<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2017-10-16T14:16:31.497+01:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo" />
  </extension>
  <url value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
  <version value="1.7" />
  <name value="CareConnect-GPC-Observation-1" />
  <status value="draft" />
  <date value="2024-01-22T11:39:06.3872207+00:00" />
  <publisher value="HL7 UK" />
  <description value="The Observation resource is used for tracking the current and historical observations that have been made for a patient." />
  <copyright value="Copyright © 2020 HL7 UK&#xD;&#xA;&#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="3.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.meta.profile">
      <path value="Observation.meta.profile" />
      <min value="1" />
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.extension:reason">
      <path value="Observation.extension" />
      <sliceName value="reason" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ReasonCondition-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <min value="1" />
    </element>
    <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.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-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.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" />
      </type>
    </element>
    <element id="Observation.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="default: final" />
      </extension>
      <path value="Observation.status" />
      <definition value="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." />
    </element>
    <element id="Observation.category.coding">
      <path value="Observation.category.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.category.coding:snomedCT">
      <path value="Observation.category.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
    </element>
    <element id="Observation.category.coding:snomedCT.extension">
      <path value="Observation.category.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.category.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.category.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.category.coding:snomedCT.system">
      <path value="Observation.category.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.category.coding:snomedCT.version">
      <path value="Observation.category.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.category.coding:snomedCT.code">
      <path value="Observation.category.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.category.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Observation.category.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.code.coding:snomedCT">
      <path value="Observation.code.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
    </element>
    <element id="Observation.code.coding:snomedCT.extension">
      <path value="Observation.code.coding.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.code.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.code.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.code.coding:snomedCT.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.code.coding:snomedCT.version">
      <path value="Observation.code.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.code.coding:snomedCT.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding:snomedCT.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Observation.code.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.context">
      <path value="Observation.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued" />
      <min value="1" />
      <mustSupport value="true" />
    </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.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <type>
        <code value="Quantity" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Quantity-1" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="SampledData" />
      </type>
      <type>
        <code value="Attachment" />
      </type>
      <type>
        <code value="time" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation" />
      <definition value="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 value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationInterpretation" />
        </extension>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="https://fhir.nhs.uk/STU3/ValueSet/CareConnect-ObservationInterpretation-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.comment">
      <path value="Observation.comment" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <mustSupport value="true" />
    </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>
    </element>
    <element id="Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.bodySite.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.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">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Observation.bodySite.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.method">
      <path value="Observation.method" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.method.coding">
      <path value="Observation.method.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
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        <ordered value="false" />
        <rules value="open" />
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    </element>
    <element id="Observation.method.coding:snomedCT">
      <path value="Observation.method.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
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    <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>
    </element>
    <element id="Observation.method.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.method.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.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">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <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.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Device-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.related">
      <path value="Observation.related" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.related.type">
      <path value="Observation.related.type" />
      <mustSupport value="true" />
    </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.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
      </type>
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </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" />
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    <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>
    </element>
    <element id="Observation.component.code.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.component.code.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.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">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.component.value[x]">
      <path value="Observation.component.value[x]" />
      <type>
        <code value="Quantity" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Quantity-1" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="SampledData" />
      </type>
      <type>
        <code value="Attachment" />
      </type>
      <type>
        <code value="time" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Period" />
      </type>
    </element>
    <element id="Observation.component.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>