{
  "resourceType": "StructureDefinition",
  "id": "fiphr-sd-metbystandardrmr-stu3",
  "url": "http://phr.kanta.fi/StructureDefinition/fiphr-sd-metbystandardrmr-stu3",
  "version": "0.1",
  "name": "fiphr-sd-metbystandardrmr-stu3",
  "title": "Finnish PHR MET by Standard RMR profile",
  "status": "draft",
  "experimental": true,
  "date": "2019-11-26",
  "publisher": "DigitalWells",
  "description": "Finnish PHR profile for metabolic equivalent of task (MET) by standard resting metabolic rate (RMR). The profile is based on the Finnish PHR Fitness profile.",
  "purpose": "Finnish PHR profile for metabolic equivalent of task (MET) by standard resting metabolic rate (RMR). The profile is based on the Finnish PHR Fitness profile.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://phr.kanta.fi/StructureDefinition/fiphr-fitness-stu3",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "fixedUri": "http://phr.kanta.fi/StructureDefinition/fiphr-sd-metbystandardrmr-stu3"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "max": "1"
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "fixedCode": "82260-1"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "max": "0"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "open"
        },
        "comment": "Component observations SHALL contain the standard resting metabolic rate and one of the following three options: the measured metabolic equivalent of task, the estimated metabolic equivalent of task or the reported metabolic equivalent of task. In the case of containing the estimated metabolic equivalent of task or the reported metabolic equivalent of task, component observations SHOULD also contain the source for the estimated metabolic equivalent of task or the source for the reported metabolic equivalent of task. Component observations MAY also contain the adjusted metabolic equivalent of task. In the case of containing the adjusted metabolic equivalent of task, component observations SHOULD also contain the source for the adjusted metabolic equivalent of task.",
        "min": 2,
        "max": "5"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:standard-rmr",
        "path": "Observation.component",
        "sliceName": "standard-rmr",
        "short": "Standard RMR",
        "definition": "Standard resting metabolic rate (RMR), by convention 3.5 ml of oxygen per kg per min.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:standard-rmr.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:standard-rmr.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:standard-rmr.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82284-1"
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity.value",
        "path": "Observation.component.valueQuantity.value",
        "min": 1
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity.comparator",
        "path": "Observation.component.valueQuantity.comparator",
        "max": "0"
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueQuantity.unit",
        "min": 1,
        "fixedString": "ml/kg/min"
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:standard-rmr.value[x]:valueQuantity.code",
        "path": "Observation.component.valueQuantity.code",
        "min": 1,
        "fixedCode": "mL/kg/min"
      },
      {
        "id": "Observation.component:standard-rmr.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:standard-rmr.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:measured-met",
        "path": "Observation.component",
        "sliceName": "measured-met",
        "short": "Measured MET",
        "definition": "Measured metabolic equivalent of task (MET) calculated based on measured activity metabolic rate and the standard resting metabolic rate (RMR).",
        "max": "1"
      },
      {
        "id": "Observation.component:measured-met.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:measured-met.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:measured-met.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82261-9"
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity.value",
        "path": "Observation.component.valueQuantity.value",
        "min": 1
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity.comparator",
        "path": "Observation.component.valueQuantity.comparator",
        "max": "0"
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueQuantity.unit",
        "min": 1,
        "fixedString": "MET"
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:measured-met.value[x]:valueQuantity.code",
        "path": "Observation.component.valueQuantity.code",
        "min": 1,
        "fixedCode": "[MET]"
      },
      {
        "id": "Observation.component:measured-met.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:measured-met.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-met",
        "path": "Observation.component",
        "sliceName": "estimated-met",
        "short": "Estimated MET",
        "definition": "Estimated metabolic equivalent of task (MET) calculated based on estimated activity metabolic rate and the standard resting metabolic rate (RMR).",
        "max": "1"
      },
      {
        "id": "Observation.component:estimated-met.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:estimated-met.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:estimated-met.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82262-7"
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity.value",
        "path": "Observation.component.valueQuantity.value",
        "min": 1
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity.comparator",
        "path": "Observation.component.valueQuantity.comparator",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueQuantity.unit",
        "min": 1,
        "fixedString": "MET"
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:estimated-met.value[x]:valueQuantity.code",
        "path": "Observation.component.valueQuantity.code",
        "min": 1,
        "fixedCode": "[MET]"
      },
      {
        "id": "Observation.component:estimated-met.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-met.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-source",
        "path": "Observation.component",
        "sliceName": "estimated-source",
        "short": "Source for estimated MET",
        "definition": "Source used to estimate the activity metabolic rate when calculating the estimated metabolic equivalent of task (MET).",
        "max": "1"
      },
      {
