<status value="draft" /> <date value="2022-05-30T19:52:59.7470191+00:00" /> <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="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.id"> <path value="Observation.id" /> <mustSupport value="true" /> </element> <element id="Observation.meta"> <path value="Observation.meta" /> <mustSupport value="true" /> </element> <element id="Observation.meta.id"> <path value="Observation.meta.id" /> <min value="1" /> </element> <element id="Observation.meta.lastUpdated"> <path value="Observation.meta.lastUpdated" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.meta.source"> <path value="Observation.meta.source" /> <mustSupport value="true" /> </element> <element id="Observation.text"> <path value="Observation.text" /> <mustSupport value="true" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <comment value="Usage Note - Historical load do not send the deleted entries. For delta send all updated resource including deleted PSS -->FHIR Needs Review, unfinished --> Final Updated --> amended - only if delta is being send deleted --> entered-in-error - only if delta is being send TBD question for Lloyd This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." /> <mustSupport value="true" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <comment value="social-history In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set." /> <fixedCodeableConcept> <text value="social-history" /> </fixedCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.category.coding"> <path value="Observation.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.category.coding.system"> <path value="Observation.category.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/observation-category" /> <mustSupport value="true" /> </element> <element id="Observation.category.coding.code"> <path value="Observation.category.coding.code" /> <min value="1" /> <fixedCode value="social-history" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <comment value="88028-6 Tobacco use panel Note that FHIR strings SHALL NOT exceed 1MB in size" /> <mustSupport value="true" /> </element> <element id="Observation.code.text"> <path value="Observation.code.text" /> <mustSupport value="true" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <aggregation value="bundled" /> </type> <mustSupport value="true" /> </element> <element id="Observation.subject.reference"> <path value="Observation.subject.reference" /> <mustSupport value="true" /> </element> <element id="Observation.subject.display"> <path value="Observation.subject.display" /> <mustSupport value="true" /> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <comment value="Useage Note - Provide encounter for MA if available This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests)." /> <mustSupport value="true" /> </element> <element id="Observation.encounter.reference"> <path value="Observation.encounter.reference" /> <mustSupport value="true" /> </element> <element id="Observation.encounter.display"> <path value="Observation.encounter.display" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <comment value="Usage note - PSS provide description text MA - smoking status observation + comment Alignment: Not supported in PS-CA An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](observation.html#notes) below." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.note"> <path value="Observation.note" /> <comment value="Usage Note: PSS provide Details if documented MA: Provide note in the task (on the left) May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation." /> <mustSupport value="true" /> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <max value="0" /> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <max value="0" /> </element> <element id="Observation.device"> <path value="Observation.device" /> <max value="0" /> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <max value="0" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> <targetProfile value="http://telus.com/fhir/patientChart/StructureDefinition/observation-tobacco-use-cigarettes-per-day" /> <targetProfile value="http://telus.com/fhir/patientChart/StructureDefinition/observation-tobacco-use-current-status" /> <targetProfile value="http://telus.com/fhir/patientChart/StructureDefinition/observation-tobacco-use-pack-years" /> <targetProfile value="http://telus.com/fhir/patientChart/StructureDefinition/observation-tobacco-use-tobacco-product" /> <aggregation value="bundled" /> </type> <mustSupport value="true" /> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <max value="0" /> </element> </differential> </StructureDefinition>