{
  "resourceType": "StructureDefinition",
  "id": "ffe502b9-5607-4630-823b-06a0a6ea8364",
  "meta": {
    "lastUpdated": "2019-02-22T10:21:11.2357582+00:00"
  },
  "url": "http://medico-emr.net/stu3/sd/Observation-ChangeDocByTime-1",
  "name": "Observation-ChangeDocByTime-1",
  "status": "active",
  "date": "2019-02-22T10:21:11.15569+00:00",
  "description": "an instance of this resource represents a single documentation time for either a line, drain or wound",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://medico-emr.net/stu3/sd/Observation-Base-1",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "id"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.id:LineDocItem",
        "path": "Observation.id",
        "sliceName": "LineDocItem"
      },
      {
        "id": "Observation.id:LineDocItem.id",
        "path": "Observation.id.id",
        "definition": "ChangeDoc.LDI-########"
      },
      {
        "id": "Observation.id:DrainDocItem",
        "path": "Observation.id",
        "sliceName": "DrainDocItem"
      },
      {
        "id": "Observation.id:DrainDocItem.id",
        "path": "Observation.id.id",
        "definition": "ChangeDoc.DDI-#########"
      },
      {
        "id": "Observation.id:WoundDocItem",
        "path": "Observation.id",
        "sliceName": "WoundDocItem"
      },
      {
        "id": "Observation.id:WoundDocItem.id",
        "path": "Observation.id.id",
        "definition": "ChangeDoc.WDI-#########"
      },
      {
        "id": "Observation.meta.lastUpdated",
        "path": "Observation.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "fixedUri": "http://medico-emr.net/stu3/sd/Observation-ChangeDocByTime-1"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:IsUserFavourite",
        "path": "Observation.extension",
        "sliceName": "IsUserFavourite",
        "definition": "Optional Extension Element for observations of type http://medico-emr.net/stu3/sd/Observation-ChangeDoc-1\r\nAn extension to tell wether a user defines the wound - or a specific documentation time (with photo) as a favorite\r\nThis is used internally by Touch",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-ChangeDocIsUserFavourite-1"
          }
        ]
      },
      {
        "id": "Observation.extension:IsCanceable",
        "path": "Observation.extension",
        "sliceName": "IsCanceable",
        "definition": "Optional Extension Element for observations of type http://medico-emr.net/stu3/sd/Observation-ChangeDoc-1, having code.coding.system http://medico-emr.net/cs1 and one of the following codes: LineDocItem-1, DrainDocItem-1 or WoundDocItem-1\r\nDefines if the given instance of a Observation-ChangeDocByTime-1 could be cancelled due to business rules.",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-Observation-IsCanceable-1"
          }
        ]
      },
      {
        "id": "Observation.extension:CancellationReason",
        "path": "Observation.extension",
        "sliceName": "CancellationReason",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-Observation-ChangeDoc-ReasonCancelled-1"
          }
        ]
      },
      {
        "id": "Observation.extension:CancellationDate",
        "path": "Observation.extension",
        "sliceName": "CancellationDate",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-Observation-CancellationDate-1"
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "max": "1"
      },
      {
        "id": "Observation.identifier:medicoResourceId",
        "path": "Observation.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.identifier:medicoResourceId.system",
        "path": "Observation.identifier.system",
        "definition": "Must be a constant underneath http://medico-emr.net/%KUNDE%/sid1/\r\ndepending on code one of the following identifiers:\r\nChangeDoc.LDI - line documentation\r\nChangeDoc.DDI - drain documentation\r\nChangeDoc.WDI - wound documentation"
      },
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "default: final"
          }
        ],
        "path": "Observation.status",
        "short": "final | cancelled",
        "definition": "The status of the result value.\r\nmedico: \r\n   cancelled - if marked as cancelled (x1450doc.errorkz)\r\n   final - in all other cases\r\n\r\ncancelled means that this documentation was entered in error, for instance documented to wrong wound / line /drain"
      },
      {
        "id": "Observation.category.coding.system",
        "path": "Observation.category.coding.system",
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "fixedCode": "Cat_ChangeDoc-1"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.code:LineDocItem",
        "path": "Observation.code",
        "sliceName": "LineDocItem"
      },
      {
        "id": "Observation.code:LineDocItem.id",
        "path": "Observation.code.id",
        "max": "0"
      },
      {
        "id": "Observation.code:LineDocItem.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code:LineDocItem.coding.id",
        "path": "Observation.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.code:LineDocItem.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.code:LineDocItem.coding.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code:LineDocItem.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "LineDocItem-1"
      },
      {
        "id": "Observation.code:LineDocItem.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.code:LineDocItem.coding.userSelected",
        "path": "Observation.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.code:LineDocItem.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.text",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem",
        "path": "Observation.code",
        "sliceName": "DrainDocItem"
      },
      {
        "id": "Observation.code:DrainDocItem.id",
        "path": "Observation.code.id",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.id",
        "path": "Observation.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "DrainDocItem-1"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem.coding.userSelected",
        "path": "Observation.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.code:DrainDocItem.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.text",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem",
        "path": "Observation.code",
        "sliceName": "WoundDocItem"
      },
      {
        "id": "Observation.code:WoundDocItem.id",
        "path": "Observation.code.id",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.id",
        "path": "Observation.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "WoundDocItem-1"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem.coding.userSelected",