        "id": "Observation.component:estimated-source.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:estimated-source.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:estimated-source.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82280-9"
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "Codes identifying sources for estimated MET-values.",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-sourceforestimatedmet"
          }
        }
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding",
        "path": "Observation.component.valueCodeableConcept.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding.system",
        "path": "Observation.component.valueCodeableConcept.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding.version",
        "path": "Observation.component.valueCodeableConcept.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding.code",
        "path": "Observation.component.valueCodeableConcept.coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueCodeableConcept.coding.display",
        "min": 1
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.coding.userSelected",
        "path": "Observation.component.valueCodeableConcept.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-source.value[x]:valueCodeableConcept.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueCodeableConcept.text",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-source.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:estimated-source.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-met",
        "path": "Observation.component",
        "sliceName": "reported-met",
        "short": "Reported MET",
        "definition": "Reported metabolic equivalent of task (MET) calculated based on reported activity metabolic rate and the standard resting metabolic rate (RMR).",
        "max": "1"
      },
      {
        "id": "Observation.component:reported-met.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:reported-met.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:reported-met.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82263-5"
      },
      {
        "id": "Observation.component:reported-met.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:reported-met.value[x]:valueQuantity.value",
        "path": "Observation.component.valueQuantity.value",
        "min": 1
      },
      {
        "id": "Observation.component:reported-met.value[x]:valueQuantity.comparator",
        "path": "Observation.component.valueQuantity.comparator",
        "max": "0"
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        "id": "Observation.component:reported-met.value[x]:valueQuantity.unit",
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            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueQuantity.unit",
        "min": 1,
        "fixedString": "MET"
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      {
        "id": "Observation.component:reported-met.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:reported-met.value[x]:valueQuantity.code",
        "path": "Observation.component.valueQuantity.code",
        "min": 1,
        "fixedCode": "[MET]"
      },
      {
        "id": "Observation.component:reported-met.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-met.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-source",
        "path": "Observation.component",
        "sliceName": "reported-source",
        "short": "Source for reported MET",
        "definition": "Source used for the reported activity metabolic rate when calculating the reported metabolic equivalent of task (MET).",
        "max": "1"
      },
      {
        "id": "Observation.component:reported-source.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:reported-source.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:reported-source.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82281-7"
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "Codes identifying sources for reported MET-values.",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-sourceforreportedmet"
          }
        }
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding",
        "path": "Observation.component.valueCodeableConcept.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding.system",
        "path": "Observation.component.valueCodeableConcept.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding.version",
        "path": "Observation.component.valueCodeableConcept.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding.code",
        "path": "Observation.component.valueCodeableConcept.coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueCodeableConcept.coding.display",
        "min": 1
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.coding.userSelected",
        "path": "Observation.component.valueCodeableConcept.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-source.value[x]:valueCodeableConcept.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueCodeableConcept.text",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-source.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:reported-source.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:adjusted-met",
        "path": "Observation.component",
        "sliceName": "adjusted-met",
        "short": "Adjusted MET",
        "definition": "Adjusted metabolic equivalent of task (MET) calculated based on adjusted activity metabolic rate and the standard resting metabolic rate (RMR).",
        "max": "1"
      },
      {
        "id": "Observation.component:adjusted-met.code",
        "path": "Observation.component.code",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://phr.kanta.fi/ValueSet/fiphr-vs-metbystandardrmr"
          }
        }
      },
      {
        "id": "Observation.component:adjusted-met.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:adjusted-met.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "82271-8"
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity.value",
        "path": "Observation.component.valueQuantity.value",
        "min": 1
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity.comparator",
        "path": "Observation.component.valueQuantity.comparator",
        "max": "0"
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.valueQuantity.unit",
        "min": 1,
        "fixedString": "MET"
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity.system",
        "path": "Observation.component.valueQuantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:adjusted-met.value[x]:valueQuantity.code",
        "path": "Observation.component.valueQuantity.code",
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