{
  "resourceType": "StructureDefinition",
  "id": "8aab9afe-8501-480e-89e3-6fb2098ab8d9",
  "meta": {
    "lastUpdated": "2019-03-18T18:53:27.9395139+00:00"
  },
  "url": "https://ehealthbc.ca/API/fhir/StructureDefinition/ca-bc-Observation",
  "name": "ca-bc-CD-profile-Observation",
  "status": "draft",
  "date": "2019-03-18T18:53:26.9509795+00:00",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "max": "0"
      },
      {
        "id": "Observation.implicitRules",
        "path": "Observation.implicitRules",
        "max": "0"
      },
      {
        "id": "Observation.language",
        "path": "Observation.language",
        "max": "0"
      },
      {
        "id": "Observation.text",
        "path": "Observation.text",
        "max": "0"
      },
      {
        "id": "Observation.contained",
        "path": "Observation.contained",
        "max": "0"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:labResultExtension",
        "path": "Observation.extension",
        "sliceName": "labResultExtension",
        "type": [
          {
            "code": "Extension",
            "profile": "http://infoway-inforoute.ca/StructureDefinition/ca-bc-CD-labResult"
          }
        ]
      },
      {
        "id": "Observation.extension:labResultExtension.extension:epiMarkerValue",
        "path": "Observation.extension.extension",
        "sliceName": "epiMarkerValue"
      },
      {
        "id": "Observation.extension:labResultExtension.extension:epiMarkerValue.valueCodeableConcept:valueCodeableConcept.coding.code",
        "path": "Observation.extension.extension.valueCodeableConcept.coding.code",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n322.1"
      },
      {
        "id": "Observation.extension:labResultExtension.extension:epiMarkerOverride",
        "path": "Observation.extension.extension",
        "sliceName": "epiMarkerOverride"
      },
      {
        "id": "Observation.extension:labResultExtension.extension:epiMarkerOverride.valueBoolean:valueBoolean",
        "path": "Observation.extension.extension.valueBoolean",
        "sliceName": "valueBoolean",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n322.1"
      },
      {
        "id": "Observation.extension:labResultExtension.extension:labSensitivity_recordType",
        "path": "Observation.extension.extension",
        "sliceName": "labSensitivity_recordType"
      },
      {
        "id": "Observation.extension:labResultExtension.extension:labSensitivity_recordType.valueCode:valueCode",
        "path": "Observation.extension.extension.valueCode",
        "sliceName": "valueCode",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n322.1"
      },
      {
        "id": "Observation.identifier.use",
        "path": "Observation.identifier.use",
        "max": "0"
      },
      {
        "id": "Observation.identifier.type.coding",
        "path": "Observation.identifier.type.coding",
        "max": "0"
      },
      {
        "id": "Observation.identifier.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.identifier.type.text",
        "short": "Types of Lab Result Identifiers",
        "definition": "Accession No.; \r\nLab Result ID (Lab Result);\r\nLab Sensitivity ID (Lab Result): Mandatory if Sensitivity Drugs (297) provided",
        "comment": "none"
      },
      {
        "id": "Observation.identifier.system",
        "path": "Observation.identifier.system",
        "max": "0"
      },
      {
        "id": "Observation.identifier.value",
        "path": "Observation.identifier.value",
        "definition": "Accession No.; \r\nLab Result ID (Lab Result);\r\nLab Sensitivity ID (Lab Result): Mandatory if Sensitivity Drugs (297) provided",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n2.1; \r\n30.6; \r\n297.5"
      },
      {
        "id": "Observation.identifier.period",
        "path": "Observation.identifier.period",
        "max": "0"
      },
      {
        "id": "Observation.identifier.assigner",
        "path": "Observation.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "short": "Lab Test Name",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID :\r\nTo be referenced for Lab Test Name",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          }
        ]
      },
      {
        "id": "Observation.basedOn.id",
        "path": "Observation.basedOn.id",
        "max": "0"
      },
      {
        "id": "Observation.basedOn.identifier",
        "path": "Observation.basedOn.identifier",
        "max": "0"
      },
      {
        "id": "Observation.basedOn.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.basedOn.display",
        "max": "0"
      },
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "default: final"
          }
        ],
        "path": "Observation.status",
        "definition": "Lab Result status",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.2"
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "max": "0"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Lab Test Result Name",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.1"
      },
      {
        "id": "Observation.code.id",
        "path": "Observation.code.id",
        "max": "0"
      },
      {
