": "The presence of an anterior lip of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Anterior_lip_presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.External_os_dilation",
        "path": "Palpation_of_the_cervix.External_os_dilation",
        "short": "External os dilation",
        "definition": "The amount of dilation of the external opening of the cervix.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.External_os_dilation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.External_os_dilation.value",
        "path": "Palpation_of_the_cervix.External_os_dilation.value",
        "short": "External os dilation",
        "definition": "The amount of dilation of the external opening of the cervix.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.External_os_dilation.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Internal_os_dilation",
        "path": "Palpation_of_the_cervix.Internal_os_dilation",
        "short": "Internal os dilation",
        "definition": "The amount of dilation of the internal opening of the cervix to the uterus.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Internal_os_dilation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Internal_os_dilation.value",
        "path": "Palpation_of_the_cervix.Internal_os_dilation.value",
        "short": "Internal os dilation",
        "definition": "The amount of dilation of the internal opening of the cervix to the uterus.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Internal_os_dilation.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Cervical_os_description",
        "path": "Palpation_of_the_cervix.Cervical_os_description",
        "short": "Cervical os description",
        "definition": "Narrative description of findings on palpation of cervical os.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Palpation_of_the_cervix.Cervical_os_description",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Cervical_os_description.value",
        "path": "Palpation_of_the_cervix.Cervical_os_description.value",
        "short": "Cervical os description",
        "definition": "Narrative description of findings on palpation of cervical os.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Palpation_of_the_cervix.Cervical_os_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Examination_findings",
        "path": "Palpation_of_the_cervix.Examination_findings",
        "short": "Examination findings",
        "definition": "Structured details about the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Palpation_of_the_cervix.Examination_findings",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Multimedia_representation",
        "path": "Palpation_of_the_cervix.Multimedia_representation",
        "short": "Multimedia representation",
        "definition": "Digital image, video or diagram representing the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Palpation_of_the_cervix.Multimedia_representation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Palpation_of_the_cervix.Clinical_interpretation",
        "path": "Palpation_of_the_cervix.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": "Palpation_of_the_cervix.Clinical_interpretation",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Palpation_of_the_cervix.Clinical_interpretation.value",
        "path": "Palpation_of_the_cervix.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": "Palpation_of_the_cervix.Clinical_interpretation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
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        "id": "Palpation_of_the_cervix.Examination_not_done",
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}