<status value="active" /> <description value="This is the base profile for NCDHC Obsrevation. All NCDHC Observation profiles SHALL extend this profile (vital-sgins profiles are excluded)" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" /> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="obs-6" /> <severity value="error" /> <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" /> <expression value="dataAbsentReason.empty() or value.empty()" /> <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" /> </constraint> <constraint> <key value="obs-7" /> <severity value="error" /> <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" /> <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" /> <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" /> </constraint> <constraint> <key value="ncdhc-obs-inv-001-val-ar" /> <severity value="error" /> <human value="If neither of component nor hasMember nor interpretation element is present, then either a value[x] or a data absent reason must be present" /> <expression value="component.exists() or interpretation.exists() or value.exists() or hasMember.exists() or dataAbsentReason.exists()" /> <source value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition/ncdhc-observation-base" /> </constraint> <constraint> <key value="ncdhc-obs-inv-003-exm-org" /> <severity value="error" /> <human value="An organisation which captures the relevant details shall be present" /> <expression value="(dataAbsentReason.empty()) implies (performer.reference.resolve().where($this is Organization).exists())" /> <source value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition/ncdhc-observation-base" /> </constraint> <constraint> <key value="ncdhc-obs-inv-002-exm-pract" /> <severity value="error" /> <human value="Person who is clinically responsible for the undertaking of the exam shall be present" /> <expression value="(dataAbsentReason.empty()) implies (performer.reference.resolve().where($this is PractitionerRole).exists())" /> <source value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition/ncdhc-observation-base" /> </constraint> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Slice based on the code.coding pattern" /> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org.au/fhir/StructureDefinition/au-patient" /> </type> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <slicing> <discriminator> <type value="type" /> <path value="$this.resolve()" /> </discriminator> <description value="Slice based on type:$this.resolve()" /> <ordered value="false" /> <rules value="open" /> </slicing> <type> <code value="Reference" /> <targetProfile value="http://hl7.org.au/fhir/StructureDefinition/au-organization" /> <targetProfile value="http://hl7.org.au/fhir/StructureDefinition/au-practitionerrole" /> <targetProfile value="http://hl7.org.au/fhir/StructureDefinition/au-patient" /> <targetProfile value="http://hl7.org.au/fhir/StructureDefinition/au-practitioner" /> </type> </element> <element id="Observation.performer:examiner"> <path value="Observation.performer" /> <sliceName value="examiner" /> <min value="0" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition/ncdhc-practitioner-role" /> </type> </element> <element id="Observation.performer:legalOrg"> <path value="Observation.performer" /> <sliceName value="legalOrg" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition/ncdhc-organisation" /> </type> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <binding> <strength value="extensible" /> <valueSet value="http://build.fhir.org/ig/hl7au/au-fhir-childhealth/ValueSet/ncdhc-observation-data-absent-reason-1" /> </binding> </element> </differential> </StructureDefinition>