<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="fpar-limitedEnglishProficiencyEval" />
  <url value="http://fhir.org/guides/hspc/StructureDefinition/fpar-limitedEnglishProficiencyEval" />
  <version value="1.0.0" />
  <name value="HSPC SmokingStatus" />
  <status value="draft" />
  <date value="2017-05-01" />
  <publisher value="HSPC" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://healthcaresoa.org" />
    </telecom>
  </contact>
  <fhirVersion value="3.0.0" />
  <mapping>
    <identity value="argonaut-dq-dstu2" />
    <uri value="http://unknown.org/Argonaut DQ DSTU2" />
    <name value="Argonaut DQ DSTU2" />
  </mapping>
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Mapping" />
  </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/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-attr" />
    <uri value="http://snomed.info/sct" />
    <name value="SNOMED CT Attribute Binding" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation:fparlimitedEnglishProficiencyEval">
      <path value="Observation" />
      <sliceName value="fparlimitedEnglishProficiencyEval" />
      <short value="FPAR Limited English Proficiency" />
      <definition value="The FPAR Limited English Proficiency profile is based on the US Core Result Observation profile." />
      <comment value="Indicates whether or not a client requires care delivery in a language other than the English in 4 areas: listening, writing, reading, or speaking." />
      <alias value="Obs" />
      <constraint>
        <key value="us-core-2" />
        <severity value="error" />
        <human value="If there is no component or related element then either a value[x] or a data absent reason must be present" />
        <expression value="(component.empty() and related.empty()) implies (dataAbsentReason or value)" />
        <xpath value="exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)" />
      </constraint>
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation" />
      </mapping>
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.code">
      <path value="Observation.code" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.code" />
      </mapping>
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Observation.subject" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.org/guides/hspc/StructureDefinition/hspc-patient" />
      </type>
      <mustSupport value="true" />
      <isSummary value="true" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.effectivePeriod">
      <path value="Observation.effective[x]" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Observation.effective[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <mustSupport value="true" />
      <isSummary value="true" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.performer">
      <path value="Observation.performer" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://fhir.org/guides/hspc/StructureDefinition/hspc-provpract" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://fhir.org/guides/hspc/StructureDefinition/hspc-organization" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://fhir.org/guides/hspc/StructureDefinition/hspc-patient" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.valueCodeableConcept">
      <path value="Observation.valueCodeableConcept" />
      <short value="A coded result" />
      <definition value="A coded value that represents the result of an observation, assessment, or evaluation." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Observation.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="preferred" />
        <description value="A VSAC value set that describes an individual's current smoking state." />
        <valueSetReference>
          <reference value="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.31" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.bodySite">
      <path value="Observation.bodySite" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.method">
      <path value="Observation.method" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.specimen">
      <path value="Observation.specimen" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.device">
      <path value="Observation.device" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.related">
      <path value="Observation.related" />
      <min value="0" />
      <max value="0" />
      <isSummary value="true" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.component">
      <path value="Observation.component" />
      <min value="0" />
      <max value="0" />
      <isSummary value="true" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.referenceRange">
      <path value="Observation.referenceRange" />
      <min value="0" />
      <max value="0" />
      <isSummary value="true" />
    </element>
    <element id="Observation:fparlimitedEnglishProficiencyEval.interpretation">
      <path value="Observation.interpretation" />
      <min value="0" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>