<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2023-08-04T11:36:16.5160024+00:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo" />
  </extension>
  <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1" />
  <version value="1.1.0" />
  <name value="CareConnect-ACVPU-Observation-1" />
  <status value="draft" />
  <date value="2019-06-17" />
  <publisher value="HL7 UK" />
  <contact>
    <name value="INTEROPen" />
    <telecom>
      <system value="email" />
      <value value="admin@interopen.org" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="This profile is used to carry alert, new-onset or worsening confusion, voice, pain, and unresponsiveness observations for a patient." />
  <copyright value="Copyright © 2018 HL7 UK&#xD;&#xA;Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at&#xD;&#xA;&#xD;&#xA;http://www.apache.org/licenses/LICENSE-2.0&#xD;&#xA;&#xD;&#xA;Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.&#xD;&#xA;&#xD;&#xA;HL7® FHIR® standard Copyright © 2011+ HL7&#xD;&#xA;&#xD;&#xA;The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at&#xD;&#xA;&#xD;&#xA;https://www.hl7.org/fhir/license.html" />
  <fhirVersion value="3.0.2" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.identifier.system">
      <path value="Observation.identifier.system" />
      <min value="1" />
    </element>
    <element id="Observation.identifier.value">
      <path value="Observation.identifier.value" />
      <min value="1" />
    </element>
    <element id="Observation.identifier.assigner">
      <path value="Observation.identifier.assigner" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
      </type>
    </element>
    <element id="Observation.basedOn">
      <path value="Observation.basedOn" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1" />
      </type>
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <fixedCode value="final" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <short value="Classification of  type of observation." />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <binding>
        <strength value="required" />
        <description value="A code from SNOMED Clinical Terminology UK" />
        <valueSetUri value="http://snomed.info/sct" />
      </binding>
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.code.coding.version">
      <path value="Observation.code.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.code.coding.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
      <fixedCode value="1104441000000107" />
    </element>
    <element id="Observation.code.coding.display">
      <path value="Observation.code.coding.display" />
      <min value="1" />
      <fixedString value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
      </type>
    </element>
    <element id="Observation.context">
      <path value="Observation.context" />
      <short value="Healthcare event during which this observation is made." />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" />
      </type>
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
      </type>
    </element>
    <element id="Observation.value[x]:valueCodeableConcept">
      <path value="Observation.valueCodeableConcept" />
      <sliceName value="valueCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="A code from the SNOMED Clinical Terminology UK coding system which describes whether a patient is mentally alert, unresponsive, responds to voice, responds to pain or is acutely confused." />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ACVPU-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.value[x]:valueCodeableConcept.coding">
      <path value="Observation.valueCodeableConcept.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Observation.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.valueCodeableConcept.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.value[x]:valueCodeableConcept.coding.version">
      <path value="Observation.valueCodeableConcept.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.valueCodeableConcept.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.value[x]:valueCodeableConcept.coding.display">
      <path value="Observation.valueCodeableConcept.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.bodySite.coding">
      <path value="Observation.bodySite.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.bodySite.coding:snomedCT">
      <path value="Observation.bodySite.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
      <binding>
        <strength value="preferred" />
        <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;&lt;442083009 |anatomical or acquired body structure|)." />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.bodySite.coding:snomedCT.extension">
      <path value="Observation.bodySite.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.bodySite.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.bodySite.coding:snomedCT.system">
      <path value="Observation.bodySite.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.bodySite.coding:snomedCT.version">
      <path value="Observation.bodySite.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.bodySite.coding:snomedCT.code">
      <path value="Observation.bodySite.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.bodySite.coding:snomedCT.display">
      <path value="Observation.bodySite.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.method.coding">
      <path value="Observation.method.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.method.coding:snomedCT">
      <path value="Observation.method.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
      <binding>
        <strength value="preferred" />
        <description value="A code from SNOMED Clinical Terminology UK" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationMethod-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.method.coding:snomedCT.extension">
      <path value="Observation.method.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.method.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.method.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.method.coding:snomedCT.system">
      <path value="Observation.method.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.method.coding:snomedCT.version">
      <path value="Observation.method.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.method.coding:snomedCT.code">
      <path value="Observation.method.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.method.coding:snomedCT.display">
      <path value="Observation.method.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1" />
      </type>
    </element>
    <element id="Observation.related.target">
      <path value="Observation.related.target" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Sequence" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1" />
      </type>
    </element>
    <element id="Observation.component.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component.code.coding:snomedCT">
      <path value="Observation.component.code.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
      <binding>
        <strength value="extensible" />
        <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of observation" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationType-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.component.code.coding:snomedCT.extension">
      <path value="Observation.component.code.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.component.code.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.component.code.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.component.code.coding:snomedCT.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component.code.coding:snomedCT.version">
      <path value="Observation.component.code.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.component.code.coding:snomedCT.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component.code.coding:snomedCT.display">
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
    </element>
  </differential>
</StructureDefinition>