        "id": "Observation.code.coding.id",
        "path": "Observation.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "max": "0"
      },
      {
        "id": "Observation.code.coding.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.1"
      },
      {
        "id": "Observation.code.coding.userSelected",
        "path": "Observation.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.text",
        "max": "0"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Lab Service Delivery Location",
        "definition": "Lab Service Delivery Location",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\nTo be referenced for Lab Service Delivery Location",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          }
        ]
      },
      {
        "id": "Observation.subject.reference",
        "path": "Observation.subject.reference",
        "short": "reference.identifier.value of resourceLocation",
        "definition": "reference.identifier.value of resourceLocation",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n294.1",
        "min": 1
      },
      {
        "id": "Observation.subject.identifier",
        "path": "Observation.subject.identifier",
        "max": "0"
      },
      {
        "id": "Observation.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.subject.display",
        "max": "0"
      },
      {
        "id": "Observation.context",
        "path": "Observation.context",
        "max": "0"
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "short": "Lab Result DateTime",
        "definition": "Lab Result DateTime",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.3",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "max": "0"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "definition": "Resulting Lab",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\nTo be referenced for Resulting Lab",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          }
        ]
      },
      {
        "id": "Observation.performer.reference",
        "path": "Observation.performer.reference",
        "short": "reference.identifier.value of resourcePractitioner",
        "definition": "reference.identifier.value of resourcePractitioner",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n2"
      },
      {
        "id": "Observation.performer.identifier",
        "path": "Observation.performer.identifier",
        "max": "0"
      },
      {
        "id": "Observation.performer.identifier.value",
        "path": "Observation.performer.identifier.value",
        "definition": "Use SERVICE_DELIVERY_LOCATION_ID values",
        "min": 1
      },
      {
        "id": "Observation.performer.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.performer.display",
        "max": "0"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "Lab Results",
        "definition": "Result Description; Result Value \r\n\r\nValueString: Sensitivity result Additonal Details\r\nValueQuantity with value & unit: GenLab results",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.7 for Result Value (GenLab only); \r\n 30.4 for Result Units (GenLab only);\r\n 297.3 for Sensitivity Result Value (Micro).",
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "comment": "none"
      },
      {
        "id": "Observation.interpretation.id",
        "path": "Observation.interpretation.id",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.coding.id",
        "path": "Observation.interpretation.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.coding.system",
        "path": "Observation.interpretation.coding.system",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.coding.version",
        "path": "Observation.interpretation.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.coding.code",
        "path": "Observation.interpretation.coding.code",
        "short": "Lab Flag (Lab Result - GenLab only)",
        "definition": "Lab Flag (Lab Result - GenLab only)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30.5 (GenLab)"
      },
      {
        "id": "Observation.interpretation.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.interpretation.coding.display",
        "short": "Lab Flag (Lab Result - GenLab only)",
        "definition": "Lab Flag (Lab Result - GenLab only)",
        "comment": "none"
      },
      {
        "id": "Observation.interpretation.coding.userSelected",
        "path": "Observation.interpretation.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.interpretation.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.interpretation.text",
        "short": "Interpreted Result (Lab Result) for GenLab",
        "definition": "Interpreted Result (Lab Result) for GenLab",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n30"
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Result Description",
        "definition": "Result Description",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n4"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "max": "0"
      },
      {
        "id": "Observation.specimen.reference",
        "path": "Observation.specimen.reference",
        "short": "Reference resourceSpecimen",
        "definition": "Reference resourceSpecimen",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\nTo be referenced for Lab Test Specimen"