        "path": "Observation.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.code:WoundDocItem.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.text",
        "max": "0"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "max": "1"
      },
      {
        "id": "Observation.context",
        "path": "Observation.context",
        "max": "1"
      },
      {
        "id": "Observation.effectiveDateTime:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "definition": "medico: the timestamp the documentation was documented for (not the create date)"
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "max": "0"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Practitioner-User-1"
          },
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Organization-Department-1"
          }
        ]
      },
      {
        "id": "Observation.performer.id",
        "path": "Observation.performer.id",
        "max": "0"
      },
      {
        "id": "Observation.performer.reference",
        "path": "Observation.performer.reference",
        "min": 1
      },
      {
        "id": "Observation.performer.identifier",
        "path": "Observation.performer.identifier",
        "max": "0"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "max": "0"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://medico-emr.net/%KUNDE%/vs/Observation-BodySiteForChange-1"
          }
        }
      },
      {
        "id": "Observation.bodySite.id",
        "path": "Observation.bodySite.id",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.coding",
        "path": "Observation.bodySite.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.bodySite.coding.id",
        "path": "Observation.bodySite.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.coding.system",
        "path": "Observation.bodySite.coding.system",
        "definition": "http://medico-emr.net/%KUNDE%/cs/ChangeDoc-BodySite",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=http://medico-emr.net/%KUNDE%/cs/ChangeDoc-BodySite",
        "min": 1
      },
      {
        "id": "Observation.bodySite.coding.version",
        "path": "Observation.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.coding.code",
        "path": "Observation.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Observation.bodySite.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.bodySite.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.coding.userSelected",
        "path": "Observation.bodySite.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.bodySite.text",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.related",
        "path": "Observation.related",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "target.reference"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.related:Media-WoundDocumentation",
        "path": "Observation.related",
        "sliceName": "Media-WoundDocumentation",
        "definition": "Has a derivedForm relation to a Media that captures a wound",
        "max": "1"
      },
      {
        "id": "Observation.related:Media-WoundDocumentation.type",
        "path": "Observation.related.type",
        "min": 1,
        "fixedCode": "derived-from"
      },
      {
        "id": "Observation.related:Media-WoundDocumentation.target",
        "path": "Observation.related.target",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Media-WoundDocumentationImage-1"
          }
        ]
      },
      {
        "id": "Observation.related:Observation-ChangeDocGeneric",
        "path": "Observation.related",
        "sliceName": "Observation-ChangeDocGeneric",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.related:Observation-ChangeDocGeneric.type",
        "path": "Observation.related.type",
        "min": 1,
        "fixedCode": "derived-from"
      },
      {
        "id": "Observation.related:Observation-ChangeDocGeneric.target",
        "path": "Observation.related.target",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Observation-ChangeDocGeneric-1"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:DrainRenewalDate",
        "path": "Observation.component",
        "sliceName": "DrainRenewalDate",
        "definition": "timestamp when the drain was renewed.",
        "max": "1"
      },
      {
        "id": "Observation.component:DrainRenewalDate.id",
        "path": "Observation.component.id",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.id",
        "path": "Observation.component.code.id",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.id",
        "path": "Observation.component.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.version",
        "path": "Observation.component.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "DrainRenewalDate"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.coding.userSelected",
        "path": "Observation.component.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.text",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.value[x]:valueDateTime",
        "path": "Observation.component.valueDateTime",
        "sliceName": "valueDateTime",
        "definition": "timestamp when the drain was renewed.",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.component:DrainRenewalDate.dataAbsentReason",
        "path": "Observation.component.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.interpretation",
        "path": "Observation.component.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.component:DrainRenewalDate.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate",
        "path": "Observation.component",
        "sliceName": "LineRenewalDate",
        "definition": "timestamp when the line was renewed",
        "max": "1"
      },
      {
        "id": "Observation.component:LineRenewalDate.id",
        "path": "Observation.component.id",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.id",
        "path": "Observation.component.code.id",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.id",
        "path": "Observation.component.code.coding.id",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.version",
        "path": "Observation.component.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "LineRenewalDate"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.coding.display",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.coding.userSelected",
        "path": "Observation.component.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Observation.component:LineRenewalDate.code.text",
        "extension": [
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