<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="SmartAL-Observation-CognitionGroup" />
  <url value="http://alticelabs.com/fhir/StructureDefinition/SmartAL-Observation-CognitionGroup" />
  <name value="SmartALObservationCognitionGroup" />
  <title value="SmartAL Observation — Cognition Group" />
  <status value="active" />
  <description value="Cognition group panel observation (custom LOINC 10100-F). This is a panel&#xA;with no top-level value. Cognition-related metrics are expressed as component&#xA;entries using custom LOINC codes from http://alticelabs.com/fhir/loinc-custom.&#xA;&#xA;Components may use either valueCodeableConcept (e.g., Predicted Cognitive&#xA;Status) or valueQuantity (e.g., Probability of MCI). Components with&#xA;valueQuantity MAY include interpretation and referenceRange.&#xA;&#xA;This observation is typically derived from a Gait Group observation&#xA;(via derivedFrom)." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://alticelabs.com/fhir/StructureDefinition/SmartAL-Observation-Base" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.code.coding:customLoinc">
      <path value="Observation.code.coding" />
      <sliceName value="customLoinc" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Observation.code.coding:customLoinc.system">
      <path value="Observation.code.coding.system" />
      <fixedUri value="http://alticelabs.com/fhir/loinc-custom" />
    </element>
    <element id="Observation.code.coding:customLoinc.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
      <fixedCode value="10100-F" />
    </element>
    <element id="Observation.code.coding:customLoinc.display">
      <path value="Observation.code.coding.display" />
      <fixedString value="Cognition Group" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <max value="0" />
    </element>
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <short value="Reference to the Gait Group observation this cognition assessment is derived from" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code.coding.code" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:predictedStatus">
      <path value="Observation.component" />
      <sliceName value="predictedStatus" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:predictedStatus.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
    </element>
    <element id="Observation.component:predictedStatus.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://alticelabs.com/fhir/loinc-custom" />
    </element>
    <element id="Observation.component:predictedStatus.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="10101-F" />
    </element>
    <element id="Observation.component:predictedStatus.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <fixedString value="Predicted Cognitive Status in Examination" />
    </element>
    <element id="Observation.component:predictedStatus.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="Cognitive status classification (e.g., Normal Cognition, MCI)" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Observation.component:probabilityMCI">
      <path value="Observation.component" />
      <sliceName value="probabilityMCI" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:probabilityMCI.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
    </element>
    <element id="Observation.component:probabilityMCI.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <fixedUri value="http://alticelabs.com/fhir/loinc-custom" />
    </element>
    <element id="Observation.component:probabilityMCI.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="10102-F" />
    </element>
    <element id="Observation.component:probabilityMCI.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <fixedString value="Probability of MCI in Examination" />
    </element>
    <element id="Observation.component:probabilityMCI.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:probabilityMCI.value[x].value">
      <path value="Observation.component.value[x].value" />
      <min value="1" />
    </element>
    <element id="Observation.component:probabilityMCI.value[x].unit">
      <path value="Observation.component.value[x].unit" />
      <fixedString value="%" />
    </element>
    <element id="Observation.component:probabilityMCI.value[x].system">
      <path value="Observation.component.value[x].system" />
      <fixedUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:probabilityMCI.value[x].code">
      <path value="Observation.component.value[x].code" />
      <fixedCode value="%" />
    </element>
    <element id="Observation.component:probabilityMCI.interpretation">
      <path value="Observation.component.interpretation" />
      <short value="MHR-enriched interpretation (N, H)" />
    </element>
    <element id="Observation.component:probabilityMCI.referenceRange">
      <path value="Observation.component.referenceRange" />
      <short value="MHR-enriched reference ranges for MCI probability" />
    </element>
  </differential>
</StructureDefinition>