{
  "resourceType": "StructureDefinition",
  "id": "observation-tobaccouse-ca-ps",
  "url": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-tobaccouse-ca-ps",
  "version": "2.2.0",
  "name": "ObservationTobaccoUsePSCA",
  "title": "SHx Observation: Tobacco Use (PS-CA)",
  "status": "draft",
  "experimental": false,
  "date": "2022-07-28T09:23:00+00:00",
  "description": "This profile represents the constraints applied to the Observation resource by the PS-CA project to represent Tobacco use assessment in a patient summary. It allows for cross-border and cross-jurisdiction sharing of Social History Information.",
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "default: final"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.code",
        "comment": "This is a fixed pattern that enforces the presence of a globally shared code to represent this concept in use by IPS-UV, CA Baseline, US Core, COVID Logica IG, and other national FHIR Implementation Guides. Additional codings can be supplied, but at least one of them must follow the pattern below.",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "72166-2",
              "system": "http://loinc.org"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.subject.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.effective[x]",
        "comment": "Datatype is constrained to dateTime. If no dateTime is available, the dataAbsentReason extension must be used",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "comment": "Datatype is constrained to CodeableConcept. If no CodeableConcept (text or terminology) is available, the dataAbsentReason extension must be used.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/current-smoking-status-uv-ips"
        }
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "max": "0"
      }
    ]
  }
}