      },
      {
        "id": "Observation.specimen.identifier",
        "path": "Observation.specimen.identifier",
        "max": "0"
      },
      {
        "id": "Observation.specimen.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.specimen.display",
        "max": "0"
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.type.coding.system",
        "path": "Observation.referenceRange.type.coding.system",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.type.coding.version",
        "path": "Observation.referenceRange.type.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.type.coding.code",
        "path": "Observation.referenceRange.type.coding.code",
        "short": "Range Type (Lab Result - General Only)",
        "definition": "Range Type (Lab Result - General Only)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n31.1"
      },
      {
        "id": "Observation.referenceRange.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.referenceRange.type.coding.display",
        "short": "Lab Result Reference Range",
        "definition": "Lab Result Reference Range",
        "comment": "none"
      },
      {
        "id": "Observation.referenceRange.type.coding.userSelected",
        "path": "Observation.referenceRange.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.referenceRange.type.text",
        "short": "Range Description (Lab Result - General Only)",
        "definition": "Range Description (Lab Result - General Only)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n31.2"
      },
      {
        "id": "Observation.referenceRange.appliesTo",
        "path": "Observation.referenceRange.appliesTo",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.age",
        "path": "Observation.referenceRange.age",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.text",
        "path": "Observation.referenceRange.text",
        "short": "Reference Range (Lab Result - General Only)",
        "definition": "Reference Range (Lab Result - General Only)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n31"
      },
      {
        "id": "Observation.related",
        "path": "Observation.related",
        "max": "0"
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "max": "0"
      },
      {
        "id": "Observation.component.code.coding.version",
        "path": "Observation.component.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "short": "Sensitivity - Drug (Lab Result)",
        "definition": "Sensitivity - Drug (Lab Result)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n297"
      },
      {
        "id": "Observation.component.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.coding.display",
        "short": "Sensitivity - Drug (Lab Result)",
        "definition": "Sensitivity - Drug (Lab Result)",
        "comment": "none"
      },
      {
        "id": "Observation.component.code.coding.userSelected",
        "path": "Observation.component.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.text",
        "max": "0"
      },
      {
        "id": "Observation.component.value[x]:valueString",
        "path": "Observation.component.valueString",
        "sliceName": "valueString",
        "short": "Sensitivity - Value (Lab Result)",
        "definition": "Sensitivity - Value (Lab Result)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n297.2",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.component.dataAbsentReason",
        "path": "Observation.component.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation",
        "path": "Observation.component.interpretation",
        "short": "Sensitivity - Interpretation (Lab Result)",
        "definition": "CM: Mandatory if Sensitivity (297) provided\r\nSensitivity - Interpretation (Lab Result)",
        "comment": "The component interpretation applies only to the individual component value."
      },
      {
        "id": "Observation.component.interpretation.coding.system",
        "path": "Observation.component.interpretation.coding.system",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation.coding.version",
        "path": "Observation.component.interpretation.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation.coding.code",
        "path": "Observation.component.interpretation.coding.code",
        "short": "Sensitivity - Interpretation (Lab Result)",
        "definition": "Sensitivity - Interpretation (Lab Result)",
        "comment": "CD_Mandate_Dataset_Specifications Data Element ID: \r\n297.1"
      },
      {
        "id": "Observation.component.interpretation.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.interpretation.coding.display",
        "short": "Sensitivity - Interpretation (Lab Result)",
        "definition": "Sensitivity - Interpretation (Lab Result)"
      },
      {
        "id": "Observation.component.interpretation.coding.userSelected",
        "path": "Observation.component.interpretation.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.interpretation.text",
        "max": "0"
      },
      {
        "id": "Observation.component.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      }
    ]
  }
}