{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2017-10-16T13:16:31.497+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "oo"
    }
  ],
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1",
  "version": "1.7",
  "name": "CareConnect-GPC-Observation-1",
  "status": "draft",
  "date": "2024-01-22T11:39:06.3872207+00:00",
  "publisher": "HL7 UK",
  "description": "The Observation resource is used for tracking the current and historical observations that have been made for a patient.",
  "copyright": "Copyright © 2020 HL7 UK\r\n\r\nLicensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\r\n\r\nhttp://www.apache.org/licenses/LICENSE-2.0\r\n\r\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" 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.\r\n\r\nHL7® FHIR® standard Copyright © 2011+ HL7\r\n\r\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r\n\r\nhttps://www.hl7.org/fhir/license.html",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "min": 1
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:reason",
        "path": "Observation.extension",
        "sliceName": "reason",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ReasonCondition-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "min": 1
      },
      {
        "id": "Observation.identifier.system",
        "path": "Observation.identifier.system",
        "min": 1
      },
      {
        "id": "Observation.identifier.value",
        "path": "Observation.identifier.value",
        "min": 1
      },
      {
        "id": "Observation.identifier.assigner",
        "path": "Observation.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
          }
        ]
      },
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "default: final"
          }
        ],
        "path": "Observation.status",
        "definition": "The status of the result value.  In GP systems these are most likely to be ‘final’ however ‘preliminary’ reports are possible as for example, some work can be sub-contracted to other labs. If the system is not able to determine the status of a test group header then it should default to the ‘unknown’ value."
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.category.coding:snomedCT",
        "path": "Observation.category.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Observation.category.coding:snomedCT.extension",
        "path": "Observation.category.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.category.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Observation.category.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Observation.category.coding:snomedCT.system",
        "path": "Observation.category.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.category.coding:snomedCT.version",
        "path": "Observation.category.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.category.coding:snomedCT.code",
        "path": "Observation.category.coding.code",
        "min": 1
      },
      {
        "id": "Observation.category.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.category.coding.display",
        "min": 1
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.code.coding:snomedCT",
        "path": "Observation.code.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Observation.code.coding:snomedCT.extension",
        "path": "Observation.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.code.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Observation.code.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Observation.code.coding:snomedCT.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:snomedCT.version",
        "path": "Observation.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.code.coding:snomedCT.code",
        "path": "Observation.code.coding.code",
        "min": 1
      },
      {
        "id": "Observation.code.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "min": 1
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.context",
        "path": "Observation.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "Quantity",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Quantity-1"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "string"
          },
          {
            "code": "boolean"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "time"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "definition": "A human readable clinical summary relating to a test result and/or additional notes provided by the laboratory e.g. the specimen has haemolysed or has leaked",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ObservationInterpretation"
            }
          ],
          "strength": "extensible",
          "valueSetReference": {
            "reference": "https://fhir.nhs.uk/STU3/ValueSet/CareConnect-ObservationInterpretation-1"
          }
        }
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding",
        "path": "Observation.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.bodySite.coding:snomedCT",
        "path": "Observation.bodySite.coding",
        "sliceName": "snomedCT",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1"
          }
        }
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.extension",
        "path": "Observation.bodySite.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Observation.bodySite.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.system",
        "path": "Observation.bodySite.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.version",
        "path": "Observation.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.code",
        "path": "Observation.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Observation.bodySite.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.bodySite.coding.display",
        "min": 1
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding",
        "path": "Observation.method.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.method.coding:snomedCT",
        "path": "Observation.method.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Observation.method.coding:snomedCT.extension",
        "path": "Observation.method.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.method.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Observation.method.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Observation.method.coding:snomedCT.system",
        "path": "Observation.method.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.method.coding:snomedCT.version",
        "path": "Observation.method.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.method.coding:snomedCT.code",
        "path": "Observation.method.coding.code",
        "min": 1
      },
      {
        "id": "Observation.method.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.method.coding.display",
        "min": 1
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceMetric"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Device-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "mustSupport": true
      },
      {
        "id": "Observation.related",
        "path": "Observation.related",
        "mustSupport": true
      },
      {
        "id": "Observation.related.type",
        "path": "Observation.related.type",
        "mustSupport": true
      },
      {
        "id": "Observation.related.target",
        "path": "Observation.related.target",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Sequence"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding",
        "path": "Observation.component.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.component.code.coding:snomedCT",
        "path": "Observation.component.code.coding",
        "sliceName": "snomedCT",
        "max": "1"
      },
      {
        "id": "Observation.component.code.coding:snomedCT.extension",
        "path": "Observation.component.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component.code.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Observation.component.code.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Observation.component.code.coding:snomedCT.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding:snomedCT.version",
        "path": "Observation.component.code.coding.version",
        "max": "0"
      },
      {
        "id": "Observation.component.code.coding:snomedCT.code",
        "path": "Observation.component.code.coding.code",
        "min": 1
      },
      {
        "id": "Observation.component.code.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.component.code.coding.display",
        "min": 1
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "type": [
          {
            "code": "Quantity",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Quantity-1"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "string"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "time"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Observation.component.dataAbsentReason",
        "path": "Observation.component.dataAbsentReason",
        "mustSupport": true
      }
    ]
  }
}