description: The Observation resource is used for tracking the current and historical observations that have been made for a patient with further contraints applied to represent an Assessment Scale observation, to support the Digital Child Health project.
package_name: NHSD.Assets.STU3
derivation: constraint
name: CareConnect-DCH-AssessmentScale-Observation-1
type: Observation
elements:
  category:
    index: 9
    elements:
      coding:
        index: 10
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 11
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 13
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 14
                elements:
                  extension:
                    index: 12
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 13
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 14
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 15
                  version: {index: 16}
                  code: {index: 17}
                  display: {index: 18}
                required: [display, system, code]
  referenceRange: {index: 59}
  interpretation: {index: 35}
  method:
    index: 47
    elements:
      coding:
        index: 48
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 49
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 51
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 52
                elements:
                  extension:
                    index: 50
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 51
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 52
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 53
                  version: {index: 54}
                  code: {index: 55}
                  display: {index: 56}
                required: [display, system, code]
  specimen: {index: 57}
  related:
    elements:
      type:
        pattern: {type: Code, value: derived-from}
        index: 60
      target:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Sequence', 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-AssessmentScale-Observation-1']
        index: 61
        elements:
          reference: {index: 62}
        required: [reference]
    required: [type]
  component:
    index: 63
    elements:
      code:
        elements:
          coding:
            index: 64
            extensions:
              snomedCTDescriptionID:
                url: h
                type: Extension
                short: The SNOMED CT Description ID for the display
                index: 66
                elements:
                  url:
                    pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                    index: 67
            elements:
              extension:
                index: 65
                slicing:
                  rules: open
                  discriminator:
                  - {path: url, type: value}
                  min: null
                  slices:
                    snomedCTDescriptionID:
                      match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                      schema:
                        type: Extension
                        short: The SNOMED CT Description ID for the display
                        url: h
                        index: 66
                        elements:
                          url:
                            pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                            index: 67
              system:
                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                index: 68
              version: {index: 69}
              code: {index: 70}
              display: {index: 71}
              userSelected: {index: 72}
            required: [display, system, code]
      value:
        choices: []
        index: 74
      dataAbsentReason: {index: 75}
      interpretation: {index: 76}
      referenceRange: {index: 77}
    required: [value]
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        reason:
          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
          schema:
            type: Extension
            url: h
            index: 1
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
                index: 2
  effectiveDateTime:
    type: dateTime
    index: 30
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, index: 30}
          max: 0
  status:
    pattern: {type: Code, value: final}
    index: 8
  comment: {index: 36}
  code:
    index: 19
    elements:
      coding:
        index: 20
        extensions:
          snomedCTDescriptionID:
            url: h
            type: Extension
            index: 22
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                index: 23
        elements:
          extension:
            index: 21
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                snomedCTDescriptionID:
                  match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                  schema:
                    type: Extension
                    url: h
                    index: 22
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 23
          version: {index: 24}
          userSelected: {index: 25}
  identifier:
    index: 3
    elements:
      system: {index: 4}
      value: {index: 5}
      assigner:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
        index: 6
    required: [value, system]
  bodySite:
    index: 37
    elements:
      coding:
        index: 38
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 39
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 41
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 42
                elements:
                  extension:
                    index: 40
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 41
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 42
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 43
                  version: {index: 44}
                  code: {index: 45}
                  display: {index: 46}
                required: [display, system, code]
  context:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Encounter-1']
    index: 28
    elements:
      reference: {index: 29}
    required: [reference]
  issued: {index: 31}
  device: {index: 58}
  basedOn: {index: 7}
  subject:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Patient-1']
    index: 26
    elements:
      reference: {index: 27}
    required: [reference]
  performer:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Practitioner-1']
    index: 32
    elements:
      reference: {index: 33}
    required: [reference]
  dataAbsentReason: {index: 34}
package_version: 1.0.0
extensions:
  reason:
    url: h
    type: Extension
    index: 1
    elements:
      url:
        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
        index: 2
class: profile
kind: resource
url: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-AssessmentScale-Observation-1
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.3.0
required: [context, subject, performer]