{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2019-02-22T10:21:11.2357582+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/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": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "https://medico-emr.net/medico/r4/sd/Observation_Base_1",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "definition": "line documentation item: ChangeDoc.LDI-########\r\ndrain documentation item: ChangeDoc.DDI-#########\r\nwound documentation item: ChangeDoc.WDI-#########"
      },
      {
        "id": "Observation.meta.lastUpdated",
        "path": "Observation.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "fixedCanonical": "https://medico-emr.net/medico/r4/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 https://medico-emr.net/medico/r4/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": [
              "https://medico-emr.net/medico/r4/sd/ext/ChangeDocIsUserFavourite_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:IsCanceable",
        "path": "Observation.extension",
        "sliceName": "IsCanceable",
        "definition": "Optional Extension Element for observations of type https://medico-emr.net/medico/r4/sd/Observation_ChangeDoc_1, having code.coding.system https://medico-emr.net/medico/cs/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": [
              "https://medico-emr.net/medico/r4/sd/ext/Observation_IsCanceable_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:CancellationReason",
        "path": "Observation.extension",
        "sliceName": "CancellationReason",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Observation_ChangeDoc_ReasonCancelled_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:CancellationDate",
        "path": "Observation.extension",
        "sliceName": "CancellationDate",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Observation_CancellationDate_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "max": "1"
      },
      {
        "id": "Observation.identifier:medicoResourceId",
        "path": "Observation.identifier",
        "sliceName": "medicoResourceId",
        "max": "1"
      },
      {
        "id": "Observation.identifier:medicoResourceId.system",
        "path": "Observation.identifier.system",
        "definition": "Must be a constant underneath https://medico-emr.net/medico/%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",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/ChangeDoc.LDI"
      },
      {
        "id": "Observation.identifier:medicoResourceId-DrainDocumentationItem",
        "path": "Observation.identifier",
        "sliceName": "medicoResourceId-DrainDocumentationItem",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.identifier:medicoResourceId-DrainDocumentationItem.system",
        "path": "Observation.identifier.system",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/ChangeDoc.DDI"
      },
      {
        "id": "Observation.identifier:medicoResourceId-WoundDocumentationItem",
        "path": "Observation.identifier",
        "sliceName": "medicoResourceId-WoundDocumentationItem",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.identifier:medicoResourceId-WoundDocumentationItem.system",
        "path": "Observation.identifier.system",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/ChangeDoc.WDI"
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "max": "0"
      },
      {
        "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://hl7.org/fhir/ValueSet/observation-category"
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "fixedCode": "exam"
      },
      {
        "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": "https://medico-emr.net/medico/cs/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": "https://medico-emr.net/medico/cs/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": "https://medico-emr.net/medico/cs/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.issued",
        "path": "Observation.issued",
        "max": "0"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.performer.id",
        "path": "Observation.performer.id",
        "max": "0"
      },
      {
        "id": "Observation.performer.reference",
        "path": "Observation.performer.reference",
        "min": 1
      },
      {
        "id": "Observation.performer.type",
        "path": "Observation.performer.type",
        "min": 1
      },
      {
        "id": "Observation.performer.identifier",
        "path": "Observation.performer.identifier",
        "max": "0"
      },
      {
        "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]",
        "max": "0"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.note.id",
        "path": "Observation.note.id",
        "max": "0"
      },
      {
        "id": "Observation.note.author[x]",
        "path": "Observation.note.author[x]",
        "max": "0"
      },
      {
        "id": "Observation.note.time",
        "path": "Observation.note.time",
        "max": "0"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "binding": {
          "strength": "preferred"
        }
      },
      {
        "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": "https://medico-emr.net/medico/%KUNDE%/cs/ChangeDoc-BodySite",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%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.hasMember",
        "path": "Observation.hasMember",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric",
        "path": "Observation.derivedFrom",
        "sliceName": "observationChangeDocGeneric",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Observation_ChangeDocGeneric_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric.id",
        "path": "Observation.derivedFrom.id",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric.reference",
        "path": "Observation.derivedFrom.reference",
        "min": 1
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric.type",
        "path": "Observation.derivedFrom.type",
        "min": 1,
        "fixedUri": "Observation"
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric.identifier",
        "path": "Observation.derivedFrom.identifier",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom:observationChangeDocGeneric.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.derivedFrom.display",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation",
        "path": "Observation.derivedFrom",
        "sliceName": "mediaWoundDocumentation",
        "definition": "references the images taken for this documentation. as there could be more than one image - they're orderd by creation date ascending.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Media_WoundDocumentationImage_1"
            ]
          }
        ]
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation.id",
        "path": "Observation.derivedFrom.id",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation.reference",
        "path": "Observation.derivedFrom.reference",
        "min": 1
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation.type",
        "path": "Observation.derivedFrom.type",
        "min": 1,
        "fixedUri": "Media"
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation.identifier",
        "path": "Observation.derivedFrom.identifier",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom:mediaWoundDocumentation.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.derivedFrom.display",
        "max": "0"
      },
      {
        "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": "https://medico-emr.net/medico/cs/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]",
        "path": "Observation.component.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ]
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.component:DrainRenewalDate.value[x]:valueDateTime",
        "path": "Observation.component.value[x]",
        "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"
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